School of Health Sciences, Western Sydney University, Penrith 2751, Australia.
Institute of Health and Management, Parramatta 2150, Australia.
Int J Environ Res Public Health. 2021 Sep 6;18(17):9385. doi: 10.3390/ijerph18179385.
Pasifika communities bear a disproportionate burden of diabetes compared to the general Australian population. Community-based participatory research (CBPR), which involves working in partnership with researchers and communities to address local health needs, has gained prominence as a model of working with underserved communities. This paper describes how Le Taeao Afua (LTA) Samoan diabetes prevention program was underpinned by two CBPR frameworks to develop a culturally tailored church-based lifestyle intervention to prevent diabetes and its complications in the Australian Samoan community. The name LTA, which means 'a new dawn,' was chosen by the community to signify a new dawn without diabetes in the Australian Samoan community. Strategies for engaging with the Australian Samoan community in South Western Sydney are discussed mapped to the key principles from the CBPR frameworks. In particular, this paper highlights the steps involved in building relationships with Samoan community leaders and the vital role of community activators and peer support facilitators in the success of delivering the program. Lessons learnt, such as the importance of church and maintaining a Samoan way of life in daily activities, and processes to build effective partnerships and maintain long-term relationships with the Australian Samoan community, are also discussed. Our paper, through providing a case example of how to apply CBPR frameworks, will help guide future community-based health promotion programs for underserved communities.
与澳大利亚普通人群相比，太平洋岛国族裔群体承受着不成比例的糖尿病负担。社区参与式研究（CBPR）作为一种与服务不足社区合作的模式，通过与研究人员和社区合作来解决当地的健康需求，已经越来越受到关注。本文描述了 Le Taeao Afua（LTA）萨摩亚糖尿病预防计划如何基于两个 CBPR 框架，开发出一种针对特定文化的基于教会的生活方式干预措施，以预防澳大利亚萨摩亚社区的糖尿病及其并发症。该计划的名称 LTA，意思是“新的黎明”，是社区选择的，旨在象征澳大利亚萨摩亚社区没有糖尿病的新的黎明。本文讨论了与位于悉尼西南部的澳大利亚萨摩亚社区接触的策略，并根据 CBPR 框架的关键原则进行了映射。特别是，本文强调了与萨摩亚社区领袖建立关系的步骤，以及社区活动家和同行支持促进者在成功实施该计划中的重要作用。本文还讨论了一些经验教训，例如教会的重要性以及在日常生活中保持萨摩亚生活方式，以及建立有效的合作伙伴关系和与澳大利亚萨摩亚社区保持长期关系的过程。我们的论文通过提供如何应用 CBPR 框架的案例示例，将有助于指导针对服务不足社区的未来社区健康促进计划。
