Murdoch-Flowers Jayne, Tremblay Marie-Claude, Hovey Richard, Delormier Treena, Gray-Donald Katherine, Delaronde Elaine, Macaulay Ann C
Kahnawake Schools Diabetes Prevention Project, Kahnawake Territory, Kanien'keha, Mohawk Nation, QC, Canada.
School of Dietetics and Human Nutrition, McGill University, Montréal, QC, Canada.
Health Promot Int. 2019 Feb 1;34(1):154-165. doi: 10.1093/heapro/dax059.
There is increasing recognition that culturally-based diabetes prevention programs can facilitate the adoption and maintenance of healthy behaviours in the communities in which they are implemented. The Kahnawake School Diabetes Prevention Project (KSDPP) is a health promotion, community-based participatory research project aiming to reduce the incidence of Type 2 diabetes in the community of Kahnawake (Mohawk territory, Canada), with a large range of interventions integrating a Haudenosaunee perspective of health. Building on a qualitative, naturalistic and interpretative inquiry, this study aimed to assess the outcomes of a suite of culturally-based interventions on participants' life and experience of health. Data were collected through semi-structured qualitative interviews of 1 key informant and 17 adult, female Kahnawake community members who participated in KSDPP's suite of interventions from 2007 to 2010. Grounded theory was chosen as an analytical strategy. A theoretical framework that covered the experiences of all study participants was developed from the grounded theory analysis. KSDPP's suite of interventions provided opportunities for participants to experience five different change processes: (i) Learning traditional cooking and healthy eating; (ii) Learning physical activity; (iii) Learning mind focusing and breathing techniques; (iv) Learning cultural traditions and spirituality; (v) Socializing and interacting with other participants during activities. These processes improved participants' health in four aspects: mental, physical, spiritual and social. Results of this study show how culturally-based health promotion can bring about healthy changes addressing the mental, physical, spiritual and social dimensions of a holistic concept of health, relevant to the Indigenous perspective of well-being.
人们越来越认识到，基于文化的糖尿病预防项目能够促进在其实施的社区中采用并维持健康行为。卡纳瓦克学校糖尿病预防项目（KSDPP）是一项健康促进、基于社区的参与性研究项目，旨在降低加拿大莫霍克族领地卡纳瓦克社区2型糖尿病的发病率，该项目采用了一系列整合了豪德诺索尼人健康观念的干预措施。基于定性、自然主义和解释性探究，本研究旨在评估一套基于文化的干预措施对参与者生活和健康体验的影响。通过对1名关键信息提供者以及17名于2007年至2010年参与KSDPP一系列干预措施的卡纳瓦克成年女性社区成员进行半结构化定性访谈来收集数据。选择扎根理论作为分析策略。通过扎根理论分析，构建了一个涵盖所有研究参与者经历的理论框架。KSDPP的一系列干预措施为参与者提供了体验五个不同改变过程的机会：（i）学习传统烹饪和健康饮食；（ii）学习体育活动；（iii）学习集中注意力和呼吸技巧；（iv）学习文化传统和精神内涵；（v）在活动期间与其他参与者进行社交和互动。这些过程在心理、身体、精神和社会四个方面改善了参与者的健康。本研究结果表明，基于文化的健康促进如何能够带来健康改变，这些改变涉及整体健康概念的心理、身体、精神和社会层面，这与原住民的幸福观相关。
