An Integrated Multi-Institutional Diabetes Prevention Program Improves Knowledge and Healthy Food Acquisition in Northwestern Ontario First Nations

Health Education and Behavior - Tập 35 Số 4 - Trang 561-573 - 2008
Lara S. Ho1, Joel Gittelsohn2, Rajiv N. Rimal3, Margarita S. Treuth4, Sangita Sharma5, Amanda Rosecrans6, Stewart B. Harris7
1Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, 21205, USA
2Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
3Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
4Department of Physical Therapy, University of Maryland Eastern Shore, Princess Anne
5Cancer Research Center of Hawaii,#R##N#University of Hawaii,#R##N#Honolulu
6Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
7Centre for Studies in Family Medicine, University of Western Ontario, Canada.

Tóm tắt

This article presents the impact results of a feasibility study in Canada for prevention of risk factors for diabetes in seven northwestern Ontario First Nations. Baseline and follow-up data were collected before and after the 9-month intervention program in schools, stores, and communities that aimed to improve diet and increase physical activity among adults. Regression analyses indicate a significant change in knowledge among respondents in intervention communities ( p < .019). There was also a significant increase in frequency of healthy food acquisition among respondents in the intervention communities ( p < .003). There were no significant changes in physical activity or body mass index in either intervention or comparison groups. The multi-institutional approach demonstrated promising results in modifying selected risk factors for diabetes First Nations communities.

Từ khóa


Tài liệu tham khảo

Bandura, A., 1986, Social foundations of thought and action: A social cognitive theory

10.1093/ajcn/78.5.1030

Centers for Disease Control., 2003, Morbidity and Mortality Weekly Report, 52, 702

10.1111/j.1746-1561.1988.tb05822.x

10.1093/her/cyh032

10.1016/S0277-9536(98)00403-1

Davis, M., Baranowski, T., Hughes, M., Warneke, C., deMoor, C. & Mullis, R. (2002). Using children as change agents to increase fruit and vegetable consumption among lower-income African American parents: Process evaluation results of the Bringing it Home program. In: A. Steckler & L. Linnan (Eds.), Process evaluation in public health interventions (pp. 249-267). San Francisco: Jossey-Bass.

10.1038/oby.2007.155

10.1097/00124784-200611000-00008

10.2337/diacare.20.2.185

10.1093/heapro/dak003

10.1056/NEJMoa012512

10.1001/jama.1996.03530340032026

10.1542/peds.2004-0745

10.1016/S0091-7435(02)00015-4

10.1093/her/cym031

Saksvig, B.I., 2005, Canadian children. Journal of Nutrition, 135, 2392

10.2337/diacare.26.9.2643

10.1016/j.amepre.2005.10.020

Sharma, S., 2007, Dietary intake and development of a quantitative food-frequency questionnaire for a lifestyle intervention to reduce risk of chronic disease in Canadian First Nations in north-western Ontario

10.1056/NEJM200105033441801

Thông tin
Thông tin xuất bản

Health Education and Behavior

Tập 35 Số 4

561-573

Thông tin tác giả