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The First Nations Community Experiences With the SOAR Research Program: Improving Type 2 Diabetes Prevention and

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  • 1Health and Rehabilitation Sciences, Faculty of Health Sciences, Western University, London, Ontario, Canada; Centre for Studies in Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.

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Implementing quality improvement (QI) programs for type 2 diabetes mellitus (T2DM) in Indigenous communities requires cultural sensitivity and strong partnerships. Addressing workload and role clarity are key to successful T2DM care strategies.

Keywords:
First NationsPremières Nationsamélioration de la qualitéchronic disease managementcommunity-drivendiabetesdiabetes managementdiabètegestion des maladies chroniquesmise en œuvre de programmequality improvementsoins primaires

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Area of Science:

  • Public Health
  • Health Services Research
  • Indigenous Health

Background:

  • Indigenous peoples in Canada face disproportionately high risks for type 2 diabetes mellitus (T2DM).
  • Quality improvement (QI) strategies show promise for enhancing T2DM health outcomes.
  • Understanding implementation experiences is crucial for effective intervention design.

Purpose of the Study:

  • To explore the experiences of implementing the SOAR QI program aimed at improving T2DM prevention and management.
  • To identify facilitators and barriers to the successful implementation of diabetes-focused QI initiatives within First Nations communities.

Main Methods:

  • A qualitative research design was employed.
  • In-depth, semistructured interviews were conducted with QI team members and key contacts.
  • Interviews were conducted in two First Nations communities via in-person and videoconference, then audio-recorded and transcribed for analysis.

Main Results:

  • Ten interviews were completed, revealing key themes related to QI program implementation.
  • Facilitators included the cultural relevance of the program and successful partnership building.
  • Barriers identified were significant workload burdens and role ambiguity among participants.

Conclusions:

  • Successful diabetes QI strategies must prioritize cultural sensitivity and community partnership building.
  • Mitigating workload burdens and clarifying roles are essential for the long-term sustainability of QI programs.
  • Findings offer insights for adapting and scaling the SOAR program and other First Nations-focused QI strategies to improve T2DM care outcomes for Indigenous peoples.