a School of Health Sciences , University of Canterbury , Christchurch , New Zealand.
b Department of Public Health and Community Medicine , Tufts University School of Medicine , Boston , MA , USA.
J Health Commun. 2018;23(3):306-312. doi: 10.1080/10810730.2018.1442531. Epub 2018 Feb 22.
Type 2 diabetes is almost three times more prevalent in the indigenous people of New Zealand (Māori) than non-Māori. Despite the high rate of diabetes there is a low level of diabetes knowledge and awareness in the Māori community. Several studies of Māori health identify a need for new health communication approaches to diabetes prevention in order to reduce the gap between Māori and non-Māori disease rates. We applied a Community-Based Participatory Research (CBPR) framework and behavioral theory to create a culturally appropriate documentary for Māori at risk for type 2 diabetes. We discuss how we utilized Bandura's social cognitive theory to provide a culturally sensitive theoretical basis for behavior change messaging. We outline why social cognitive theory was a culturally appropriate foundation and describe the role of the community in shaping the documentary messaging. A culture-centered approach utilizing participatory methodologies and culturally sensitive behavioral change theory might serve as a model for creating health communication resources in collaboration with other indigenous communities.
2 型糖尿病在新西兰原住民（毛利人）中的患病率几乎是非毛利人的三倍。尽管糖尿病的发病率很高，但毛利社区的糖尿病知识和意识水平较低。多项毛利人健康研究表明，需要采用新的健康传播方法来预防糖尿病，以缩小毛利人和非毛利人之间的疾病发病率差距。我们应用基于社区的参与式研究 (CBPR) 框架和行为理论，为有患 2 型糖尿病风险的毛利人制作了一部文化上适宜的纪录片。我们讨论了如何利用班杜拉的社会认知理论为行为改变信息提供一个文化敏感的理论基础。我们概述了为什么社会认知理论是一个文化上合适的基础，并描述了社区在塑造纪录片信息方面的作用。利用参与式方法和文化敏感的行为改变理论的以文化为中心的方法可以作为与其他原住民社区合作创建健康传播资源的模型。
