Document Detail


Translating the diabetes prevention program for Northern Plains Indian youth through community-based participatory research methods.
MedLine Citation:
PMID:  20944056     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
Authors:
Blakely D Brown; Kari Jo Harris; Jeri Lyn Harris; Martin Parker; Christiana Ricci; Curtis Noonan
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, N.I.H., Extramural     Date:  2010-10-13
Journal Detail:
Title:  The Diabetes educator     Volume:  36     ISSN:  1554-6063     ISO Abbreviation:  Diabetes Educ     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2010-12-01     Completed Date:  2011-04-05     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  7701401     Medline TA:  Diabetes Educ     Country:  United States    
Other Details:
Languages:  eng     Pagination:  924-35     Citation Subset:  N    
Affiliation:
Department of Health and Human Performance, University of Montana, 32 Campus Drive, RD, 207 McGill Hall, Missoula, MT 59812, USA. blakely.brown@mso.umt.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Community-Based Participatory Research*
Diabetes Mellitus, Type 2 / ethnology,  prevention & control*
Focus Groups
Food Habits
Health Promotion / methods*
Humans
Indians, North American*
Information Dissemination*
Interviews as Topic
Middle Aged
Montana
Obesity / prevention & control
Grant Support
ID/Acronym/Agency:
R34 DK074456-01A2/DK/NIDDK NIH HHS; R34DK7446/DK/NIDDK NIH HHS
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