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Sandy Lake Health and Diabetes Project: A Community-Based Intervention Targeting Type 2 Diabetes and Its Risk Factors in a First Nations Community

Kara E. Kakekagumick · Mariam Naqshbandi Hayward · Stewart B. Harris · Brit I. Saksvig · Joel Gittelsohn · Gary Manokeesic +2 more

52 citations0/0 files storedFrontiers in Endocrinology

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Indigenous Health, Education, and Rights Diabetes Management and Education Indigenous Health and Education

Abstract

The Sandy Lake Health and Diabetes Project (SLHDP) was initiated in 1991 as a partnership between Sandy Lake First Nation and researchers interested in addressing the high rates of type 2 diabetes mellitus (T2DM) in the community. Following the expressed wishes of the community, the SLHDP has encompassed a variety of community-wide interventions and activities including: community surveys to document T2DM prevalence and risk factors, the Northern Store program aimed at increasing the availability and knowledge of healthy food options, a home visit program for the prevention and management of T2DM, a local diabetes radio show, a school diabetes curriculum for grades 3 and 4, a community-wide walking trail to encourage increased physical activity, youth diabetes summer camps, and a variety of community events focusing on nutrition and physical activity. Over the 22 year existence of the SLHDP, the community has taken ownership of the program and activities have evolved in alignment with community needs and priorities. This paper discusses the history, implementation, evaluation, and outcomes of the SLHDP and describes its sustainability. The SLHDP is a model of culturally appropriate participatory research that is iterative, with reciprocal capacity building for both key community stakeholders and academic partners.

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2005Is Sustainability Possible? A Review and Commentary on Empirical Studies of Program Sustainability 2000Type 2 diabetes mellitus in Canada's first nations: status of an epidemic in progress.1997The Kahnawake Schools Diabetes Prevention Project: Intervention, Evaluation, and Baseline Results of a Diabetes Primary Prevention Program with a Native Community in Canada 2006Challenging the Boundaries of the Possible: Participation, Knowledge and Power 2007Process evaluation of a multi-institutional community-based program for diabetes prevention among First Nations 2006An Integrated Multi-Institutional Diabetes Prevention Program Improves Knowledge and Healthy Food Acquisition in Northwestern Ontario First Nations 1996Use of Ethnographic Methods for Applied Research on Diabetes Among the Ojibway-Cree in Northern Ontario 2006Development of an integrated diabetes prevention program with First Nations in Canada

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2023Cultural adaptations and tailoring of public health nutrition interventions in Indigenous peoples and ethnic minority groups: opportunities for personalised and precision nutrition 2021What do you mean by engagement? – evaluating the use of community engagement in the design and implementation of chronic disease-based interventions for Indigenous populations – scoping review 2020School-based nutrition interventions for Indigenous children in Canada: a scoping review

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