A community diabetes education and gardening project to improve diabetes care in a Northwest American Indian tribe
A community diabetes education and gardening project to improve diabetes care in a Northwest American Indian tribe
复制标题
DOI：
10.1177/014572170002600112
复制
发表时间：
2000-01-01
影响因子：
3.9
通讯作者：
Armstrong, DL
中科院分区：
文献类型：
--
作者：
Armstrong, DL
本研究的目的是为西北美洲印第安部落设计一个文化上合适的教育计划。方法需求评估显示，社区方法比以临床为基础的教育更能解决糖尿病护理的多重障碍。过程和结果信息都描述了社区和个人层面的评估。该干预设计包括社区糖尿病研讨会，名为“我有多健康？”——对待整个人。”讲习班代表了传统的健康观点，包括4个具体主题：(1)照顾身体，重点是糖尿病护理和体育活动；(2)心理健康需求；（三）健康生活食品；(4)灵性和治愈整个人。讲习班的设计是社会性和信息性的，并让所有社区成员参与。建立了一个社区花园，以改善获得新鲜农产品的机会，并鼓励锻炼。在实施社区研讨会和评估之前，部落政府选择停止接受该项目的联邦资金。根据本项目的经验，概述并讨论了相互尊重的合作要素。
PURPOSE the purpose of this study was to design a culturally appropriate education program for a Northwest American Indian tribe.METHODS Needs assessment revealed that a community approach rather than clinic-based education would address multiple barriers to diabetes care. Both process and outcome information are described for community and individual level evaluations.RESULTS This intervention design consisted of community diabetes workshops called "How Healthy Am I?-Treating the Whole Person." The workshops represented a traditional view of health and included 4 specific themes: (1) taking care of the body, with an emphasis on diabetes care and physical activity; (2) mental health needs; (3) foods for healthy living; and (4) spirituality and healing the whole person. Workshops were designed to be social and informational, and involve all community members. A community garden was established to improve access to fresh produce and encourage exercise.CONCLUSIONS Prior to implementation of the community workshops and evaluations, the tribal government chose to discontinue receiving the federal funding for this project. Elements of a mutually respectful collaboration are outlined and discussed based on the experiences of this project.