Effectiveness of community-directed diabetes prevention and control in a rural Aboriginal population in British Columbia, Canada.
This report presents the process and summative evaluation results from a community-based diabetes prevention and control project implemented in response to the increasing prevalence and impact of non-insulin-dependent diabetes mellitus (NIDDM) in the Canadian Aboriginal population.
The 24-month project targeted the registered Indian population in British Columbia's rural Okanagan region.
A participatory approach was used to plan strategies by which diabetes could be addressed in ways acceptable and meaningful to the intervention community.
The strategies emphasised a combination of changing behaviours and changing environments.
The project was quasi-experimental.
A single intervention community was matched to two comparison communities.
Workers in the intervention community conducted interviews of individuals with or at risk for diabetes during a seven-month pre-intervention phase (n=59).
Qualitative analyses were conducted to yield strategies for intervention.
Implementation began in the eighth month of the project.
Trend measurements of diabetes risk factors were obtained for'high-risk'cohorts (persons with or at familial risk for NIDDM) (n 105).
Cohorts were tracked over a 16-month intervention phase, with measurements at baseline, the midpoint and completion of the study.
Cross-sectional population surveys of diabetes risk factors were conducted at baseline and the end of the intervention phase (n=295).
Surveys of community systems were conducted three times. (...)
Mots-clés Pascal : Diabète non insulinodépendant, Prévention, Zone rurale, Aborigène, Colombie britannique, Canada, Amérique du Nord, Amérique, Evaluation, Santé communautaire, Intervention, Homme, Endocrinopathie
Mots-clés Pascal anglais : Non insulin dependent diabetes, Prevention, Rural area, Aboriginal, British Columbia, Canada, North America, America, Evaluation, Community health, Operation, Human, Endocrinopathy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0171404
Code Inist : 002B21E01A. Création : 16/11/1999.