Primary Prevention of Type 2 Diabetes

Experiences of 2 Aboriginal Communities in Canada

Ann C. Macaulay, Stewart B. Harris, Lucie Lévesque, Margaret Cargo, Elizabeth Ford, Jon Salsberg, Alex McComber, Rod Fiddler, Rhonda Kirby, Anthony J.G. Hanley, Louise Potvin, Bernard Zinman, Joel Gittelsohn, Kathryn Phillips, Olivier Receveur

Research output: Contribution to journalReview article

19 Citations (Scopus)

Abstract

In Canada, the national age-adjusted rate of type 2 diabetes mellitus in Aboriginal peoples is 3 to 5 times higher than in the general population. There is an urgent need for culturally appropriate community-based primary prevention programs to reduce this epidemic. This paper describes the similarities and differences in design, intervention and evaluation between 2 successful and ongoing primary diabetes prevention projects in Canada: in the Kanien'kehá:ka (Mohawk) community of Kahnawake, geographically close to Montreal, Quebec, and in the isolated Oji-Cree community of Ne gaaw saga'igan (Sandy Lake) in Northwestern Ontario. The 2 projects have recently initiated a collaboration with the goals of elucidating their successes, developing a comprehensive picture of 'best practice' sites and developing methods to measure intervention activities and incorporation of local in the development and implementation of interventions, and to evaluate the quality of activity implementation and the ongoing evolution of community mobilization and partnerships with other organizations. Particular attention will be focussed on documenting the quality of intervention activities, the incorporation of local traditions into intervention activities, communication information (audio, visual, print), skill development (personal empowerment workshops, cooking demonstrations), improvement in physical resources (recreation path, food availability) and, most importantly, community mobilization through the roles of employees, volunteers and community organizations. The goal of the collaboration is to develop a comprehensive picture of 'best practice' sites and to seek to discover if there are common key community characteristics and intervention strategies that support these long-term projects. This knowledge will then be used to identify additional Aboriginal communities and to partner with those communities to design interventions that incorporate the strengths of both KSDPP and SLHDP. This joint evaluation will contribute to both local and general knowledge by furthering the understanding of "what constitutes success." Such knowledge for the primary prevention of diabetes is essential to both improve existing health promotion initiatives and to reduce the current epidemic of type 2 diabetes in Aboriginal communities.

Original languageEnglish
Pages (from-to)464-475
Number of pages12
JournalCanadian Journal of Diabetes
Volume27
Issue number4
Publication statusPublished - 1 Dec 2003
Externally publishedYes

Fingerprint

Primary Prevention
Type 2 Diabetes Mellitus
Canada
Practice Guidelines
Organizations
Recreation
Quebec
Cooking
Ontario
Lakes
Health Promotion
Volunteers
Communication
Education
Food

Cite this

Macaulay, A. C., Harris, S. B., Lévesque, L., Cargo, M., Ford, E., Salsberg, J., ... Receveur, O. (2003). Primary Prevention of Type 2 Diabetes: Experiences of 2 Aboriginal Communities in Canada. Canadian Journal of Diabetes, 27(4), 464-475.
Macaulay, Ann C. ; Harris, Stewart B. ; Lévesque, Lucie ; Cargo, Margaret ; Ford, Elizabeth ; Salsberg, Jon ; McComber, Alex ; Fiddler, Rod ; Kirby, Rhonda ; Hanley, Anthony J.G. ; Potvin, Louise ; Zinman, Bernard ; Gittelsohn, Joel ; Phillips, Kathryn ; Receveur, Olivier. / Primary Prevention of Type 2 Diabetes : Experiences of 2 Aboriginal Communities in Canada. In: Canadian Journal of Diabetes. 2003 ; Vol. 27, No. 4. pp. 464-475.
@article{a064383cd24449949d8bab1bcbec9ce3,
title = "Primary Prevention of Type 2 Diabetes: Experiences of 2 Aboriginal Communities in Canada",
abstract = "In Canada, the national age-adjusted rate of type 2 diabetes mellitus in Aboriginal peoples is 3 to 5 times higher than in the general population. There is an urgent need for culturally appropriate community-based primary prevention programs to reduce this epidemic. This paper describes the similarities and differences in design, intervention and evaluation between 2 successful and ongoing primary diabetes prevention projects in Canada: in the Kanien'keh{\'a}:ka (Mohawk) community of Kahnawake, geographically close to Montreal, Quebec, and in the isolated Oji-Cree community of Ne gaaw saga'igan (Sandy Lake) in Northwestern Ontario. The 2 projects have recently initiated a collaboration with the goals of elucidating their successes, developing a comprehensive picture of 'best practice' sites and developing methods to measure intervention activities and incorporation of local in the development and implementation of interventions, and to evaluate the quality of activity implementation and the ongoing evolution of community mobilization and partnerships with other organizations. Particular attention will be focussed on documenting the quality of intervention activities, the incorporation of local traditions into intervention activities, communication information (audio, visual, print), skill development (personal empowerment workshops, cooking demonstrations), improvement in physical resources (recreation path, food availability) and, most importantly, community mobilization through the roles of employees, volunteers and community organizations. The goal of the collaboration is to develop a comprehensive picture of 'best practice' sites and to seek to discover if there are common key community characteristics and intervention strategies that support these long-term projects. This knowledge will then be used to identify additional Aboriginal communities and to partner with those communities to design interventions that incorporate the strengths of both KSDPP and SLHDP. This joint evaluation will contribute to both local and general knowledge by furthering the understanding of {"}what constitutes success.{"} Such knowledge for the primary prevention of diabetes is essential to both improve existing health promotion initiatives and to reduce the current epidemic of type 2 diabetes in Aboriginal communities.",
author = "Macaulay, {Ann C.} and Harris, {Stewart B.} and Lucie L{\'e}vesque and Margaret Cargo and Elizabeth Ford and Jon Salsberg and Alex McComber and Rod Fiddler and Rhonda Kirby and Hanley, {Anthony J.G.} and Louise Potvin and Bernard Zinman and Joel Gittelsohn and Kathryn Phillips and Olivier Receveur",
year = "2003",
month = "12",
day = "1",
language = "English",
volume = "27",
pages = "464--475",
journal = "Canadian Journal of Diabetes",
issn = "1499-2671",
publisher = "Canadian Diabetes Association",
number = "4",

}

Macaulay, AC, Harris, SB, Lévesque, L, Cargo, M, Ford, E, Salsberg, J, McComber, A, Fiddler, R, Kirby, R, Hanley, AJG, Potvin, L, Zinman, B, Gittelsohn, J, Phillips, K & Receveur, O 2003, 'Primary Prevention of Type 2 Diabetes: Experiences of 2 Aboriginal Communities in Canada', Canadian Journal of Diabetes, vol. 27, no. 4, pp. 464-475.

Primary Prevention of Type 2 Diabetes : Experiences of 2 Aboriginal Communities in Canada. / Macaulay, Ann C.; Harris, Stewart B.; Lévesque, Lucie; Cargo, Margaret; Ford, Elizabeth; Salsberg, Jon; McComber, Alex; Fiddler, Rod; Kirby, Rhonda; Hanley, Anthony J.G.; Potvin, Louise; Zinman, Bernard; Gittelsohn, Joel; Phillips, Kathryn; Receveur, Olivier.

In: Canadian Journal of Diabetes, Vol. 27, No. 4, 01.12.2003, p. 464-475.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Primary Prevention of Type 2 Diabetes

T2 - Experiences of 2 Aboriginal Communities in Canada

AU - Macaulay, Ann C.

AU - Harris, Stewart B.

AU - Lévesque, Lucie

AU - Cargo, Margaret

AU - Ford, Elizabeth

AU - Salsberg, Jon

AU - McComber, Alex

AU - Fiddler, Rod

AU - Kirby, Rhonda

AU - Hanley, Anthony J.G.

AU - Potvin, Louise

AU - Zinman, Bernard

AU - Gittelsohn, Joel

AU - Phillips, Kathryn

AU - Receveur, Olivier

PY - 2003/12/1

Y1 - 2003/12/1

N2 - In Canada, the national age-adjusted rate of type 2 diabetes mellitus in Aboriginal peoples is 3 to 5 times higher than in the general population. There is an urgent need for culturally appropriate community-based primary prevention programs to reduce this epidemic. This paper describes the similarities and differences in design, intervention and evaluation between 2 successful and ongoing primary diabetes prevention projects in Canada: in the Kanien'kehá:ka (Mohawk) community of Kahnawake, geographically close to Montreal, Quebec, and in the isolated Oji-Cree community of Ne gaaw saga'igan (Sandy Lake) in Northwestern Ontario. The 2 projects have recently initiated a collaboration with the goals of elucidating their successes, developing a comprehensive picture of 'best practice' sites and developing methods to measure intervention activities and incorporation of local in the development and implementation of interventions, and to evaluate the quality of activity implementation and the ongoing evolution of community mobilization and partnerships with other organizations. Particular attention will be focussed on documenting the quality of intervention activities, the incorporation of local traditions into intervention activities, communication information (audio, visual, print), skill development (personal empowerment workshops, cooking demonstrations), improvement in physical resources (recreation path, food availability) and, most importantly, community mobilization through the roles of employees, volunteers and community organizations. The goal of the collaboration is to develop a comprehensive picture of 'best practice' sites and to seek to discover if there are common key community characteristics and intervention strategies that support these long-term projects. This knowledge will then be used to identify additional Aboriginal communities and to partner with those communities to design interventions that incorporate the strengths of both KSDPP and SLHDP. This joint evaluation will contribute to both local and general knowledge by furthering the understanding of "what constitutes success." Such knowledge for the primary prevention of diabetes is essential to both improve existing health promotion initiatives and to reduce the current epidemic of type 2 diabetes in Aboriginal communities.

AB - In Canada, the national age-adjusted rate of type 2 diabetes mellitus in Aboriginal peoples is 3 to 5 times higher than in the general population. There is an urgent need for culturally appropriate community-based primary prevention programs to reduce this epidemic. This paper describes the similarities and differences in design, intervention and evaluation between 2 successful and ongoing primary diabetes prevention projects in Canada: in the Kanien'kehá:ka (Mohawk) community of Kahnawake, geographically close to Montreal, Quebec, and in the isolated Oji-Cree community of Ne gaaw saga'igan (Sandy Lake) in Northwestern Ontario. The 2 projects have recently initiated a collaboration with the goals of elucidating their successes, developing a comprehensive picture of 'best practice' sites and developing methods to measure intervention activities and incorporation of local in the development and implementation of interventions, and to evaluate the quality of activity implementation and the ongoing evolution of community mobilization and partnerships with other organizations. Particular attention will be focussed on documenting the quality of intervention activities, the incorporation of local traditions into intervention activities, communication information (audio, visual, print), skill development (personal empowerment workshops, cooking demonstrations), improvement in physical resources (recreation path, food availability) and, most importantly, community mobilization through the roles of employees, volunteers and community organizations. The goal of the collaboration is to develop a comprehensive picture of 'best practice' sites and to seek to discover if there are common key community characteristics and intervention strategies that support these long-term projects. This knowledge will then be used to identify additional Aboriginal communities and to partner with those communities to design interventions that incorporate the strengths of both KSDPP and SLHDP. This joint evaluation will contribute to both local and general knowledge by furthering the understanding of "what constitutes success." Such knowledge for the primary prevention of diabetes is essential to both improve existing health promotion initiatives and to reduce the current epidemic of type 2 diabetes in Aboriginal communities.

UR - http://www.scopus.com/inward/record.url?scp=0347763858&partnerID=8YFLogxK

M3 - Review article

VL - 27

SP - 464

EP - 475

JO - Canadian Journal of Diabetes

JF - Canadian Journal of Diabetes

SN - 1499-2671

IS - 4

ER -

Macaulay AC, Harris SB, Lévesque L, Cargo M, Ford E, Salsberg J et al. Primary Prevention of Type 2 Diabetes: Experiences of 2 Aboriginal Communities in Canada. Canadian Journal of Diabetes. 2003 Dec 1;27(4):464-475.