Maboo wirriya, be healthy: Community-directed development of an evidence-based diabetes prevention program for young Aboriginal people in a remote Australian town

Seear, Kimberley; Atkinson, David; Henderson-Yates, Lynette; LeLievre, Matthew; Marley, Julia V.

doi:10.1016/j.evalprogplan.2020.101818

Cited by 10 publications

(17 citation statements)

References 47 publications

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“…There was evidence of already existing readiness by the community to receive and facilitate the program. This aligns with previous reports that highlight the benefits of community-owned programs in remote Aboriginal settings [37][38][39]. Community-owned programs that embraced the authority and autonomy shared across community members were highlighted as successful and effective in the Australian setting [40][41][42][43].…”

Section: Discussionsupporting

confidence: 86%

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

Rohit

McCarthy

Mack

et al. 2021

IJERPH

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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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Section: Discussionsupporting

confidence: 86%

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

Rohit

McCarthy

Mack

et al. 2021

IJERPH

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“…Co-design is considered best practice in research involving Indigenous peoples, and defined as meaningful end-user engagement in research design with engagement across all stages of the research process, with clear guidelines in New Zealand, Australia and Canada [41][42][43]. As evidenced by a diabetes prevention program for Aboriginal people in Western Australia, direction from community was vital for ensuring relevant application of previous research and effectiveness [44]. .…”

Section: Discussionmentioning

confidence: 99%

Incorporating Aboriginal women’s voices in improving care and reducing risk for women with diabetes in pregnancy - A phenomenological study

Wood

Graham

Boyle

et al. 2021

BMC Pregnancy Childbirth

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Background There is a high burden of gestational diabetes (GDM) and type 2 diabetes in pregnancy for Aboriginal and Torres Strait Islander women. Postpartum diabetes programs have the potential to prevent recurrent GDM and improve management of type 2 diabetes. However, data on such programs are limited, particularly in the Indigenous context. We aimed to explore Aboriginal Australian women’s and health providers’ preferences for a program to prevent and improve diabetes after pregnancy. Methods A phenomenological methodology underpinned semi-structured in-depth interviews with eleven Aboriginal women and seven health professionals across the Northern Territory from October 2019- February 2020. Interviews were analysed using an inductive analysis framework to address the barriers and enablers of proposed diabetes prevention programs identified by participants. Results Identified structural barriers to lifestyle change included: food insecurity, persuasive marketing of unhealthy food options, lack of facilities and cultural inappropriateness of previous programs. Enablers to lifestyle change included: a strong link between a healthy lifestyle and connection with Country, family and community. Suggested strategies to improve lifestyle included: co-designed cooking classes or a community kitchen, team sports and structural change (targeting the social determinants of health). Lifestyle change was preferred over metformin to prevent and manage diabetes after pregnancy by participants and health care providers. Conclusions We recommend individual level programs be designed alongside policies that address systemic inequalities. A postpartum lifestyle program should be co-designed with community members and grounded in Aboriginal conceptions of health to adequality address the health disparities experienced by Aboriginal people in remote communities.

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“…One pervasive attitude was that healthy eating has negative financial impacts primarily due to the price of substituting healthier foods for unhealthy foods. Price has previously been identified as a major barrier to healthy eating in the US [ 6 , 8 , 12 , 13 , 14 ] and outside of the US [ 18 , 19 , 20 , 21 , 22 ]. In this study, participants shopped at discount stores or outside of their local community (i.e., outshopping) to obtain better prices and quality foods.…”

Section: Discussionmentioning

confidence: 99%

“…Residents of rural and remote environments in Canada, Uganda, Australia, and the Pacific Islands countries reported that EDNP foods are more available due to increased trade. Consequently, EDNP foods are considered a barrier to the consumption of healthy traditional foods in their respective cultures [ 18 , 19 , 20 , 21 , 22 ]. Healthy eating promotions in these remote locations encourage the intake of traditional healthy foods shared with family and friends for the prevention of obesity and chronic disease [ 18 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…The need for convenient meals [ 7 , 13 , 14 ], preferences of friends and family [ 6 , 7 , 14 ], and familiar taste predilections also influence food choices of low-income rural southeast US residents [ 6 , 8 , 14 ]. People living in rural and remote low-income environments outside of the US report high prices of healthy foods [ 18 , 19 , 20 , 21 ], low quality of produce [ 18 , 20 ], readily available highly palatable EDNP foods [ 18 , 19 , 20 , 21 , 22 ], and the importance of maintaining traditional ways to obtain food, such as hunting, fishing, or gardening [ 18 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

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Healthy Eating in Low-Income Rural Louisiana Parishes: Formative Research for Future Social Marketing Campaigns

Fergus

Roberts

Holston

2021

IJERPH

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High rates of obesity and chronic disease exist in the southeastern United States (US). Knowledge about the attitudes, beliefs, and barriers of the rural low-income Louisiana population regarding healthy eating is limited. Focus Group discussions based on the Theory of Planned Behavior (TPB) were conducted in rural parishes (N = 3) with low-income residents of Louisiana (N = 29). Grounded Theory methods and cross-case analysis were used. The participants were primarily single Black females of age 18–30 years who earned a high school diploma, were employed, and had children. Beliefs included healthy eating was physically beneficial, yet financial impacts and the low palatability of healthy foods were barriers. Professional resources for nutrition education were limited which led to reliance on friends, family, and the internet. Friends and family were positive and negative influences on eating choices. Control beliefs included the high prices and low palatability of healthy foods, the wide availability of Energy Dense Nutrient Poor (EDNP) foods, and low motivation to sustain eating behavior changes. Formative research to optimize campaign distribution channels may improve accessibility to social marketing support and healthy eating resources. Persuasive messages that address control beliefs are needed in social marketing campaigns for rural low-income Louisiana environments.

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Maboo wirriya, be healthy: Community-directed development of an evidence-based diabetes prevention program for young Aboriginal people in a remote Australian town

Cited by 10 publications

References 47 publications

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

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

Incorporating Aboriginal women’s voices in improving care and reducing risk for women with diabetes in pregnancy - A phenomenological study

Healthy Eating in Low-Income Rural Louisiana Parishes: Formative Research for Future Social Marketing Campaigns

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