BACKGROUND American Indians have the highest prevalence of type 2 diabetes compared with any other racial or ethnic group. OBJECTIVE Developing a culturally tailored diabetes prevention and management intervention is one way to reduce diabetes-related health disparities among American Indian populations. The purpose of this article is to describe our approach for developing a diabetes prevention and management intervention study using Kolb's Experiential Learning Theory as the framework. METHODS To ensure the intervention study was culturally meaningful and relevant we used community-based participatory principles by partnering with a team of nurse researchers, tribal diabetes educators, tribal leaders, and tribal community members who were involved in all aspects of the study process. We conducted seven focus groups predominantly in rural American Indian communities in Oklahoma. Using focus group findings, the team collaboratively designed and developed a multi-generational diabetes prevention and management intervention study. The intervention group sessions will focus on ways to prevent and manage diabetes while the control group sessions will focus on general health education topics that have been identified by the team as important and relevant. CONCLUSIONS Family interventions that involve multiple generations and provide emotional and behavioral support to those with type 2 diabetes and family members at risk may provide our best chance at improving diabetes-related outcomes and reducing health disparities in this critical population.

中文翻译：

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为美洲印第安人制定文化定制糖尿病干预措施的方法。

背景与任何其他种族或族裔群体相比，美洲印第安人的 2 型糖尿病患病率最高。目标 制定适合文化的糖尿病预防和管理干预措施是减少美洲印第安人群体中与糖尿病相关的健康差异的一种方法。本文的目的是描述我们使用科尔布的体验式学习理论作为框架来开发糖尿病预防和管理干预研究的方法。方法 为了确保干预研究具有文化意义和相关性，我们采用了基于社区的参与原则，与参与研究过程各个方面的护士研究人员、部落糖尿病教育者、部落领袖和部落社区成员组成的团队合作。我们主要在俄克拉荷马州的农村美洲印第安人社区开展了七个焦点小组活动。利用焦点小组的研究结果，该团队合作设计并开发了一项多代糖尿病预防和管理干预研究。干预组会议将重点讨论预防和管理糖尿病的方法，而对照组会议将重点讨论团队认为重要且相关的一般健康教育主题。结论 涉及多代人并为 2 型糖尿病患者和面临风险的家庭成员提供情感和行为支持的家庭干预措施可能为我们改善糖尿病相关结果和减少这一关键人群的健康差异提供最佳机会。