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  1. Effectiveness of community-directed diabetes prevention and control in a rural Aboriginal population in British Columbia, Canada.

    Article - En anglais

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0171404

    Code Inist : 002B21E01A. Création : 16/11/1999.