A mixed‐methods evaluation of an urban Aboriginal diabetes lifestyle program

Abstract Objective: The objective of this study was to evaluate an Aboriginal‐led diabetes lifestyle program catering to urban Aboriginal people in an Aboriginal organisation. Methods: Mixed‐methods study that employed routinely collected physiological data and audio‐recorded focus group sessions. P...

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Main Authors: Tamara Power, Leah East, Yu Gao, Kim Usher, Debra Jackson
Format: Article
Language:English
Published: Elsevier 2021-04-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.13092
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author Tamara Power
Leah East
Yu Gao
Kim Usher
Debra Jackson
author_facet Tamara Power
Leah East
Yu Gao
Kim Usher
Debra Jackson
author_sort Tamara Power
collection DOAJ
description Abstract Objective: The objective of this study was to evaluate an Aboriginal‐led diabetes lifestyle program catering to urban Aboriginal people in an Aboriginal organisation. Methods: Mixed‐methods study that employed routinely collected physiological data and audio‐recorded focus group sessions. Physiological data were analysed using a multi‐level model to account for participant clustering. Qualitative data were subject to thematic analysis. Results: Participants were overwhelmingly positive about the program. They lost weight and improved their diastolic blood pressure and glycaemic control; however, it was the feelings of belonging and optimism about their ability to improve their health that they most valued. Qualitative analysis revealed three main themes. These were: ‘With the Mob’, ‘For the Mob’ and ‘Program Elements. The strengths of the program lay in its indigeneity, low‐cost and easy‐to‐prepare diet, and cultural and communication skills of the director. Conclusions: Recommendations for improvement included educating participants on the pathophysiology of diabetes, the refinement of online elements and the introduction of face‐to‐face group exercise. Implications for public health: Programs of this nature should be expanded and evaluated longitudinally with multiple cohorts.
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spelling doaj.art-427f464df2dc42e98b30f61edf219be92023-09-02T19:20:06ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052021-04-0145214314910.1111/1753-6405.13092A mixed‐methods evaluation of an urban Aboriginal diabetes lifestyle programTamara Power0Leah East1Yu Gao2Kim Usher3Debra Jackson4Susan Wakil School of Nursing and Midwifery University of Sydney New South WalesSchool of Health University of New England New South WalesMolly Wardaguga Research Centre, College of Nursing and Midwifery Charles Darwin University QueenslandSchool of Health University of New England New South WalesSusan Wakil School of Nursing and Midwifery University of Sydney New South WalesAbstract Objective: The objective of this study was to evaluate an Aboriginal‐led diabetes lifestyle program catering to urban Aboriginal people in an Aboriginal organisation. Methods: Mixed‐methods study that employed routinely collected physiological data and audio‐recorded focus group sessions. Physiological data were analysed using a multi‐level model to account for participant clustering. Qualitative data were subject to thematic analysis. Results: Participants were overwhelmingly positive about the program. They lost weight and improved their diastolic blood pressure and glycaemic control; however, it was the feelings of belonging and optimism about their ability to improve their health that they most valued. Qualitative analysis revealed three main themes. These were: ‘With the Mob’, ‘For the Mob’ and ‘Program Elements. The strengths of the program lay in its indigeneity, low‐cost and easy‐to‐prepare diet, and cultural and communication skills of the director. Conclusions: Recommendations for improvement included educating participants on the pathophysiology of diabetes, the refinement of online elements and the introduction of face‐to‐face group exercise. Implications for public health: Programs of this nature should be expanded and evaluated longitudinally with multiple cohorts.https://doi.org/10.1111/1753-6405.13092diabetes mellitus, type 2healthy lifestyleAboriginal peoplesprogram evaluation
spellingShingle Tamara Power
Leah East
Yu Gao
Kim Usher
Debra Jackson
A mixed‐methods evaluation of an urban Aboriginal diabetes lifestyle program
Australian and New Zealand Journal of Public Health
diabetes mellitus, type 2
healthy lifestyle
Aboriginal peoples
program evaluation
title A mixed‐methods evaluation of an urban Aboriginal diabetes lifestyle program
title_full A mixed‐methods evaluation of an urban Aboriginal diabetes lifestyle program
title_fullStr A mixed‐methods evaluation of an urban Aboriginal diabetes lifestyle program
title_full_unstemmed A mixed‐methods evaluation of an urban Aboriginal diabetes lifestyle program
title_short A mixed‐methods evaluation of an urban Aboriginal diabetes lifestyle program
title_sort mixed methods evaluation of an urban aboriginal diabetes lifestyle program
topic diabetes mellitus, type 2
healthy lifestyle
Aboriginal peoples
program evaluation
url https://doi.org/10.1111/1753-6405.13092
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