142nd APHA Annual Meeting and Exposition

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Strategies to Reach and Implement the Vision of Health Equity (STRIVE) Project: Qualitative findings about the process of implementing evidence-based strategies in local AANHPI communities

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Wednesday, November 19, 2014 : 11:10 AM - 11:30 AM

Shilpa Patel, MPH , NYU School of Medicine, Center for the Study of Asian American Health, New York, NY
Simona Kwon, DrPH, MPH , Center for the Study of Asian American Health, New York University School of Medicine, New York, NY
Edward Tepporn , Asian and Pacific Islander American Health Forum, San Francisco, CA
Pedro Arista, MPH , Chronic Diseases, Asian & Pacific Islander American Health Forum, San Francisco, CA
Catlin Rideout, MPH , NYU Center for the Study of Asian American Health, NYU School of Medicine, New York, NY
Fran Linkin , Mailman School of Public Health, Columbia University, New York, NY
Kirklyn Escondo , NYU Center for the Study of Asian American Health, New York, NY
Marianne Chung , Asian & Pacific Islander American Health Forum, Washington, DC
Nadia Islam, PhD , Center for the Study of Asian American Health, NYU Institute of Community Health and Research, NYU School of Medicine, New York, NY
Kathy Ko Chin , Asian and Pacific Islander American Health Forum, San Francisco, CA
Chau Trinh-Shevrin, DrPH , Department of Population Health, New York University School of Medicine, New York, NY
Asian Americans, Native Hawaiians and Pacific Islanders (AANHPIs) are the fastest growing minority population in the US and report low rates of physical activity and healthy eating compared to other groups. Evidence-based (EB) strategies targeting policy, systems and environmental (PSE) change positively affect chronic disease risk factors in the overall population, but may not be meaningful and effective for underserved AANHPIs without cultural tailoring. The STRIVE Project aims to reduce AANHPI health disparities by working with 15 local AANHPI community-based organizations (CBOs) across the US to implement EB strategies tailored to address the unique characteristics of diverse communities. Leaders from 15 AANHPI CBOs were interviewed about their process of implementing EB strategies. Guided by Resnicow’s framework on cultural tailoring, the interview assessed: 1.The process of choosing an EB strategy; 2. Strategy implementation and process of tailoring; and 3. Lessons learned. Transcripts were analyzed for thematic codes using Atlas.ti by two independent coders. All 15 CBOs reported the need to culturally adapt/tailor their strategies to achieve effectiveness. Challenges include lack of relevant data for their local community, logistical issues, and lack of familiarity with EB strategies and PSE change. Facilitating factors of success include relationship building with key stakeholders (e.g. community leaders, health departments) and established community trust.  EB strategies would not be effective if implemented without cultural tailoring. CBOs are able to successfully implement EB strategies at the PSE level due to nuanced understanding and relationships with local AANHPI communities allowing for  appropriately tailored and targeted meaningful approaches.  

Learning Areas:

Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe the process of adapting evidence based strategies in culturally relevant and linguistically appropriate ways for AANHPI populations; Describe themes and potential frameworks for culturally tailoring evidence-based strategies for AANHPI communities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Evaluation Manager for the STRIVE project
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.