Barriers and enhancers to dietary behaviour change for Aboriginal people attending a diabetes cooking course

Penelope Abbott · Joyce Davison · Louise F. Moore · Raechelle Rubinstein

51 citations0/0 files storedHealth Promotion Journal of Australia

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Indigenous Health, Education, and Rights Nutrition, Health and Food Behavior Diabetes Management and Education

Abstract

Issue addressed Aboriginal people access diabetes and nutrition education less than non-Aboriginal people. Culturally appropriate, effective and accessible diabetes and nutrition education for Aboriginal people is urgently needed. Methods A qualitative approach was used to explore the experiences of Aboriginal people who had attended cooking courses run at the Aboriginal Medical Service Western Sydney between 2002 and 2007. Data from 23 semi-structured interviews were analysed thematically. Results Despite reported improvements in nutrition knowledge and cooking skills, the ability of participants to implement desired dietary changes varied. A new health diagnosis, such as diabetes, pre-diabetes, heart disease or cancer and the desire of participants to influence their families to lead healthier, diabetes-free lives were strong motivators for dietary change. In contrast, lack of family support for dietary change and a sense of social isolation caused by dietary change strongly impeded some participants' attempts to improve their diets. Other significant barriers were poor oral health and depression, the higher cost of healthier food and generational food preferences. Conclusion Aboriginal cooking course participants faced multiple barriers to dietary change – social, financial, medical and historical. The family was the most crucial determinant of participant ability to achieve sustained dietary change. So what Recognition of these barriers must inform the design and delivery of nutrition interventions in Aboriginal communities. In particular, nutrition interventions should target the family unit and incorporate strategies for combating possible negative social effects of dietary change in order to maximise their effectiveness.

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References

1980Qualitative research and evaluation methods 2003Qualitative Research and Evaluation Methods (3rd ed.)2002Review and Analysis of Evaluation Measures Used in Nutrition Education Intervention Research 2000The Social and Cultural Context of Risk and Prevention: Food and Physical Activity in an Urban Aboriginal Community

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2011Effective Nutrition Education for Aboriginal Australians: Lessons from a Diabetes Cooking Course 2019Geographical analysis of evaluated chronic disease programs for Aboriginal and Torres Strait Islander people in the Australian primary health care setting: a systematic scoping review 2013Applying strengths-based approaches to nutrition research and interventions in Australian Indigenous communities 2019Health‐related behaviours in a remote Indigenous population with Type 2 diabetes: a Central Australian primary care survey in the Telehealth Eye and Associated Medical Services Network [ TEAMS net] project

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