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一个糖尿病同行指导计划为第一民族青年和年轻成年人:一个干预协议
Sahar Fazeli1, Jonathan Linton2, Paul Linton2
1Division of General Internal Medicine, Department of Medicine McGill University Montreal Quebec Canada; Centre for Outcomes Research and Evaluation (CORE) Research Institute of the McGill University Health Centre (RI-MUHC) Montreal Quebec Canada.
本研究介绍了一项同行主导的项目,用于管理2型糖尿病 (T2D) 的土著青年,将传统做法与现代策略相结合,以改善健康并减少糖尿病困扰 (DD). 该倡议强调社区领导力和文化相关性,以获得更好的结果.
科学领域:
- 土著健康土著健康
- 糖尿病管理 糖尿病管理
- 基于社区的参与式研究
背景情况:
- 在土著人口中,2型糖尿病 (T2D) 发病率的上升需要对文化敏感的干预措施.
- 历史上的不公正和健康不平等加剧了糖尿病的生理和心理负担.
- 需要通过实践经验和领导力赋予土著青年和年轻成年人权力的干预措施.
研究的目的:
- 描述一个社区驱动的协议,以加强加拿大土著青年和年轻成年人的T2D管理.
- 将传统的土著实践与现代健康策略相结合,以改善健康结果和心理社会支持.
- 通过同行指导和文化相关活动来解决糖尿病困扰 (DD) 并促进自我管理.
主要方法:
- 由一个Eeyou Istchee (EI) 克里社区成员领导的社区驱动的倡议.
- 整合饮食指导,体育炼和传统的陆地实践.
- 混合方法方法结合了定量健康/心理社会评估和定性反 (例如,光声).
主要成果:
- 心理社会因素的预期改善:减少痛苦和增强性.
- 在临床糖尿病管理中预期的改善:血糖,BMI和血压.
- 专注于参与者的声音,以确保干预的有效性和适应性.
结论:
- 概述了一个可扩展,可持续的健康干预模式,尊重土著文化实践和自治.
- 证明了同行领导的,以文化为基础的干预措施对心理和健康改善的有效性.
- 有潜力引导全球其他土著和边缘化社区的类似举措.
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