Senior Research Officer/Principal Investigator, Centre for Public Health Research, Massey University.
The Fono, 411 Great North Road, Henderson, Auckland 0612, New Zealand.
N Z Med J. 2021 Feb 19;134(1530):57-68.
Using a co-design approach, we describe exploratory findings of a community-based intervention to mobilise Pasifika communities into action, with the intent of reducing the risk factors of prediabetes.
A group of 25 Pasifika youth aged 15-24 years from two distinctive Pasifika communities in New Zealand were trained to lead a small-scale, community-based intervention programme (among 29 participants) over the course of eight weeks. The intervention, which targeted adults aged 25-44 years who were overweight or obese, employed both an empowerment-based programme and a co-design approach to motivate community members to participate in a physical-activity-based intervention programme.
Findings show significant reductions in total body weight and waist circumference, as well as improved physical activity.
The strength of this intervention was evident in the innovative approach of utilising Pasifika-youth-led and co-designed approaches to motivate communities into healthier lifestyles. The approaches used in this project could be utilised in a primary healthcare setting as a community-wide strategy to reduce diabetes risk, particularly among Pasifika peoples.
采用共同设计方法,我们描述了一项基于社区的干预措施的探索性发现,该措施旨在动员太平洋岛民社区采取行动,降低前驱糖尿病的风险因素。
来自新西兰两个不同太平洋岛民社区的 25 名年龄在 15-24 岁的太平洋岛民青年接受了培训,以在八周内领导一项小规模的基于社区的干预计划(共有 29 名参与者)。该干预措施针对的是超重或肥胖的 25-44 岁成年人,采用了以赋权为基础的方案和共同设计方法,以激励社区成员参加以体育锻炼为基础的干预计划。
研究结果显示,体重和腰围均有显著下降,身体活动量也有所增加。
该干预措施的优势在于创新性地利用太平洋岛民青年主导和共同设计的方法来激励社区采取更健康的生活方式。该项目中使用的方法可以在初级保健环境中作为一种社区范围的策略来降低糖尿病风险,特别是针对太平洋岛民。