Piloting a culturally appropriate, localised diabetes prevention program for young Aboriginal people in a remote town
Kimberley H. Seear A E , David N. Atkinson A , Matthew P. Lelievre B C , Lynette M. Henderson-Yates B and Julia V. Marley A D
+ Author Affiliations
- Author Affiliations
A The Rural Clinical School of Western Australia, The University of Western Australia, 12 Napier Terrace (PO Box 1377), Broome, WA 6725, Australia.
B Derby Aboriginal Health Service, 1 Stanley Street (PO Box 1155), Derby, WA 6728, Australia.
C Present address: North and West Remote Health, 53 Enid Street (PO Box 1127), Mount Isa, Qld 4825, Australia.
D Kimberley Aboriginal Medical Services, 12 Napier Terrace (PO Box 1377), Broome, WA 6725, Australia.
E Corresponding author. Email: kimberley.seear@rcswa.edu.au
Australian Journal of Primary Health 25(5) 495-500 https://doi.org/10.1071/PY19024
Submitted: 31 January 2019 Accepted: 26 August 2019 Published: 4 October 2019
Abstract
Lifestyle changes are central to preventing type 2 diabetes. Embarking upon and sustaining change is challenging, and translation of prevention approaches into a wider range of real-world settings is needed. In this study, a locally adapted community-led diabetes prevention program with local young Aboriginal facilitators was created and trialled through the Derby Aboriginal Health Service (DAHS). The 8-week program highlighted causes and consequences of diabetes, incorporated physical activity and healthy eating topics with a focus on practical activities, and included stress management to support healthy lifestyles. Ten Aboriginal women and men aged 18–38 years participated in the pilot program. The program was found to be acceptable and appropriate, and other community members and organisations expressed interest in future participation. Participants reported that they gained important new knowledge and made changes in behaviours including shopping choices, portioning and soft drink consumption. Limitations included participant recruitment and attendance difficulties, which were attributed to program timing and competing demands. While this program was designed to be sustainable, and there were indications of feasibility, resource constraints impeded its integration into routine primary health care. Prevention of diabetes is a high priority for DAHS, and this program, with appropriate resources, provides a basis for ongoing practical prevention strategies.
Additional keywords: healthy lifestyle, feasibility study, lifestyle modification, tailored intervention.
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