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Development of an integrated diabetes prevention program with First Nations in Canada

Bibliographic Data

ID22945383
AuthorsLara S Ho (0000-0003-1418-3162, Johns Hopkins University, corresponding author)
Year2006
Volume21
Issue2
Pages88-97
Publication date2006-04-07
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/dak003
PMID16407394
OpenAlexW2148975886
LanguageEN
Citations received13
References cited8

Type 2 diabetes mellitus is a major cause of morbidity and mortality among First Nations in Canada. We used multiple research methods to develop an integrated multi-institutional diabetes prevention program based on the successful Sandy Lake Health and Diabetes Project and Apache Healthy Stores programs. In-depth interviews, a structured survey, demonstration and feedback sessions, group activities, and meetings with key stakeholders were used to generate knowledge about the needs and resources for each community, and to obtain feedback on SLHDP interventions. First Nations communities were eager to address the increasing epidemic of diabetes. Educating children through a school prevention program was the most popular proposed intervention. Remote communities had poorer access to healthy foods and more on-reserve media and services than the smaller semi-remote reserves. While the reserves shared similar risk factors for diabetes, variations in health beliefs and attitudes and environmental conditions required tailoring of programs to each reserve. In addition, it was necessary to balance community input with proven health promotion strategies. This study demonstrates the importance of formative research in developing integrated health promotion programs for multiple communities based on previously evaluated studies.

Business · Environmental health · Formative assessment · Health promotion · Intervention (counseling) · Medical education · Political science · Promotion (chess) · Psychological intervention · Public health · Public relations · Community Health and Development · Health Policy Implementation Science · Indigenous Health, Education, and Rights · Medicine · Nursing · Psychology · Gerontology

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    Open Access•Kimberley Seear, Matthew LeLievre et al.•International Journal of…•2019

  • Participatory Research for Chronic Disease Prevention in Inuit Communities

    J Gittelsohn•American Journal of Health Behavior•2010

  • Development of radio dramas for health communication pilot intervention in Canadian Inuit communities

    Open Access•Cassandra Racicot-Matta, Markus Wilcke et al.•Health Promotion International•2014

  • Understanding how Indigenous culturally-based interventions can improve participants’ health in Canada

    Open Access•Jayne Murdoch-Flowers, M C Tremblay et al.•Health Promotion International•2019

  • The Retail Food Sector and Indigenous Peoples in High-Income Countries

    Open Access•Tiff‐Annie Kenny, Tiff-Annie Kenny et al.•International Journal of…•2020

  • Maboo wirriya, be healthy

    Open Access•Kimberley H Seear, Kimberley Seear et al.•Evaluation and Program Planning•2020

  • Inupiat Health and Proposed Alaskan Oil Development

    Open Access•Aaron Wernham•EcoHealth•2007

  • Prevalence and severity of household food insecurity of First Nations people living in an on-reserve, sub-Arctic community within the Mushkegowuk Territory

    Open Access•Kelly Skinner, Rhona M Hanning et al.•Public Health Nutrition•2014

  • Patterns of Food Consumption are Associated with Obesity, Self-Reported Diabetes and Cardiovascular Disease in Five American Indian Communities

    Angela C B Trude, Anna Y Kharmats et al.•Ecology of Food and Nutrition•2015

  • Retail food environments research in Canada

    Open Access•Leia M Minaker, Alanna Shuh et al.•Canadian Journal of Public Health•2016

  • What Is Population Health Intervention Research

    Open Access•Penelope Hawe, Leigh Potvin et al.•Canadian Journal of Public Health•2009

  • Canadian Residential Schools and Urban Indigenous Knowledge Production about Diabetes

    Heather Howard, Heather A Howard•Medical Anthropology•2014

  • Community-Based Intervention Research

    Ann A Hohmann, M Katherine Shear•American Journal of Psychiatry•2002

  • The Haida Gwaii Diabetes Project

    Open Access•Clare Heffernan, Carol P Herbert et al.•Health & Social Care in the…•1999

  • Parental nutrition knowledge and nutrient intake in an atherosclerosis prevention project

    Open Access•M Räsänen, Jari Räsänen et al.•Appetite•2003

  • Reconsidering Community-Based Health Promotion

    Cheryl Merzel, Joanna D’Afflitti•American Journal of Public Health•2003

  • Explanation of vigorous physical activity during two years using social learning variables

    Open Access•James F Sallis, Melbourne F Hovell et al.•Social Science & Medicine•1992

  • Physical activity social support and middle- and older-aged minority women

    Open Access•Amy A Eyler, Ross C Brownson et al.•Social Science & Medicine•1999

  • Effectiveness of community-directed diabetes prevention and control in a rural Aboriginal population in British Columbia, Canada

    Open Access•Mark Daniel, Lawrence W Green et al.•Social Science & Medicine•1999

  • Implementing participatory intervention and research in communities

    Open Access•Leigh Potvin, Louise Potvin et al.•Social Science & Medicine•2003

Citations per year0.68
Citation span2007 - 2021 (15)
Highly citedNo

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