| Titre : | Effectiveness of community-directed diabetes prevention and control in a rural Aboriginal population in British Columbia, Canada. (1999) |
| Auteurs : | M. Daniel ; D. GAMBLE ; L.W. GREEN ; C.P. HERBERT ; C. HERTZMAN ; S.A. Marion ; S.B. SHEPS ; Department of Health Care and Epidemiology. University of British Columbia. Vancouver. CAN |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 48, n° 6, 1999) |
| Pagination : | 815-832 |
| Langues: | Anglais |
| Mots-clés : | Diabète non insulinodépendant ; Prévention santé ; Canada ; Amérique ; Evaluation ; Santé communautaire ; Homme ; Glande endocrine [pathologie] ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST nR0xxHHJ. Diffusion soumise à autorisation]. 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. (...) |
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