Preventing type 2 diabetes among Indigenous youth: A systematic review of community-based interventions.

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Shelley Spurr, Meridith Burles, Shannon Hyslop, Jill Bally, Carol Bullin, Amanda Froehlich Chow, Helen Tootoosis, Sarah Oosman
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引用次数: 0

Abstract

A systematic review was conducted to assess evidence on effectiveness of community-based interventions promoting wellbeing and prevention of type 2 diabetes (T2D) among Indigenous youth. A convergent, segregated, mixed methods approach was used, with six databases and four grey literature sites searched from inception to May 2022. Articles selected for inclusion were about community-based interventions related to T2D prevention with Indigenous youth that evaluated effectiveness or youth experience published in English. Reference lists were also searched for relevant sources. Seven quantitative research articles met the inclusion and quality assessment criteria. No qualitative articles were identified. The results were synthesised through narrative analysis, while meta-analysis was not possible due to heterogenous study designs. Common foci across interventions included promoting physical wellness, improving physical activity and healthy eating patterns, enhancing knowledge, and psychosocial wellness. Interventions deemed effective addressed multiple areas, were school-based, and operated for at least a year. Findings support multi-strategy, community-based interventions implemented over longer periods of time. However, gaps in research and reporting included the extent to which interventions are culturally informed and based on community-driven priorities. Future research should include Indigenous, mixed and qualitative methods and Indigenous-driven measures of success to better understand effectiveness in alignment with Indigenous worldviews.

在土著青年中预防 2 型糖尿病:基于社区的干预措施系统回顾。
我们进行了一项系统性综述,以评估基于社区的干预措施在促进土著青年福祉和预防 2 型糖尿病 (T2D) 方面的有效性。研究采用了聚合、分离、混合的方法,检索了从开始到 2022 年 5 月的 6 个数据库和 4 个灰色文献网站。所选纳入的文章都是以社区为基础、针对原住民青少年预防 T2D 的干预措施,这些干预措施以英语发表,对有效性或青少年的经历进行了评估。此外,还搜索了参考文献列表中的相关资料。七篇定量研究文章符合纳入和质量评估标准。未发现定性文章。研究结果通过叙事分析进行了综合,但由于研究设计不尽相同,因此无法进行荟萃分析。各种干预措施的共同重点包括促进身体健康、改善体育锻炼和健康饮食模式、增强知识和社会心理健康。被认为有效的干预措施涉及多个领域,以学校为基础,至少持续一年。研究结果支持在较长时间内实施多策略、基于社区的干预措施。然而,研究和报告中的不足之处包括干预措施在多大程度上具有文化信息并以社区驱动的优先事项为基础。未来的研究应包括土著、混合和定性方法以及土著驱动的成功衡量标准,以更好地了解与土著世界观相一致的有效性。
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来源期刊
International Journal of Circumpolar Health
International Journal of Circumpolar Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.10
自引率
15.40%
发文量
51
审稿时长
6-12 weeks
期刊介绍: The International Journal of Circumpolar Health is published by Taylor & Francis on behalf of the Circumpolar Health Research Network [CircHNet]. The journal follows the tradition initiated by its predecessor, Arctic Medical Research. The journal specializes in circumpolar health. It provides a forum for many disciplines, including the biomedical sciences, social sciences, and humanities as they relate to human health in high latitude environments. The journal has a particular interest in the health of indigenous peoples. It is a vehicle for dissemination and exchange of knowledge among researchers, policy makers, practitioners, and those they serve. International Journal of Circumpolar Health welcomes Original Research Articles, Review Articles, Short Communications, Book Reviews, Dissertation Summaries, History and Biography, Clinical Case Reports, Public Health Practice, Conference and Workshop Reports, and Letters to the Editor.
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