The Adaptation of a Youth Diabetes Prevention Program for Aboriginal Children in Central Australia: Community Perspectives

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2021 Sep 10

PMID 34501765

Citations 3

Authors

Athira Rohit

Leisa McCarthy

Shiree Mack

Bronwyn Silver

Sabella Turner

Louise A Baur

Karla Canuto

John Boffa

Dana Dabelea

Katherine A Sauder

Louise Maple-Brown

Renae Kirkham

Affiliations

Soon will be listed here.

Abstract

This study reports on integrating community perspectives to adapt a family-focused, culturally appropriate behavioural intervention program to prevent diabetes among Aboriginal children (6-11 years) in Central Australia. A participatory action research approach was used to engage a range of service providers, cultural advisors, and family groups. Appropriateness, acceptability, content, and delivery of a prevention program within the Central Australian context were discussed through a series of workshops with twenty-five service providers and seven family groups separately. The data obtained were deductively coded for thematic analysis. Main findings included: (i) the strong need for a diabetes prevention program that is community owned, (ii) a flexible and culturally appropriate program delivered by upskilling community members as program facilitators, and (iii) consideration of social and environmental factors when implementing the program. It is recommended that a trial of the adapted prevention program for effectiveness and implementation is led by an Aboriginal community-controlled health service.

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References

Dabelea D, Bell R, DAgostino Jr R, Imperatore G, Johansen J, Linder B . Incidence of diabetes in youth in the United States. JAMA. 2007; 297(24):2716-24. DOI: 10.1001/jama.297.24.2716. View

Sauder K, Dabelea D, Bailey-Callahan R, Kanott Lambert S, Powell J, James R . Targeting risk factors for type 2 diabetes in American Indian youth: the Tribal Turning Point pilot study. Pediatr Obes. 2017; 13(5):321-329. PMC: 5740022. DOI: 10.1111/ijpo.12223. View

McCarthy L, Chang A, Brimblecombe J . Food Security Experiences of Aboriginal and Torres Strait Islander Families with Young Children in An Urban Setting: Influencing Factors and Coping Strategies. Int J Environ Res Public Health. 2018; 15(12). PMC: 6313734. DOI: 10.3390/ijerph15122649. View

Patton G, Sawyer S, Santelli J, Ross D, Afifi R, Allen N . Our future: a Lancet commission on adolescent health and wellbeing. Lancet. 2016; 387(10036):2423-78. PMC: 5832967. DOI: 10.1016/S0140-6736(16)00579-1. View

Baum F, Macdougall C, Smith D . Participatory action research. J Epidemiol Community Health. 2006; 60(10):854-7. PMC: 2566051. DOI: 10.1136/jech.2004.028662. View

Shaw J . Epidemiology of childhood type 2 diabetes and obesity. Pediatr Diabetes. 2007; 8 Suppl 9:7-15. DOI: 10.1111/j.1399-5448.2007.00329.x. View

Kirkham R, Maple-Brown L, Freeman N, Beaton B, Lamilami R, Hausin M . Incorporating indigenous knowledge in health services: a consumer partnership framework. Public Health. 2018; 176:159-162. DOI: 10.1016/j.puhe.2018.08.009. View

Knowler W, Barrett-Connor E, Fowler S, Hamman R, Lachin J, Walker E . Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002; 346(6):393-403. PMC: 1370926. DOI: 10.1056/NEJMoa012512. View

Bell R, Smith C, Hale L, Kira G, Tumilty S . Understanding obesity in the context of an Indigenous population-A qualitative study. Obes Res Clin Pract. 2017; 11(5):558-566. DOI: 10.1016/j.orcp.2017.04.006. View

10.

Venn A, Thomson R, Schmidt M, Cleland V, Curry B, Gennat H . Overweight and obesity from childhood to adulthood: a follow-up of participants in the 1985 Australian Schools Health and Fitness Survey. Med J Aust. 2007; 186(9):458-60. DOI: 10.5694/j.1326-5377.2007.tb00997.x. View

11.

Anderson Y, Wynter L, Grant C, Cave T, Derraik J, Cutfield W . A Novel Home-Based Intervention for Child and Adolescent Obesity: The Results of the Whānau Pakari Randomized Controlled Trial. Obesity (Silver Spring). 2017; 25(11):1965-1973. DOI: 10.1002/oby.21967. View

12.

Seear K, Atkinson D, Henderson-Yates L, Lelievre M, Marley J . Maboo wirriya, be healthy: Community-directed development of an evidence-based diabetes prevention program for young Aboriginal people in a remote Australian town. Eval Program Plann. 2020; 81:101818. DOI: 10.1016/j.evalprogplan.2020.101818. View

13.

Gracey M, King M . Indigenous health part 1: determinants and disease patterns. Lancet. 2009; 374(9683):65-75. DOI: 10.1016/S0140-6736(09)60914-4. View

14.

Titmuss A, Davis E, Brown A, Maple-Brown L . Emerging diabetes and metabolic conditions among Aboriginal and Torres Strait Islander young people. Med J Aust. 2019; 210(3):111-113.e1. DOI: 10.5694/mja2.13002. View

15.

Caballero B, Clay T, Davis S, Ethelbah B, Rock B, Lohman T . Pathways: a school-based, randomized controlled trial for the prevention of obesity in American Indian schoolchildren. Am J Clin Nutr. 2003; 78(5):1030-8. PMC: 4863237. DOI: 10.1093/ajcn/78.5.1030. View

16.

Cunningham S, Kramer M, Narayan K . Incidence of childhood obesity in the United States. N Engl J Med. 2014; 370(5):403-11. PMC: 4017620. DOI: 10.1056/NEJMoa1309753. View

17.

Seear K, Atkinson D, Lelievre M, Henderson-Yates L, Marley J . Piloting a culturally appropriate, localised diabetes prevention program for young Aboriginal people in a remote town. Aust J Prim Health. 2019; 25(5):495-500. DOI: 10.1071/PY19024. View

18.

Barry E, Greenhalgh T, Fahy N . How are health-related behaviours influenced by a diagnosis of pre-diabetes? A meta-narrative review. BMC Med. 2018; 16(1):121. PMC: 6062879. DOI: 10.1186/s12916-018-1107-6. View

19.

Smith K, Grundy J, Nelson H . Culture at the centre of community based aged care in a remote Australian Indigenous setting: a case study of the development of Yuendumu Old People's Programme. Rural Remote Health. 2010; 10(4):1422. View

20.

Harfield S, Pearson O, Morey K, Kite E, Canuto K, Glover K . Assessing the quality of health research from an Indigenous perspective: the Aboriginal and Torres Strait Islander quality appraisal tool. BMC Med Res Methodol. 2020; 20(1):79. PMC: 7147059. DOI: 10.1186/s12874-020-00959-3. View