000 02433nab a22002417a 4500
003 BCACCS
005 20170611051430.0
008 141024s2006 o 000 0 eng d
040 _aBCACCS
100 1 _aHo, L. S.
_93924
245 1 0 _aDevelopment of an integrated diabetes prevention program with First Nations in Canada
_h[electronic resource]
260 _c2006
300 _a1 online resource
520 3 _aType 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. Keywords: diabetes, formative research, Native American Topic: diabetes mellitus diabetes mellitus, type 2 attitude canada child feedback food health promotion apache morbidity mortality teaching prevention program epidemic community diabetes prevention
650 0 _aDiabetes
_9485
650 0 _aHealth care
_xResearch
_zCanada
_93925
700 1 _aGittelsohn, J.
_93926
700 1 _aHarris, S. B.
_93927
700 1 _aFord, E.
_93928
773 0 _tHealth Promotion International
_gVol. 21, no. 2 (June 2006), pp. 88-97
856 4 1 _uhttps://academic.oup.com/heapro/article/21/2/88/672418/Development-of-an-integrated-diabetes-prevention
_zFull text
942 _2z
_cARTICLE
999 _c1856
_d1856