Impact of the Healthy Foods North nutrition intervention program on Inuit and Inuvialuit food consumption and preparation methods in Canadian Arctic communities

Kolahdooz, Fariba; Pakseresht, Mohammadreza; Mead, Erin L.; Beck, Lindsay; Corriveau, André; Sharma, Sangita

doi:10.1186/1475-2891-13-68

Cited by 24 publications

(58 citation statements)

References 45 publications

(77 reference statements)

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“…This team reported community engagement in designing and testing the intervention, delivering the intervention, collecting data, and dissemination and implementation back to the community [ 31 ]. Development of the intervention was consistently seen in all trials that reported following a CBPR design [ 21 , 23 , 29 , 31 ].…”

Section: Discussionmentioning

confidence: 84%

“…The remaining 3 trials were centred on nutrition and exercise research [ 21 – 23 ]. All of the included non-randomized trials emerged from distinct medical fields including chronic obstructive pulmonary disease (COPD) [ 24 ], patient information aids [ 25 ], hypertension [ 26 ], influenza [ 27 ], prevention of suicide and alcohol abuse [ 28 ], and nutrition [ 29 ].…”

Section: Resultsmentioning

confidence: 99%

“…Other countries (13%, 3/23) included the Netherlands, France, and Spain. Only one study (4%, 1/23) was included that reported patient engagement in research that was conducted in Canada [ 29 ].…”

Section: Resultsmentioning

confidence: 99%

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The prevalence of patient engagement in published trials: a systematic review

et al. 2018

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Plain English summaryWith the growing movement to engage patients in research, questions are being asked about who is engaging patients and how they are being engaged. Internationally, research groups are supporting and funding patient-oriented research studies that engage patients in the identification of research priorities and the design, conduct and uptake of research. As we move forward, we need to know what meaningful patient engagement looks like, how it benefits research and clinical practice, and what are the barriers to patient engagement?We conducted a review of the published literature looking for trials that report engaging patients in the research. We included both randomized controlled trials and non-randomized comparative trials. We looked at these trials for important study characteristics, including how patients were engaged, to better understand the practices used in trials. Importantly, we also discuss the number of trials reporting patient engagement practices relative to all published trials. We found that very few trials report any patient engagement activities even though it is widely supported by many major funding organizations. The findings of our work will advance patient-oriented research by showing how patients can be engaged and by stressing that patient engagement practices need to be better reported.AbstractBackgroundPatient-Oriented Research (POR) is research informed by patients and is centred on what is of importance to them. A fundamental component of POR is that patients are included as an integral part of the research process from conception to dissemination and implementation, and by extension, across the research continuum from basic research to pragmatic trials [J Comp Eff Res 2012, 1:181–94, JAMA 2012, 307:1587–8]. Since POR’s inception, questions have been raised as to how best to achieve this goal.We conducted a systematic review of randomized controlled trials and non-randomized comparative trials that report engaging patients in their research. Our main goal was to describe the characteristics of published trials engaging patients in research, and to identify the extent of patient engagement activities reported in these trials.MethodsThe MEDLINE®, EMBASE®, Cinahl, PsycINFO, Cochrane Methodology Registry, and Pubmed were searched from May 2011 to June 16th, 2016. Title, abstract and full text screening of all reports were conducted independently by two reviewers. Data were extracted from included trials by one reviewer and verified by a second. All trials that report patient engagement for the purposes of research were included.ResultsOf the 9490 citations retrieved, 2777 were reviewed at full text, of which 23 trials were included. Out of the 23 trials, 17 were randomized control trials, and six were non-randomized comparative trials. The majority of these trials (83%, 19/23) originated in the United States and United Kingdom. The trials engaged a range of 2-24 patients/ community representatives per study. Engagement of children and minorities occurred in 13% (3/23)...

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Section: Discussionmentioning

confidence: 84%

Section: Resultsmentioning

confidence: 99%

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The prevalence of patient engagement in published trials: a systematic review

et al. 2018

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“…Overall, HFN showed some success in mitigating the negative impacts of the nutrition transition among Inuvialuit. It also highlighted the need to tailor public health interventions and policy to local needs by using population-specific tools (Kolahdooz, Pakseresht, et al, 2014).…”

Section: Nutrition Education and Food Preparation Programsmentioning

confidence: 99%

Supporting Inuit food security: A synthesis of initiatives in the Inuvialuit Settlement Region, Northwest Territories

Kenny

Wesche

Fillion³

et al. 2018

CanFoodStudies

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Food insecurity among Indigenous Peoples of northern Canada is a significant public health issue that is exacerbated by changing social and environmental conditions. While a patchwork of programs, strategies and polices exist, the extent to which they address all "pillars" of food security (food availability, access, quality, and utilization) remains under-assessed. We respond to this gap by providing a framework for synthesizing and assessing information about food security initiatives, using a case study of the Inuvialuit Settlement Region (ISR), the westernmost Inuit region of Canada. Our objectives are: (1) to identify existing initiatives in the ISR; (2) to assess the breadth and diversity of these initiatives in addressing the four key food security "pillars"; and (3) to present an analytical framework that will facilitate ongoing data updating and sharing in the ISR and elsewhere. Through a scoping review and direct consultation with 12 key informants, we identified 30 initiatives that support food security in the ISR. These are funded and implemented at a range of national, territorial, regional, and local levels, and include both governmental and non-governmental programs, strategic frameworks, and research and monitoring initiatives. Seven key themes emerged from the cross-scale analysis of these initiatives, including: orientation with respect to food security pillars, scope and scale, demographic targeting, funding, monitoring and evaluation, and implications for food security CFS/RCÉA Kenny, Wesche, Fillion, MacLean, & Chan Vol. 5 No. 2, May 2018 74 strategies. While our framework provides a useful tool for data synthesis and analysis, its outputs can help in identifying gaps and opportunities for both resource allocation and program and policy development for under-served communities. Significantly, this study highlights the importance of engaging local perspectives in the development of coordinated approaches to address Inuit food insecurity.

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“…In both cases, staff time was dedicated to these projects and funds were used to recruit local harvesters and Elders to work with the students. The selected projects are consistent with the intervention ideas identified by other global Indigenous communities interested in improving health through better food knowledge and access (Kuhnlein et al, 2006;Sharma, Gittelsohn, Rosol, & Beck, 2010;Kolahdooz et al, 2014). Here we outline the evolution of each program to provide a basis for comparison and the identification of lessons learned.…”

mentioning

confidence: 79%

Land-Based programs in the Northwest Territories: Building Indigenous food security and well-being from the ground up

Wesche

O'Hare-Gordon²,

Robidoux³

et al. 2016

CanFoodStudies

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Food security in Canada's North is complex, and there is no singular solution. We argue that land-based wild food programs are useful and effective in contributing to long-term food security, health, and well-being for Indigenous communities in the context of changing environmental conditions. Such bottom-up programs support cultural continuity and the persistence of skills and knowledge that, over time, increase local food security and food sovereignty. This paper (a) highlights the link between observed environmental changes and wild food procurement in two Indigenous communities in the Northwest Territories, (b) compares and discusses the impacts of two collaboratively developed, community-based programs to improve foodways transmission and capacity for wild food procurement, and (c) identifies lessons learned and productive ways forward for those leading similar efforts in other Indigenous communities.

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Impact of the Healthy Foods North nutrition intervention program on Inuit and Inuvialuit food consumption and preparation methods in Canadian Arctic communities

Cited by 24 publications

References 45 publications

The prevalence of patient engagement in published trials: a systematic review

The prevalence of patient engagement in published trials: a systematic review

Supporting Inuit food security: A synthesis of initiatives in the Inuvialuit Settlement Region, Northwest Territories

Land-Based programs in the Northwest Territories: Building Indigenous food security and well-being from the ground up

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