Journal
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
Volume 18, Issue 17, Pages -Publisher
MDPI
DOI: 10.3390/ijerph18179173
Keywords
indigenous health and wellbeing; community consultation; prevention
Funding
- Central Australian Academic Health Science Centre [180411]
- Medical Research Future Fund (MRFF) [180926]
- NHMRC [APP1199628, 1078477]
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The study emphasizes the integration of community perspectives, adaptation to cultural characteristics, and adjustment of a behavioral intervention program to prevent diabetes among Aboriginal children in Central Australia. Main findings include the community's strong need for ownership, the delivery of a flexible and culturally appropriate program by upskilling community members as facilitators, and the consideration of social and environmental factors during implementation.
This study reports on integrating community perspectives to adapt a family-focused, culturally appropriate behavioural intervention program to prevent diabetes among Aboriginal children (6-11 years) in Central Australia. A participatory action research approach was used to engage a range of service providers, cultural advisors, and family groups. Appropriateness, acceptability, content, and delivery of a prevention program within the Central Australian context were discussed through a series of workshops with twenty-five service providers and seven family groups separately. The data obtained were deductively coded for thematic analysis. Main findings included: (i) the strong need for a diabetes prevention program that is community owned, (ii) a flexible and culturally appropriate program delivered by upskilling community members as program facilitators, and (iii) consideration of social and environmental factors when implementing the program. It is recommended that a trial of the adapted prevention program for effectiveness and implementation is led by an Aboriginal community-controlled health service.
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