Participatory adaptation of an evidence-based, arthritis self-management program: making changes to improve program fit.

: We employed community-based participatory research techniques to adapt an evidence-based self-management program called the Arthritis Self-Help Program for older African American, Hispanic, and non-Hispanic white adults. Participants and instructors provided multiple recommendations for program change (including content additions or augmentations as well as changes in program delivery) in telephone interviews and focus groups. Recommendations were implemented through a collaborative process involving diverse stakeholders. Changes implemented respond to the preferences and needs of participants, as well as the strengths and constraints of program instructors and host sites. Improved fit for participants may extend the program's reach and effectiveness for older adults of color. In addition, the adapted Arthritis Self-Help Program may make the program more feasible and therefore sustainable for the host sites.