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. Author manuscript; available in PMC: 2017 May 1.
Published in final edited form as: Am J Health Behav. 2016 May;40(3):322–331. doi: 10.5993/AJHB.40.3.4

Table 3.

Implications and Recommendations for Designing and Implementing CVD-prevention Programs for Puerto Rican Adults

Main Topic Implications and Recommendations
Attitudes and knowledge
  • The perception of CVD as serious and the openness to learn how to prevent it can be leveraged to increase interest in prevention programs.

  • CVD-prevention programs need to educate participants about CVD and its behavioral risk factors, as there still is inadequate knowledge of such.

Preferred logistics
  • There is a need for creative ways to choose healthier ethnic foods and eating behaviors.

  • Increase efforts to diversify the health workforce, and train health professionals on how to gain trust, be friendly, respectful, and mindful of patient’s needs and culture.

  • Latino-oriented materials should be clear, simple, pictorial, bilingual, and culture-minded.

  • Skill-building and interactive activities, as well as components with social interaction and family support, are essential.

  • Allow flexibility in programs to appeal to the variety of schedules and preferences in the community.

Motivations and barriers
  • Intrinsic and material motivations can be leveraged to improve participation.

  • Allude to the importance of being healthy in order to take care of the family.

  • Barriers will always exist, but can be minimized.

  • Address emotional health as part of CVD-prevention as it seems to be common, a strong barrier, and a potential CVD-risk factor.

Overall
  • Engage the target community before designing programs to help gain trust, and increase participation and sustainability.

  • Perceptions and preferences seem to be deeply engrained and consistent.

  • While some perceptions and preferences of CVD-prevention programs are common among Latinos, some aspects are ethnic-specific.

  • Programs and interventions should be multi-level (individual, social, and environmental) and include multiple lifestyle behaviors.

  • CVD-prevention programs may be more appealing, attended, and sustainable, when tailored to the preferences and needs of the group served.