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Table 3 Elements of cultural adaptation evaluated in fidelity checks

From: Pisando Fuerte”: an evidence-based falls prevention program for Hispanic/Latinos older adults: results of an implementation trial

Session 1
 • Leader acknowledged, appreciated use of, and/or incorporated spiritualism, machismo, marianismo, and familismo to enhance rapport.
 • Leader attempted to ensure that cultural values (spiritualism, machismo, marianismo, familismo) did not get in the way of self-management.
 • Leader built on culture and cultural values to help motivate participants.
 • Family was integrated into the session (e.g. in discussion, stories, etc.)
Session 3
 • Content appeared to be at a level that was right for participants.
 • Leader builds on high value of relationships.
 • Leader incorporated spirituality appropriately.
 • Leader used opportunities related to machismo and marianismo to promote the Pisando Fuerte curriculum.
 • Leader incorporated fatalismo to promote self-management.
 • Leader builds on high value placed on familismo.
 • Leader built on culture and values to help motivate participants.
Session 7
 • Leader acknowledged, appreciated use of, and/or incorporated spiritualism, machismo, marianismo, and familismo to enhance rapport.
 • Leader attempted to ensure that cultural values (spiritualism, machismo, marianismo, familismo) did not get in the way of self-management.
 • Leader built on culture and cultural values to help motivate participants.
 • Family was integrated into the session (e.g. in discussion, stories, etc.)