Translating Current Dietary Guidelines Into a Culturally Tailored Nutrition Education Program for Korean American Immigrants With Type 2 Diabetes
Open accessAbstract
Purpose The purpose of this article is to describe the process of translating evidence-based dietary guidelines into a tailored nutrition education program for Korean American immigrants (KAI) with type 2 diabetes mellitus (DM). Methods Community-based participatory research (CBPR) is a research process involving researchers and communities to build a collaborative partnership. The study was conducted at a community-based organization. In a total of 79 KAI (intervention, n = 40; control, n = 39) with uncontrolled type 2 DM (A1C ≥7.5%), 44.3% were female and the mean age was 56. 5 ± 7.9 years. A culturally tailored nutrition education was developed by identifying community needs and evaluating research evidence. The efficacy and acceptability of the program was assessed. Results In translating dietary guidelines into a culturally relevant nutrition education, culturally tailored dietary recommendations and education instruments were used. While dietary guidelines from the American Diabetes Association (ADA) were used to frame nutrition recommendations, additional content was adopted from the Korean Diabetes Association (KDA) guidelines. Culturally relevant intervention materials, such as Korean food models and an individually tailored serving table, were utilized to solidify nutritional concepts as well as to facilitate meal planning. Evaluation of the education revealed significantly increased DM-specific nutrition knowledge in the intervention group. The participants’ satisfaction with the education was 9.7 on a 0 to10-point scale. Conclusion The systematic translation approach was useful for producing a culturally tailored nutrition education program for KAI. The program was effective in improving the participants’ DM-specific nutrition knowledge and yielded a high level of satisfaction. Future research is warranted to determine the effect of a culturally tailored nutrition education on other clinical outcomes. 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When culturally tailored, nutrition education further supports dietary change.
“When culturally tailored, nutrition education further supports dietary change [265, 266, 267].”
From Nutritional priorities to support <scp>GLP</scp> ‐1 therapy for obesity: A joint Advisory from the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and The Obesity Society (2025) · cites this paper as [266]
The Results (Phase 4; page unavailable) report improved nutrition knowledge after the culturally tailored program, and the Discussion describes how culturally familiar materials helped participants apply dietary guidelines. The paper does not establish that participants changed their diets or that tailoring improved dietary change compared with untailored education. (LLM, conf=0.84)
Experimental — accuracy not yet measuredWhen culturally tailored, nutrition education further supports dietary change.
“When culturally tailored, nutrition education further supports dietary change [[257], [258], [259]].”
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Cites
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- [6]UK Prospective Diabetes Study (UKPDS) Group Intensive blood-glucose control with sulponylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33) Lancet 1998 352 837 853 9742976
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- Authors
- Song, H.-J., Han, H.-R., Lee, J.-E., Kim, J., Kim, K. B., Nguyen, T., & Kim, M. T.
- Affiliations
- Johns Hopkins University (US)
- Catholic University of Korea (KR)
- Kyungwoon University (KR)
- Venue
- The Diabetes Educator
- Publisher
- SAGE Publications
- Published
- 2010-07-22
- Volume
- 36
- Issue
- 5
- Pages
- 752-760
- ISSN
- 0145-7217 (ISSN-L)
- 1554-6063
- PMC
- PMC4156872
- OpenAlex
- W2028204876
- Cited by
- 44
- References
- 3
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 5 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 2 · 2014: 3 · 2013: 5 · 2012: 5
- FWCI
- 2.42
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Science of Diabetes Self-Management and Care (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Public Health Service (HCC002154)
- National Institute of Diabetes and Digestive and Kidney Diseases (R34DK071957)
- National Center for Research Resources (M01 RR-00052, M01RR000052)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
- Keywords
- Korean immigrants in the United States, type 2 diabetes, dietary guidelines, meal planning, diabetes self-management education, diabetes knowledge, program acceptability, community-based participatory research, American Diabetes Association guidelines, culturally appropriate health education, immigrant health disparities, Korean Americans
- MeSH terms
- Aged, Diabetes Mellitus, Type 2, Diet, Diabetic, Female, Humans, Language, Male, Middle Aged, Patient Education as Topic, Translating, United States, Nutrition Assessment, Emigrants and Immigrants, Republic of Korea
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