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This version was published on August 1, 2008
Health Education & Behavior, Vol. 35, No. 4, 561-573 (2008)
DOI: 10.1177/1090198108315367

An Integrated Multi-Institutional Diabetes Prevention Program Improves Knowledge and Healthy Food Acquisition in Northwestern Ontario First Nations

Lara S. Ho, PhD, RN

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, lho{at}jhsph.edu

Joel Gittelsohn, PhD

Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

Rajiv Rimal, PhD

Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

Margarita S. Treuth, PhD

Department of Physical Therapy, University of Maryland Eastern Shore, Princess Anne

Sangita Sharma, PhD

Cancer Research Center of Hawaii, University of Hawaii, Honolulu

Amanda Rosecrans, MHS

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

Stewart B. Harris, MD, MPH

Centre for Studies in Family Medicine, University of Western Ontario, Canada

This article presents the impact results of a feasibility study in Canada for prevention of risk factors for diabetes in seven northwestern Ontario First Nations. Baseline and follow-up data were collected before and after the 9-month intervention program in schools, stores, and communities that aimed to improve diet and increase physical activity among adults. Regression analyses indicate a significant change in knowledge among respondents in intervention communities (p < .019). There was also a significant increase in frequency of healthy food acquisition among respondents in the intervention communities (p < .003). There were no significant changes in physical activity or body mass index in either intervention or comparison groups. The multi-institutional approach demonstrated promising results in modifying selected risk factors for diabetes First Nations communities.

Key Words: First Nations • diabetes • community-based intervention


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