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Author Notes:

Correspondence: Dr. Mary Beth Weber, mbweber@emory.edu

MBW designed and managed the SHAPE study, conducted data analysis and was the primary author of the manuscript. MMH provided guidance on the development and implementation of the qualitative components of SHAPE. All authors contributed to the design of the SHAPE study, assisted in data interpretation and provided substantive feedback on the manuscript.

Disclosures: none declared.


Research Funding:

This work was supported by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health (NIDDK/NIH) (grant number R34 DK081723), the Clinical and Translational Science Award programme, NIH, National Center for Research Resources (grant number UL1 RR025008), the Emory University Coalition of University-Community Partnerships, and the American Diabetes Association.

Further support was provided for MBW by additional grants from the NIDDK/NIH (grant numbers T32 DK007298, T32 DK007734) and both MBW and KMVN receive support from a NIDDK/NIH-funded Centre grant (grant number and P30 DK111024).


  • diabetes mellitus, type 2
  • healthy lifestyle
  • mixed methods research
  • Diabetes prevention
  • US South Asians
  • Population
  • Risk factors
  • Community study
  • Data analysis

Tailoring lifestyle programmes for diabetes prevention for US South Asians


Journal Title:

Family Medicine and Community Health


Volume 8, Number 2


, Pages e000295-e000295

Type of Work:

Article | Final Publisher PDF


Objective: The purpose of this study was to develop and test the feasibility of a culturally tailored Diabetes Prevention Programme (DPP) for US South Asians, a large population with high diabetes risk. Design: The South Asian Health and Prevention Education (SHAPE) study included: (1) focus group discussions with South Asian adults to understand views of lifestyle behaviours and diabetes prevention; (2) modification of the US DPP for South Asians and (3) a pilot, pre-post study to test the feasibility and impact of delivering the culturally tailored programme. Setting: The study was conducted in Atlanta, Georgia, USA. Focus group discussions and intervention classes were held at locations within the community (eg, South Asian restaurants, a public library, university classrooms, a South Asian owned physical therapy studio). Participants: The focus group discussions (n=17 with 109 individuals) included adults aged 25 years of older who self-identified as South Asian. Groups were stratified by age (25-40 years or older than 40 years) and sex. The SHAPE pilot study included 17 (76.5% male with a mean age of 46.9±12 years) South Asian adults aged 25 years or older with pre-diabetes and body mass index (BMI) >22 kg/m 2. Results: Formative data from 17 focus group discussions and a community board guided the modification of the DPP curriculum to reflect cultural food preferences and include tools to leverage social support, create a stronger foundation in exercise and overcome culturally specific barriers. The SHAPE pilot study included 17 South Asian adults with pre-diabetes and BMI >22 kg/m 2. There were positive changes in participants' weight, waist circumference, blood pressure, plasma lipids, HbA1c and other cardiometabolic markers postintervention and 55% of participants regressed to normoglycaemia. Conclusion: These results provide important information on the barriers faced by US South Asians in participating in € standard' lifestyle change programs, indicate the feasibility of culturally tailored programmes and show positive impact of a culturally tailored programme for diabetes prevention in the South Asian population.

Copyright information:

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/).
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