Translating the diabetes prevention program for Northern Plains Indian youth through community-based participatory research methods.

Translating the diabetes prevention program for Northern Plains Indian youth through community-based participatory research methods.
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DOI:
10.1177/0145721710382582
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发表时间:
2010-11
期刊:
The Diabetes educator
影响因子:
--
通讯作者:
Noonan C
Noonan C
中科院分区:
其他
文献类型:
--
作者:
Brown BD;Harris KJ;Harris JL;Parker M;Ricci C;Noonan C

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这项研究的目的是使用基于社区的参与性研究(CBPR)方法将最初的糖尿病预防计划(DPP)翻译为针对美国印第安人(AI)年轻人的特定年龄和文化。蒙大拿州2个印第安人保留地的部落登记成员进行了焦点小组和采访,讨论社区成员对人工智能青少年健康饮食和锻炼行为的鼓励或障碍因素的看法。总共有31名10岁至68岁的社区成员参加了4个焦点小组和14个人的访谈。参与者自认为是老年人、文化专家、部落卫生工作者、教育工作者、父母/监护人、青年或学校食品服务工作者。研究人员基于扎根理论的归纳方法分析了成绩单。数据分析显示,将民进党翻译为青少年取决于课程内容,其中包括针对青少年健康行为的文化战略,如采摘浆果、园艺、骑马和跳舞;改善年轻人及其父母的健康食品和体育活动的知识和获得机会;在民进党课程中进行健康生活方式的互动动手学习活动;使用小组形式和部落成员讲授民进党课程;以及让部落长老向年轻人讲述年轻时养成健康行为的重要性。CBPR方法让社区成员确定他们的文化、传统和环境中固有的战略,这些战略可以有效地将DPP转化为生活在农村保留社区的蒙大拿州印第安人青年。
The purpose of this study was to use a community-based participatory research (CBPR) approach to translate the original Diabetes Prevention Program (DPP) to be age and culturally specific for American Indian (AI) youth. Tribally enrolled members on 2 Montana Indian reservations conducted focus groups and interviews to discuss community members’ perspectives of factors that encouraged or were barriers to healthy diet and exercise behaviors in AI youth. In total, 31 community members, aged 10 to 68 years old, participated in 4 focus groups and 14 individual interviews. Participants were self-identified as elder, cultural expert, tribal health worker, educator, parent/guardian, youth, or school food service worker. Researchers analyzed transcripts based on inductive methods of grounded theory. Data analysis revealed translating the DPP to youth was contingent on the lessons incorporating cultural strategies for healthy behaviors in youth such as berry picking, gardening, horseback riding, and dancing; improving knowledge and access to healthy foods and physical activity for youth and their parents; having interactive, hands-on learning activities for healthy lifestyles in the DPP lessons; using a group format and tribal members to deliver the DPP lessons; and having tribal elders talk to youth about the importance of adopting healthy behaviors when they are young. A CBPR approach engaged community members to identify strategies inherent in their culture, tradition, and environment that could effectively translate the DPP to Montana Indian youth living in rural reservation communities.
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