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   - March 12, 2010
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 Presentation

"Preventing Diabetes in NZ Maoris"

David Tipene-Leach (biography)
English - 2006-11-14 - 27 minutes
(43 slides)

Summary :
Type 2 diabetes mellitus is a major health issue in New Zealand and is especially relevant to Maori. While there is a wealth of knowledge about what should be done to prevent diabetes, how it should be done outside the clinical trial setting in a cost effective manner is the key question. This community based diabetes prevention programme is the collaborative effort of a Maori owned and controlled provider of Primary Health Care (Ngati Porou Hauora) and a university based research team (the Edgar National Centre for Diabetes Research, University of Otago). The aim is to reduce the prevalence of insulin resistance in the short term, and thereby reduce type 2 diabetes mellitus (T2DM) and its complications in the long term. The key focus of the intervention is a public health approach aimed at the entire community. The key messages are simple: to increase the consumption of fruit and vegetables, to increase the consumption of wholegrain foods and to increase exercise levels. To assess the effectiveness of our diabetes prevention community intervention we are using interrupted time series prevalence surveys of glucose metabolism disorders and health behaviour as well as formative and process evaluation methods. We have had the intervention running for two years and are presently in the process of the second prevalence study. This presentation will outline the intervention and discuss the basic wisdoms forged from this indigenous community led diabetes prevention initiative.

Learning objectives :
After viewing this presentation the participant will be able to discuss:
- The Ngati & Healthy Community Project: setting, research, interventions, collaboration and evaluation
- What needs to be done to prevent diabetes (public health stance)

   


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