Integrating an ecological approach into an Aboriginal community-based chronic disease prevention program: A longitudinal process evaluation

Margaret CARGO, Elisabeth Marks, Julie Brimblecombe, Maria Scarlett, Elaine Maypilama, Joanne Dhurrkay, Mark DANIEL

Research output: Contribution to journalArticle

14 Citations (Scopus)


Purpose. To assess the evolution of perceived ownership of a university-Aboriginal community partnership across three project stages. Design. Survey administration to project partners during project formalization (1996-T1), mobilization (1999-T2), and maintenance (2004-T3). Setting. Aboriginal community of Kahnawake, outside Montreal, Quebec, Canada. Participants. Partners involved in influencing decision making in the Kahnawake Schools Diabetes Prevention Project (KSDPP). Measure and Analysis. A measure of perceived primary ownership subjected to linear trend analysis. Results. KSDPP staff were perceived as primary owner at T1 and shared ownership with Community Advisory Board (CAB) members at T2 and T3. Trend tests indicated greater perceived ownership between T1 and T3 for CAB (chi(2)(1) = 12.3, p < .0001) and declining KSDPP staff (chi(2)(1) = 10.5, p < .001) ownership over time. Academic partners were never perceived as primary owners. Conclusion. This project was community driven from the beginning. It was not dependent on an external academic change agent to activate the community and develop the community's capacity to plan and implement a solution. It still took several years for the grassroots CAB to take responsibility from KSDPP staff, thus indicating the need for sustained funding to build grassroots community capacity
Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalBMC Public Health
Publication statusPublished - 2011
Externally publishedYes


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