Effectiveness of a community-directed 'healthy lifestyle' program in a remote Australian Aboriginal community

Kevin G. Rowley, Mark Daniel, Karen Skinner, Michelle Skinner, Gwyneth A. White, Kerin O'Dea

Research output: Contribution to journalArticle

131 Citations (Scopus)

Abstract

Objective: To assess the sustainability and effectiveness of a community-directed program for primary and secondary prevention of obesity, diabetes and cardiovascular disease in an Aboriginal community in north-west Western Australia. Method: Evaluation of health outcomes (body mass index, glucose tolerance, and plasma insulin and triglyceride concentrations) in a cohort of high-risk individuals (n=49, followed over two years) and cross-sectional community samples (n=200 at baseline, 185 at two-year and 132 at four-year follow-ups), process (interventions and their implementation) and impact (diet and exercise behaviour). Results: For the high-risk cohort, involvement in diet and/or exercise strategies was associated with protection from increases in plasma glucose and triglycerides seen in a comparison group; however, sustained weight loss was not achieved. At the community level, significant reductions were observed in fasting insulin concentration but no change in prevalence of diabetes, overweight or obesity. Weight gain remained a problem among younger people. Sustainable improvements were observed for dietary intake and level of physical activity. These changes were related to supportive policies implemented by the community council and store management. Conclusions: Community control and ownership enabled embedding and sustainability of program, in association with social environmental policy changes and long-term improvements in important risk factors for chronic disease. Implications: Developmental initiatives facilitating planning, implementation and ownership of interventions by community members and organisations can be a feasible and effective way to achieve sustainable improvements in health behaviours and selected health outcomes among Aboriginal people.

Original languageEnglish
Pages (from-to)136-144
Number of pages9
JournalAustralian and New Zealand Journal of Public Health
Volume24
Issue number2
DOIs
Publication statusPublished - Apr 2000
Externally publishedYes

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Ownership
Triglycerides
Obesity
Environmental Policy
Insulin
Diet
Glucose
Western Australia
Health Behavior
Health
Program Evaluation
Primary Prevention
Public Policy
Secondary Prevention
Healthy Lifestyle
Weight Gain
Weight Loss
Fasting
Body Mass Index
Chronic Disease

Cite this

Rowley, Kevin G. ; Daniel, Mark ; Skinner, Karen ; Skinner, Michelle ; White, Gwyneth A. ; O'Dea, Kerin. / Effectiveness of a community-directed 'healthy lifestyle' program in a remote Australian Aboriginal community. In: Australian and New Zealand Journal of Public Health. 2000 ; Vol. 24, No. 2. pp. 136-144.
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Effectiveness of a community-directed 'healthy lifestyle' program in a remote Australian Aboriginal community. / Rowley, Kevin G.; Daniel, Mark; Skinner, Karen; Skinner, Michelle; White, Gwyneth A.; O'Dea, Kerin.

In: Australian and New Zealand Journal of Public Health, Vol. 24, No. 2, 04.2000, p. 136-144.

Research output: Contribution to journalArticle

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