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.
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DOI:
10.3390/ijerph18179173
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发表时间:
2021-08-31
影响因子:
--
通讯作者:
Kirkham R
Kirkham R
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Rohit A;McCarthy L;Mack S;Silver B;Turner S;Baur LA;Canuto K;Boffa J;Dabelea D;Sauder KA;Maple-Brown L;Kirkham R

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这项研究报告了整合社区观点以适应以家庭为中心的、文化上适当的行为干预计划,以预防澳大利亚中部土著儿童(6-11岁)中的糖尿病。参与式行动研究方法被用来吸引一系列的服务提供者、文化顾问和家庭团体。通过分别与25个服务提供者和7个家庭小组举行的一系列研讨会,讨论了中澳地区预防计划的适当性、可接受性、内容和交付情况。对获得的数据进行演绎编码,以便进行专题分析。主要发现包括:(I)对社区拥有的糖尿病预防计划的强烈需求,(Ii)由技能较高的社区成员作为计划促进者提供的灵活和文化上合适的计划,以及(Iii)在实施计划时考虑社会和环境因素。建议由土著社区控制的保健服务机构牵头进行经调整的预防方案的有效性和执行试验。
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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