Department of Health, Children's Health Queensland Hospital and Health Service, Queensland Government, Brisbane, Australia.
Good Start Program, Child and Youth Community Health Service, Department of Health, Queensland Government, Brisbane, Australia.
Health Promot J Austr. 2021 Feb;32 Suppl 1:143-154. doi: 10.1002/hpja.438. Epub 2020 Dec 14.
Children of Māori & Pacific Islander descent living in Australia have a greater prevalence of overweight/obesity and an increased risk of adverse health outcomes. This study aimed to co-design Healthier Together, a community-based, childhood overweight/obesity prevention program tailored to Māori & Pacific Islander cultures.
Co-design involved a three-phase, iterative, participatory and experience-based process, guided by the Te Ara Tika: Guidelines for Māori Research Ethics to promote respect and equity. Following traditional oratory customs of Māori & Pacific Islander cultures, "talanoa" facilitated the collaborative program design with recruited Māori & Pacific Islander consumers, cultural advisors and health professionals. Co-design formulated program objectives, session plans, resources and evaluation tools.
Co-design developed a 9-week community-based childhood overweight/obesity prevention program providing culturally tailored education across four themes: (a) nutrition (b) physical activity (c) positive parenting practices (d) culture and health. Strong community engagement developed a program highly tailored to the local Māori & Pacific Islander population.
Co-design methodology promotes equity and inclusion of all stakeholders, acknowledges and caters to diversity and creates a medium for openness, respect and shared purpose. Community-led participatory approaches are pivotal to engaging and empowering communities to successfully improve health behaviours, particularly in tackling childhood overweight/obesity. SO WHAT?: Healthier Together is culturally significant to ensure relevance, effectiveness and sustainability. It is relevant and potentially adaptable to other priority populations across Australia and globally. Ultimately, the delivery of culturally tailored health care will contribute to a reduction in the health inequity experienced amongst priority populations.
居住在澳大利亚的毛利人和太平洋岛民的儿童超重/肥胖的患病率更高，健康状况不良的风险也增加。本研究旨在共同设计“Healthier Together”，这是一个基于社区的、针对毛利人和太平洋岛民文化的儿童超重/肥胖预防计划。
共同设计涉及一个三阶段、迭代、参与式和基于经验的过程，遵循“Te Ara Tika：毛利研究伦理准则”，以促进尊重和平等。遵循毛利和太平洋岛民文化的传统演讲习俗，“talanoa”促进了与招募的毛利和太平洋岛民消费者、文化顾问和卫生专业人员合作的计划设计。共同设计制定了项目目标、课程计划、资源和评估工具。
共同设计开发了一个为期 9 周的基于社区的儿童超重/肥胖预防计划，提供了四个主题的文化定制教育：（a）营养；（b）身体活动；（c）积极的育儿实践；（d）文化与健康。强大的社区参与为该计划制定了高度适合当地毛利和太平洋岛民人口的方案。
共同设计方法促进了所有利益相关者的公平和包容，承认和满足多样性，并为开放性、尊重和共同目标创造了一个媒介。社区主导的参与式方法对于吸引和赋权社区成功改善健康行为至关重要，特别是在解决儿童超重/肥胖问题方面。那么，这意味着什么呢？“Healthier Together”在文化上具有重要意义，以确保相关性、有效性和可持续性。它与澳大利亚和全球其他重点人群相关，并且具有潜在的适应性。最终，提供文化定制的医疗保健将有助于减少重点人群中经历的健康不平等。
