A mixed‐methods evaluation of an urban Aboriginal diabetes lifestyle program

• Published in: Australian and New Zealand journal of public health Vol. 45; no. 2; pp. 143 - 149
• Main Authors: Power, Tamara, East, Leah, Gao, Yu, Usher, Kim, Jackson, Debra
• Format: Journal Article
• Language: English
• Published: United States Elsevier B.V 01.04.2021; John Wiley & Sons, Inc; Elsevier Limited; Elsevier
• Subjects: Aboriginal peoples; Adult; Audio data; Australian aborigines; Blood pressure; Care and treatment; Clustering; Communication skills; Data; Data collection; Demographic aspects; Diabetes; Diabetes mellitus; diabetes mellitus, type 2; Diabetes Mellitus, Type 2 - ethnology; Diabetes Mellitus, Type 2 - therapy; Diet; Ethics; Evaluation; Exercise; Female; Focus Groups; Healthy Lifestyle; Humans; Internet; Lifestyles; Male; Middle Aged; Mixed methods research; Native peoples; Nutrition research; Physiology; program evaluation; Program Evaluation - methods; Public health; Qualitative analysis; Qualitative Research; Recipes; Type 2 diabetes; Urban Population; Weight Loss; Wellness programs; Australia; diabetes mellitus, type 2; healthy lifestyle; Aboriginal peoples; program evaluation
• ISSN: 1326-0200; 1753-6405; 1753-6405
• DOI: 10.1111/1753-6405.13092

The objective of this study was to evaluate an Aboriginal‐led diabetes lifestyle program catering to urban Aboriginal people in an Aboriginal organisation. Mixed‐methods study that employed routinely collected physiological data and audio‐recorded focus group sessions. Physiological data were analysed using a multi‐level model to account for participant clustering. Qualitative data were subject to thematic analysis. Participants were overwhelmingly positive about the program. They lost weight and improved their diastolic blood pressure and glycaemic control; however, it was the feelings of belonging and optimism about their ability to improve their health that they most valued. Qualitative analysis revealed three main themes. These were: ‘With the Mob’, ‘For the Mob’ and ‘Program Elements. The strengths of the program lay in its indigeneity, low‐cost and easy‐to‐prepare diet, and cultural and communication skills of the director. Recommendations for improvement included educating participants on the pathophysiology of diabetes, the refinement of online elements and the introduction of face‐to‐face group exercise. Programs of this nature should be expanded and evaluated longitudinally with multiple cohorts.