"Learning from “Our Relations” Indigenous Peoples of Australia, Canada, New Zealand, and United States: A Review of Culturally Relevant Diabetes and Obesity Interventions for Health
DOI:
https://doi.org/10.18584/iipj.2022.13.1.14041Keywords:
Indigenous Peoples, culturally relevant, traditional, togetherness, empowerment, local familiarity, diabetes/obesity, interventions, programs, cultural safetyAbstract
Globally, Indigenous Peoples suffer disproportionately higher rates and complications of diabetes and obesity than non-Indigenous people. Western health interventions combined with culturally appropriate Traditional approaches can reduce incidence, prevalence, and related co-morbidities. This literature review reports effective culturally relevant Traditional and Western diabetes and obesity prevention and management intervention programs for Indigenous populations in Australia, Canada, New Zealand, and the United States. Experiential, immediate, interactive, and low-cost programs, co-developed and delivered by local Indigenous people within the communities they live, are most effective in improving health and wellbeing. Key themes of success of Togetherness, Empowerment, and Local Familiarity inform action for policy and practice changes adaptable for chronic disease prevention, treatment, and self-management programs for Indigenous Peoples globally.
References
Abbott, P., Davison, J., Moore, L., & Rubinstein, R. (2010). Barriers and enhancers to dietary behaviour change for Aboriginal People attending a diabetes cooking course. Health Promotion Journal of Australia, 21, 33-38 https://doi.org/10.1071/HE10033
Arora, S., Kurji, A. K., & Tennant, M. T. S. (2013). Dismantling sociocultural barriers to eye care with tele-ophthalmology: Lessons from an Alberta Cree community. Clinical and Investigative Medicine, 36, E57-E63 https://doi.org/10.25011/cim.v36i2.19567
Azzopardi, P., Brown, A. D., Zimmet, P., Fahy, R. E., Dent, G. A., Kelly, M. J., Kranzusch, K., Maple‐Brown, L. J., Nossar, V., Silink, M., Sinha, A. K., Stone, M. L., & Wren, S. J. (2012). Type 2 diabetes in young Indigenous Australians in rural and remote areas: Diagnosis, screening, management and prevention. Medical Journal of Australia, 197, 32-36. https://doi.org/10.5694/mja12.10036
Bachar, J. J., Lefler, L. J., Reed, L., McCoy, T., Bailey, R., & Bell, R. (2006). Cherokee Choices: A diabetes prevention program for American Indians. Preventing Chronic Disease, 3, 1-9. https://www.cdc.gov/pcd/index.htm
Bartlett, C., Marshall, M., & Marshall, A. (2012). Two-eyed seeing and other lessons learned within a co-learning journey of bringing together Indigenous and mainstream knowledges and ways of knowing. Journal of Environmental Studies and Sciences, 2, 331–340. https://doi.org/10.1007/s13412-012-0086-8
Batal, M., & Decelles, S. (2019). A scoping review of obesity among Indigenous Peoples in Canada. Journal of Obesity, Article 9741090. https://doi.org/10.1155/2019/9741090
Best Practice Advocacy Centre New Zealand. (2018). A rising tide of type 2 diabetes in younger people: what can primary care do? https://bpac.org.nz/2021/diabetes-younger.aspx
Braun, V., & Clarke, V. (2021). One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology, 18(3), 328-352. https://doi.org/10.1080/14780887.2020.1769238
Brown, B., Dybdal, L., Noonan, C., Pedersen, M. G., Parker, M., & Corcoran, M. (2020). Group gardening in a Native American community: A collaborative approach. Health Promotion Practice, 21, 611-623. https://doi.org/10.1177/1524839919830930
Castro, S., O'Toole, M., Brownson, C., Plessel, K., & Schauben, L. (2009). A diabetes self-management program designed for urban American Indians. Preventing Chronic Disease, 6, A131. https://www.cdc.gov/pcd/index.htm
Centers for Disease Control. (2018). Summary health statistics: National Health Interview (Table A-15). https://ftp.cdc.gov/pub/Health_Statistics/NCHS/NHIS/SHS/2018_SHS_Table_A-15.pdf
Close the Gap Campaign Steering committee. (2020). Close the Gap. https://humanrights.gov.au/our-work/aboriginal-and-torres-strait-islander-social-justice/publications/close-gap-2020?_ga=2.23970046.53080655.1617311467-343108075.1616683322
Crowshoe, L., Henderson, R. I., Green, M. E.,Jacklin, K. M., Walker, L. M., & Calam, B. (2018). Exploring Canadian Physicians' experiences with Type 2 Diabetes care for adult Indigenous patients. Canadian Journal of Diabetes, 42(3), 281-288. https://doi.org/10.1016/j.jcjd.2017.06.012
Cueva K., Speakman K., Neault N., Richards J., Lovato V., Parker S., Carroll, D., Sundbo, A., & Barlow, A. (2020). Cultural connectedness as obesity prevention: Indigenous youth perspectives on feast for the future. Journal of Nutrition Education and Behavior, 52, 632-639. https://doi.org/10.1016/j.jneb.2019.11.009
Cunningham-Sabo, L., Bauer, M., Pareo, S., Phillips-Benally, S., Roanhorse, J., & Garcia, L. (2008). Qualitative investigation of factors contributing to effective nutrition education for Navajo families. Maternal and Child Health Journal, 12, S68-S75. https://doi.org/10.1007/s10995-008-0333-5
DeBruyn, L., Fullerton, L., Satterfield, D., & Frank, M. (2020). Integrating culture and history to promote health and help prevent type 2 diabetes in American Indian/Alaska Native communities: Traditional foods have become a way to talk about health. Preventing Chronic Disease, 17, E12. https://doi.org/10.5888/pcd17.190213
DeMarco, r., & Healey-Walsh, J. (2019). Community & Public Health Nursing: Evidence for Practice. Lippincott Williams & Wilkins.
Dreger, L. C., Mackenzie, C., & McLeod, B. (2015). Acceptability and suitability of mindfulness training for diabetes management in an indigenous community. Mindfulness, 6, 885-898. https://doi.org/10.1007/s12671-014-0332-0
Farmer, A., Edgar, T., Gage, J., & Kirk, R. (2018). "I want to walk with my moko": The application of social cognitive theory in the creation of a diabetes prevention documentary with New Zealand Māori. Journal of Health Communication, 23(3), 306-312. https://doi.org/10.1080/10810730.2018.1442531
Fleischhacker, S., Byrd, R. R., Ramachandran, G., Vu M, Ries, A., Bell, R. A., & Evenson, K. R. (2012). Tools for healthy tribes: Improving access to healthy foods in Indian Country. American Journal of Preventative Medicine, 43, S123-S129. https://doi.org/10.1016/j.amepre.2012.05.015
Gracey, M. & King, M. (2009). Indigenous health: Determinants and disease patterns. Lancet, 374, 65-75. https://doi.org/10.1016/S0140-6736(09)60914-4
Greenwood, M. (2013). Being Indigenous: Commentary on Chandler. Human Development, 56(2), 98–105. https://doi.org/10.1159/000346537
Halseth, R., & Murdock, L. (2020). Supporting Indigenous self-determination in health: Lessons learned from a review of best practices in health governance in Canada and internationally. National Collaborating Center for Indigenous Health. https://www.nccih.ca/Publications/Lists/Publications/Attachments/317/Ind-Self-Determine-Halseth-Murdoch-EN-web-2020-12-02.pdf
Harfield, G. S., Davy, C., McArthur, A., Munn, Z., & Brown, N. (2018). Characteristics of Indigenous primary health care service delivery models: A systematic scoping review. Global Health, 14, Article 12. https://doi.org/10.1186/s12992-018-0332-2
Henderson, R. I., Boyling, E., McInnes, A., Green, M., Walker, L., Calam, B., Toth, E., & Crowshoe, L. (2020). Obesity management with Indigenous People. Obesity Canada. https://obesitycanada.ca/guidelines/indigenouspeoples
Higgins, J. P. T., Thomas J, Chandler J, Cumpston M, Li T, Page M. J, & Welch V. A. (Eds.). (2021). Cochrane handbook for systematic reviews of interventions (Version 6.2). Cochrane. http://www.training.cochrane.org/handbook
Hovey, R. B., Delormier, T., & McCormber, A. (2014) Social-relational understandings of health and well-being from an Indigenous perspective. International Journal of Indigenous Health, 10(1), 35-54. https://doi.org/10.18357/ijih.101201513195
Janssen, J., & Nelson, K. (2014). Meeting the needs of Mãori with diabetes: Evaluation of a nurse-led service. Nursing Praxis New Zealand, 30, 6-18. https://doi.org/10.36951/NgPxNZ.2014.008
Jernigan, V. B., & Lorig, K. (2011). The internet diabetes self-management workshop for American Indians and Alaska Natives. Health Promotion Practice, 12, 261-270. https://doi.org/10.1177/1524839909335178
Jiang, L., Manson, S., Beals, J., Henderson, W., Huang, H., Acton, K., & Roubideaux, Y. (2013). Translating the diabetes prevention program into American Indian and Alaska Native communities: Results from the special diabetes program for Indian diabetes prevention demonstration project. Diabetes Care, 36, 2027-2034. https://doi.org/10.2337/dc12-1250
Kaholokula, J. K.,Wilson, R. E., Townsend, C. K. M., Zhang, G. X., Chen, J., Yoshimura, S. R., Dillard, A., Yokota, J. W., Palakiko, D. M., Gamiao, S., & Mau, M. K. (2014). Translating the Diabetes Prevention Program in Native Hawaiian and Pacific Islander communities: The PILI ‘Ohana Project. Translation Behavioral Medicine, 4, 149-159. https://doi.org/10.1007/s13142-013-0244-x
Kelley, M. N., & Lowe, J. R. (2018). A culture-based talking circle intervention for Native American youth at risk for obesity. Journal of Community Health Nursing, 35(3), 102-117. https://doi.org/10.1080/07370016.2018.1475796
Kelly, K. J. (2017). Photovoice: Capturing American Indian youths’ dietary perceptions and sharing behavior-changing implications. Social Marketing Quarterly, 23(1), 64-79. https://doi.org/10.1177/1524500416672188
Kenyon, G. (2013). Diabetes care is still failing Aboriginal Australian people. Diabetes Australia. https://doi.org/10.1016/S2213-8587(13)70019-6
Kimes, C. M., Golden, S. L., Maynor, R. F., Spangler, J. G., & Bell, R. A. (2014). Lessons learned in community research through the Native Proverbs 31 Health Project. Preventing Chronic Disease, 11, E59. https://doi.org/10.5888/pcd11.130256
Kurtz, D. L. M. (2011). Contributing to health reform: Urban Aboriginal women speak out [Doctoral dissertation, Deakin University]. http://dro.deakin.edu.au/view/DU:30040133
Kurtz, D. L. M., Turner, D., Nyberg, J., & Moar, D. (2014). Social justice and health equity: Urban Aboriginal women’s actions for health reform. International Journal of Health, Wellness, and Society, 3(4), 13-26. http://healthandsociety.co https://doi.org/10.18848/2156-8960/CGP/v03i04/41081
Lai H. P. H., Miles R. M., Bredin S. S. D., Kaufman K. L., Chua C. Z. Y., Hare J., & Warburton, D. E. R. (2019). With every step, we grow stronger: The cardiometabolic benefits of an Indigenous-led and community-based healthy lifestyle intervention. Journal of Clinical Medicine, 8, 422. https://doi.org/10.3390/jcm8040422
Magliano, D. J., Shaw, J. E., Shortreed, S. M., Nusselder, W. J., Liew, D., Barr, E. L., Zimmet, P. Z., & Peeters, A. (2008). Lifetime risk and projected population prevalence of diabetes. Diabetologia ; 51, 2179-2186. https://doi.org/10.1007/s00125-008-1150-5
Maple-Brown, L. J., Sinha, A. K., & Davis, E. A. (2010). Type 2 diabetes in Indigenous Australian children and adolescents. Journal of Paediatrics and Child Health, 46(9), 487-490. https://doi.org/10.1111/j.1440-1754.2010.01844.x
Martin, D. H. (2012). Two-eyed seeing: A framework for understanding Indigenous and non-Indigenous approaches to Indigenous health research. Canadian Journal of Nursing Research, 44(2), 20-42. https://cjnr.archive.mcgill.ca/article/view/2348/2342
Mau, M. K., Keawe'aimoku Kaholokula, J., West, M. R., Leake, A., Efird, J. T., Rose C., Palakiko, D. M., & Gomes H. (2010). Translating diabetes prevention into native Hawaiian and Pacific Islander communities: The PILI 'Ohana Pilot project. Progress in Community Health Partnerships, 4, 7-16. https://doi.org/10.1353/cpr.0.0111
Mendenhall, T. J., Berge, J. M., Harper, P., GreenCrow, B., LittleWalker, N., WhiteEagle, S., & BrownOwl, S. (2010). The Family Education Diabetes Series (FEDS): Community‐based participatory research with a Midwestern American Indian community. Nursing Inquiry, 17, 359-372. https://doi.org/10.1111/j.1440-1800.2010.00508.x
Mercer, C., Riini, D., Hamerton, H., Morrison, L., & McPherson, B. (2013). Evaluating a healthy eating, healthy action program in small Māori communities in Aotearoa, New Zealand. Australian Journal of Primary Health, 19, 74-80. https://doi.org/10.1071/PY11096
Moher D., Liberati A., Tetzlaff J., Altman D. G., & The PRISMA Group., (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(6), e1000097. https://doi.org/10.1371/journal.pmed.1000097
Murdoch-Flowers, J., Tremblay, M. C., Hovey, R., Delormier, T., Gray-Donald, K., Delaronde, E., & Macaulay, A. C. (2019). Understanding how Indigenous culturally-based interventions can improve participants' health in Canada. Health Promotion
International, 34(1), 154-165. https://doi.org/10.1093/heapro/dax059
Narayan K. M., Boyle J. P., Thompson T. J., Sorensen, S. W., & Williamson, D. F. (2003). Lifetime risk for diabetes mellitus in the United States. JAMA, 290, 1884-1890. https://doi.org/10.1001/jama.290.14.1884
National Aboriginal Health Organization. (2017). An overview of traditional knowledge and medicine and public health in Canada. https://www.ccnsa-nccah.ca/docs/context/FS-OverviewAbororiginalHealth-EN.pdf
National Institute for Health and Care Excellence. (2012). Methods for the development of NICE public health guidance. https://www.nice.org.uk/article/pmg4/
Park, J., Tjepkema, M., Goedhuis, N., & Pennock, J. (2015). Avoidable mortality among First Nations adults in Canada: A cohort analysis. Health Reports, 26(8), 10-16. https://www150.statcan.gc.ca/n1/en/pub/82-003-x/2015008/article/14216-eng.pdf
Pirrit, S., Nosa, V., & Utter, J. (2019) Development and feasibility of a Pacific-focused community weight management program. Journal of Nutrition Education and Behavior, 51(8), 1025-1027. https://doi.org/10.1016/j.jneb.2019.04.005
Public Health Agency of Canada. (2011). Diabetes in Canada: Facts and figures from a public health perspective. http://www.phac-aspc.gc.ca/cd-mc/publications/diabetes-diabete /facts-figures-faits-chiffres-2011/index-eng.php
Pylypchuk, G., Vincent, L., Wentworth, J., Kiss, A., Perkins, N., Hartman, S., Ironstand, L., & Tobe, S. W. (2008). Diabetes risk evaluation and microalbuminuria (DREAM) studies: Ten years of participatory research with a First Nation's home and community model for type 2 diabetes care in Northern Saskatchewan. International Journal of Circumpolar Health, 67, 190-202. https://doi.org/10.3402/ijch.v67i2-3.18264
Reading, C., & Wien, F. (2013). Health inequalities and social determinants of Aboriginal Peoples’ health. National Collaborating Centre for Aboriginal Health. https://www.nccah-ccnsa.ca/docs/social%20determinates/nccah-loppie-wien_report.pdf
Rosecrans, A. M., Gittelsohn, J., Ho, L. S., Harris, S. B., Naqshbandi, M., & Sharma, S. (2008). Process evaluation of a multi-institutional community-based program for diabetes prevention among First Nations. Health Education Research, 23, 272-286. https://doi.org/10.1093/her/cym031
Saksvig, B. I., Gittelsohn, J., Harris, S. B., Hanley, A. J. G., Valente, T. W., & Zinman, B. (2005). A pilot school-based healthy eating and physical activity intervention improves diet, food knowledge, and self-efficacy for Native Canadian children. Journal of Nutrition, 135, 2392-2398. https://doi.org/10.1093/jn/135.10.2392
Satterfield, D., DeBruyn, L., Santos, M., Alonso, L., & Frank, M. (2016). Health promotion and diabetes prevention in American Indian and Alaska Native communities: Traditional Foods Project, 2008-2014. Morbidity and Mortality Weekly Report, 65, 4-10. https://doi.org/10.15585/mmwr.su6501a3
Seear, K. H., Atkinson, D, N., Lelievre, M. P., Henderson-Yates, L. M., & Marley, J., V. (2019) Piloting a culturally appropriate, localised diabetes prevention program for young Aboriginal people in a remote town. Australian Journal of Primary Health, 25(5), 495-500. https://doi.org/10.1071/PY19024
Statistics Canada. (2019). Table 13-10-0096-07 Diabetes, by age group. https://doi.org/10.25318/1310009601-eng
Tremblay, M. C., Graham, J., Porgo, T. V., Dogba, M. J., Paquette, J. S., & Careau, E. Witteman, H. O. (2020). Improving cultural safety of diabetes care in Indigenous populations of Canada, Australia, New Zealand and the United States: A systematic rapid review. Canadian Journal of Diabetes, 44(7), 670-678. https://doi.org/10.1016/j.jcjd.2019.11.006
Tipene-Leach, D., Coppell, K. J., Abel, S., Pāhau, H. L. R., Ehau T, & Mann, J. I. (2013). Ngāti and healthy: Translating diabetes prevention evidence into community action. Ethnicity & Health, 18(4), 402-414. https://doi.org/10.1080/13557858.2012.754406
Umaefulam, V., Premkumar, K. (2020) Impact of mobile health in diabetic retinopathy awareness and eye care behavior among Indigenous women. mHealth, 6, Article 14. https://doi.org/10.21037/mhealth.2019.12.01
United Nations Assembly. (2008). United Nations declaration on the rights of Indigenous Peoples. https://www.un.org/development/desa/indigenouspeoples/
Walker, J. D., Slater, M., Jones, C. R., Shah, B. R., Frymire, E., Khan, S., Jacklin, K., & Green, M. E. (2020). Diabetes prevalence, incidence and mortality in First Nations and other people in Ontario, 1995-2014: A population-based study using linked administrative data. Canadian Medical Association Journal, 192(6): E128-E135. https://doi.org/10.1503/cmaj.190836
Warbrick, I., Wilson, D., & Griffith, D. (2020) Becoming active: more to exercise than weight loss for indigenous men, Ethnicity & Health, 25, 796-811. https://doi.org/10.1080/13557858.2018.1456652
Willging, C. E., Helitzer, D., & Thompson, J. (2006). ‘Sharing wisdom’: Lessons learned during the development of a diabetes prevention program for urban American Indian women. Evaluation and Program Planning, 29, 130-140. https://doi.org/10.1016/j.evalprogplan.2006.01.005
Wilson, S. (2008). Research is ceremony: Indigenous research methods. Fernwood Publishing.
World Health Organization. (2021). Diabetes. https://www.who.int/news-room/fact-sheets/detail/diabetes
World Health Organization. (2000). Obesity: Preventing and managing the global epidemic. http://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/
World Health Organization. (2020). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
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