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The Diabetes Educator

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Health Education & Behavior
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*Diabetes
*Health Literacy
*Native-American Health
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Article

An Integrated Multi-Institutional Diabetes Prevention Program Improves Knowledge and Healthy Food Acquisition in Northwestern Ontario First Nations

Lara S. Ho, PhD, RN1*, Joel Gittelsohn, PhD2, Rajiv Rimal, PhD3, Margarita S. Treuth, PhD4, Sangita Sharma, PhD5, Amanda Rosecrans, MHS1, and Stewart B. Harris, MD, MPH6

1 Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
2 Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
3 Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
4 Department of Physical Therapy, University of Maryland Eastern Shore, Princess Anne
5 Cancer Research Center of Hawaii, University of Hawaii, Honolulu
6 Centre for Studies in Family Medicine, University of Western Ontario, Canada

* To whom correspondence should be addressed. E-mail: lho{at}jhsph.edu.


  Abstract
This article presents the impact results of a feasibility study in Canada for prevention of risk factors for diabetes in seven northwestern Ontario First Nations. Baseline and follow-up data were collected before and after the 9-month intervention program in schools, stores, and communities that aimed to improve diet and increase physical activity among adults. Regression analyses indicate a significant change in knowledge among respondents in intervention communities (p < .019). There was also a significant increase in frequency of healthy food acquisition among respondents in the intervention communities (p < .003). There were no significant changes in physical activity or body mass index in either intervention or comparison groups. The multi-institutional approach demonstrated promising results in modifying selected risk factors for diabetes First Nations communities.

First published on May 2, 2008, doi:10.1177/1090198108315367

Health Education & Behavior 2008;35:561.

A more recent version of this article appeared on August 1, 2008

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