Cultural Relevancy of a Diabetes Prevention Nutrition Program for African American Women

James Herbert Williams, Wendy F. Auslander, Mary de Groot, Adjoa Dionne Robinson, Cheryl Houston, Debra Haire-Joshu

Research output: Contribution to journalArticlepeer-review

40 Scopus citations


Diabetes among African American women is a pressing health concern, yet there are few evaluated culturally relevant prevention programs for this population. This article describes a case study of the Eat Well Live Well Nutrition Program, a community-based, culturally specific diabetes prevention nutrition program for African American women. The stages of change theory and principles from community organization guided the development of the program. Health education strategies, including participatory development and program delivery by peer educators, were applied to promote cultural relevance. Results indicated that overall participants (90%) believed the program to be culturally relevant and were very satisfied with the program (82%). Cultural relevancy was significantly associated with greater program satisfaction and changes in dietary patterns when controlling for the number of sessions attended. Conclusions suggest that participatory strategies can be effective in designing culturally specific prevention programs for African American women.

Original languageEnglish (US)
Pages (from-to)56-67
Number of pages12
JournalHealth promotion practice
Issue number1
StatePublished - Jan 2006
Externally publishedYes


  • African American women
  • cultural relevancy
  • diabetes prevention
  • dietary behaviors
  • stages of change

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing (miscellaneous)


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