Process evaluation of a multi-institutional community-based program for diabetes prevention among First Nations
Epidemic rates of diabetes among Native North Americans demand novel solutions. Zhiiwaapenewin Akino'maagewin: Teaching to Prevent Diabetes was a community-based diabetes prevention program based in schools, food stores and health offices in seven First Nations in northwestern Ontario, Canada....
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fthighwire:oai:open-archive.highwire.org:her:23/2/272 2023-05-15T16:15:48+02:00 Process evaluation of a multi-institutional community-based program for diabetes prevention among First Nations Rosecrans, A. M. Gittelsohn, J. Ho, L. S. Harris, S. B. Naqshbandi, M. Sharma, S. 2008-04-01 00:00:00.0 text/html http://her.oxfordjournals.org/cgi/content/short/23/2/272 https://doi.org/10.1093/her/cym031 en eng Oxford University Press http://her.oxfordjournals.org/cgi/content/short/23/2/272 http://dx.doi.org/10.1093/her/cym031 Copyright (C) 2008, Oxford University Press ORIGINAL ARTICLES TEXT 2008 fthighwire https://doi.org/10.1093/her/cym031 2008-05-01T04:30:51Z Epidemic rates of diabetes among Native North Americans demand novel solutions. Zhiiwaapenewin Akino'maagewin: Teaching to Prevent Diabetes was a community-based diabetes prevention program based in schools, food stores and health offices in seven First Nations in northwestern Ontario, Canada. Program interventions in these three institutions included implementation of Grades 3 and 4 healthy lifestyles curricula; stocking and labeling of healthier foods and healthy recipes cooking demonstrations and taste tests; and mass media efforts and community events held by health agencies. Qualitative and quantitative process data collected through surveys, logs and interviews assessed fidelity, dose, reach and context of the intervention to evaluate implementation and explain impact findings. School curricula implementation had moderate fidelity with 63% delivered as planned. Store activities had moderate fidelity: availability of all promoted foods was 70%, and appropriate shelf labels were posted 60% of the time. Cooking demonstrations were performed with 71% fidelity and high dose. A total of 156 posters were placed in community locations; radio, cable TV and newsletters were utilized. Interviews revealed that the program was culturally acceptable and relevant, and suggestions for improvement were made. These findings will be used to plan an expanded trial in several Native North American communities. Text First Nations HighWire Press (Stanford University) Canada Health Education Research 23 2 272 286 |
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ORIGINAL ARTICLES |
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ORIGINAL ARTICLES Rosecrans, A. M. Gittelsohn, J. Ho, L. S. Harris, S. B. Naqshbandi, M. Sharma, S. Process evaluation of a multi-institutional community-based program for diabetes prevention among First Nations |
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ORIGINAL ARTICLES |
description |
Epidemic rates of diabetes among Native North Americans demand novel solutions. Zhiiwaapenewin Akino'maagewin: Teaching to Prevent Diabetes was a community-based diabetes prevention program based in schools, food stores and health offices in seven First Nations in northwestern Ontario, Canada. Program interventions in these three institutions included implementation of Grades 3 and 4 healthy lifestyles curricula; stocking and labeling of healthier foods and healthy recipes cooking demonstrations and taste tests; and mass media efforts and community events held by health agencies. Qualitative and quantitative process data collected through surveys, logs and interviews assessed fidelity, dose, reach and context of the intervention to evaluate implementation and explain impact findings. School curricula implementation had moderate fidelity with 63% delivered as planned. Store activities had moderate fidelity: availability of all promoted foods was 70%, and appropriate shelf labels were posted 60% of the time. Cooking demonstrations were performed with 71% fidelity and high dose. A total of 156 posters were placed in community locations; radio, cable TV and newsletters were utilized. Interviews revealed that the program was culturally acceptable and relevant, and suggestions for improvement were made. These findings will be used to plan an expanded trial in several Native North American communities. |
format |
Text |
author |
Rosecrans, A. M. Gittelsohn, J. Ho, L. S. Harris, S. B. Naqshbandi, M. Sharma, S. |
author_facet |
Rosecrans, A. M. Gittelsohn, J. Ho, L. S. Harris, S. B. Naqshbandi, M. Sharma, S. |
author_sort |
Rosecrans, A. M. |
title |
Process evaluation of a multi-institutional community-based program for diabetes prevention among First Nations |
title_short |
Process evaluation of a multi-institutional community-based program for diabetes prevention among First Nations |
title_full |
Process evaluation of a multi-institutional community-based program for diabetes prevention among First Nations |
title_fullStr |
Process evaluation of a multi-institutional community-based program for diabetes prevention among First Nations |
title_full_unstemmed |
Process evaluation of a multi-institutional community-based program for diabetes prevention among First Nations |
title_sort |
process evaluation of a multi-institutional community-based program for diabetes prevention among first nations |
publisher |
Oxford University Press |
publishDate |
2008 |
url |
http://her.oxfordjournals.org/cgi/content/short/23/2/272 https://doi.org/10.1093/her/cym031 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
http://her.oxfordjournals.org/cgi/content/short/23/2/272 http://dx.doi.org/10.1093/her/cym031 |
op_rights |
Copyright (C) 2008, Oxford University Press |
op_doi |
https://doi.org/10.1093/her/cym031 |
container_title |
Health Education Research |
container_volume |
23 |
container_issue |
2 |
container_start_page |
272 |
op_container_end_page |
286 |
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1766001675140595712 |