Interventions

The Health Disparities Strategic Plan of the National Institute of Health recommends translating scientific discoveries including effective interventions to reach disparity populations. Translating and adapting evidence-based behavioral interventions (EBIs) into community settings to reach disparity populations can help reduce disparities.

The CADC has implemented or collaborated on several independently-funded behavioral interventions that involved translating, adapting, and implementing interventions in disparity communities. Our innovative approaches and experiences have led to a unique translational model that provides a resource to others attempting to reduce disparities. For methods on translating/adapting interventions, please visit our methods page.

In this section, we describe four behavioral interventions that provide examples of applying these methods and that include practical resources for other investigators. All interventions were conducted by CADC faculty and funded with independent funding. Below is a brief description of each intervention and the available resources. A variety of resources are available for downloading such as implementation manuals, participant manuals, training manuals, and forms used for process evaluation. All of the intervention web pages include descriptions of the study, partners, translational model, program (intervention), research, and publications.

Language Access Systems Improvement (LASI) Initiative

The overarching goal of this proposal was to evaluate the impact of a systems intervention to certify the proficiency of clinicians’ non-English language skills and simultaneously create easy access to professional interpreters through videoconferencing – the LASI initiative.

  • Patient documents

Community of Voices - Comunidad de Voces

Community choir intervention for culturally diverse older adults, delivered by professional choir directors in community settings. Evaluated using a cluster-randomized, controlled trial design.

  • Program manual including evaluation forms
  • Research (outreach and recruitment, study design and results)

Nuevo Amanecer – A New Dawn (+Spanish)

Stress management program for Spanish-speaking Latinas with breast cancer delivered by peers (compañeras) in community settings. Initially conducted and evaluated in urban settings for newly diagnosed Latinas. Recently revised to enhance generalizability to women in rural settings at all phases of treatment. Both studies used a randomized, controlled trial design.

  • Implementation manual (for community settings)
  • Participant manual
  • Compañera training manual
  • Implementation evaluation forms

Live Well, Be Well (+Spanish)

Lifestyle program to reduce risk factors for culturally diverse adults at risk of diabetes, delivered by public health department staff in community settings. Diabetes risk assessments in community settings identified persons at risk; those at risk were recruited to join the program. Evaluated using a randomized, controlled trial design.

  • Diabetes Risk Appraisal (+Spanish)
  • Participant manual (+Spanish)
  • Curriculum, interventionist manual
  • Staffing and training
  • Study procedures, forms

Community Healthy Activities Model Program for Seniors (CHAMPS)

Program encouraging seniors to increase physical activity by participating in existing community-based physical activities. Delivered by health educators in HMO setting. Participants choose activities tailored to their preferences, abilities, health, and resources. Evaluated using a randomized, controlled trial design.