Adaptation of diabetes prevention program for Chinese Americans – a qualitative study

Ming Chin Yeh, Wincy Lau, Siqian Chen, Ada Wong, Ho Jui Tung, Grace X. Ma, Judith Wylie-Rosett

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Background: Studies have demonstrated that a culturally and linguistically tailored Diabetes Prevention Program (DPP) can be effective in reducing diabetes risk in Chinese Americans. The purpose of this study was to explore the cultural and linguistic acceptability of the Centers for Disease Control and Prevention’s Prevent T2 curriculum in an online format in the Chinese American community in New York City (NYC). Methods: Three focus groups among a total of 24 Chinese Americans with prediabetes and one community advisory board (CAB) meeting with 10 key stakeholders with expertise in diabetes care and lifestyle interventions were conducted. Each focus group lasted approximately 1 to 1.5 h. All groups were moderated by a bilingual moderator in Chinese. The sessions were audiotaped, transcribed and translated to English for analysis. Using Atlas.ti software and open coding techniques, two researchers analyzed transcripts for thematic analysis. Results: Five key themes were identified: barriers to behavioral changes, feedback on curriculum content and suggestions, web-based intervention acceptability, web-based intervention feasibility, and web-based intervention implementation and modifications. Participants with prediabetes were found to have high acceptability of web-based DPP interventions. Suggestions for the curriculum included incorporating Chinese American cultural foods and replacing photos of non-Asians with photos of Asians. Barriers included lack of access to the internet, different learning styles and low technology self-efficacy for older adults. Conclusion: Although the acceptability of web-based DPP in the Chinese American community in NYC is high, our focus group findings indicated that the major concern is lack of internet access and technical support. Providing support, such as creating an orientation manual for easy online program access for future participants, is important.

Original languageEnglish
Article number1325
JournalBMC Public Health
Issue number1
StatePublished - Dec 2022
Externally publishedYes


  • Chinese Americans
  • Cultural and linguistic adaptation
  • Focus groups
  • Lifestyle intervention
  • Qualitative study
  • Web-based diabetes prevention program


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