Expanding Extension education programs to serve the Hispanic community will be important as this population continues to grow. The rate of diabetes is higher among the Hispanic population than the non-Hispanic population; however, the barriers to implementing a health education program and recruiting participants are plentiful. This paper highlights the work conducted by the Clemson Cooperative Extension Service, in partnership with organizations across South Carolina, to adapt and deliver the Health Extension for Diabetes program to the Hispanic community. It offers insights into effective strategies for program adaptation, recruitment, and delivery that agents can use to overcome barriers and increase program enrollment among the Hispanic population.
Authors’ Contribution Statement
Author Contributions: C.B. led program implementation, including participant recruitment and promotion, class facilitation, and data collection, and served as the lead author, preparing the original manuscript draft. S.K. contributed to the design of the work, data analysis and interpretation, and drafting and revising the manuscript. C.D. contributed to manuscript writing and assisted with data analysis and interpretation. D.M. designed the program, coordinated statewide partnerships for participant referrals, oversaw program implementation, data collection, and promotional efforts, and contributed to manuscript writing and revision. M.P. provided project oversight and guidance for program implementation and contributed to manuscript review and revision. M.S. provided clinical expertise and facilitated connections that supported program implementation and contributed to manuscript review and revision. J.B. provided clinical expertise, participant referrals, and review of program materials and contributed to manuscript review and revision. R.M. provided administrative leadership and guidance for program implementation and contributed to manuscript review and revision. W.S. provided project oversight and supervision, contributed to the interpretation of findings, and reviewed and edited the manuscript. All authors reviewed and approved the final manuscript.
Data Availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
Bryan, C.,
Kanny, S.,
Dietz, C.,
McFall, D.,
Parisi, M.,
Stancil, M.,
Bruen, J.,
Matthews, R.,
&
Sherrill, W.
(2026).
Adapting and Delivering an Extension Diabetes Self-Management Support Program to Serve the Hispanic Community.
Journal of Extension, 64(1), Article 6.
https://doi.org/10.66752/1077-5315.5588
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