Using community theater to improve diabetes education in Fiji
Tóm tắt
Diabetes afflicts upwards of 425 million people globally with 80% of that number living in the developing world. The World Health Organization has declared diabetes a global health threat. Here, we describe a Community Theater (CT) project implemented in Fiji, a nation where 30% of the adult population is diabetic. Current diabetes education methods used by the Ministry of Health in Fiji have proven to be ineffective in stemming the growing incidence of the disease. Our research hypothesis was that significant improvements would occur from baseline in the physical and psychosocial markers among a group of outpatients being treated at a diabetic clinic who were exposed to CT interventions over a 23-month period. Significant improvement in HbA1c levels occurred in the intervention group compared to a control group that was not exposed to CT. We conclude that novel educational approaches are needed, including CT, to combat the growing epidemic of diabetes that threatens Fiji and all other Pacific Island nations.
Tài liệu tham khảo
Bulletin of the WHO, Volume 88, number 7. July 2010. Accessed 20 February, 2017.
Kalipeni E, Kamlongera C. Popular Theatre and Health Care. Zomba: University of Malawi; 1987.
Keating J. Why do the world’s fattest people live on islands? Foreign Policy. 4 February 2011;
Kromhout D, Menotti A, Prevention BH. Of coronary heart disease. Diet, lifestyle, and risk factors in the seven countries study. New York: Kluwer Academic Publishers; 2002.
Ministry of Health Fiji. http://www.health.gov.fj/?page_id=377. Accessed 21 February 2017.
Pokharel, S. “Aarohan Street Theater”, Footsteps, no. 54, March 2004. Tearfund. Middlesex, UK.
Polonsky WH, Fisher L, Earles J, Dudl RJ, Lees J, Mullan J, et al. Assessing psychosocial distress in diabetes: development of the diabetes distress scale. Diabetes Care. 2005 Mar;28(3):626–31. https://doi.org/10.2337/diacare.28.3.626.
Szmedra PI, Sharma KL, Rozmus CL. Differences in health promotion behavior among the chronically ill in three South Pacific Island countries. Dev Pract. 2007;17(2):291–300. https://doi.org/10.1080/09614520701197259.
WHO. http://www.who.int/mediacentre/factsheets/fs312/en/index.html. Accessed 18 February 2017.