A Diabetes Peer Mentorship Program for First Nations Youth and Young Adults: An Intervention Protocol

IF 2.7 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Canadian Journal of Diabetes Pub Date : 2025-12-01 Epub Date: 2025-07-28 DOI:10.1016/j.jcjd.2025.07.003

Sahar Fazeli PhD, MSc , Jonathan Linton , Paul Linton , Lucy Trapper , Catherine Godin PDt, MSc , Helene Porada DtP, ADA , Deborah Da Costa PhD , Kaberi Dasgupta MD, MSc, FRCPC , Isabelle Malhame MD, MSc , Claudia Mitchell PhD , Elham Rahme PhD , Julia Elisabeth Von Oettingen MD, PhD, MMSc, FRCP , Romina Pace MD

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引用次数: 0

Abstract

Objectives

The rising incidence of type 2 diabetes (T2D) among Indigenous peoples, exacerbated by historic injustices and health inequities, underscores the need for culturally sensitive health interventions that address both the physiological and psychological burdens of diabetes. This research protocol describes a community-driven initiative aimed at enhancing diabetes management among Indigenous youth and young adults in Canada, leveraging the lived experience and leadership of Indigenous young adults. This project seeks to integrate traditional Indigenous practices with modern health strategies to foster better health outcomes and psychosocial support through peer mentorship.

Methods

The program, developed and led by an Eeyou Istchee Cree community member, involves various health-promoting activities, including dietary guidance, physical exercise, and traditional land-based practices. These activities are designed to improve self-management of diabetes and to address diabetes distress, a significant factor in diabetes care.

Results

Anticipated outcomes include improved psychosocial factors (reduced distress and enhanced resilience) and clinical measures of diabetes management (glycemia, body mass index, and blood pressure). The project's methodology combines quantitative assessments of psychological and health outcomes with qualitative feedback from participants, captured through innovative methods like Photovoice to ensure participants’ voices and experiences directly inform the intervention’s efficacy and adaptability.

Conclusions

Overall, this protocol outlines a framework for a scalable, sustainable model of health intervention that respects and revitalizes Indigenous cultural practices and community autonomy. The expected results aim to demonstrate the effectiveness of peer-led and culturally informed interventions in improving psychological and health outcomes, with the potential to guide similar initiatives in other Indigenous and marginalized communities worldwide.

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第一民族青年和年轻人糖尿病同伴辅导计划：干预方案。

由于历史上的不公正和卫生方面的不公平，土著人民中2型糖尿病发病率不断上升，这突出表明需要采取对文化敏感的卫生干预措施，解决糖尿病的生理和心理负担。本研究方案描述了一项社区驱动的倡议，旨在加强加拿大土著青年和年轻人的糖尿病管理，利用土著年轻人的生活经验和领导能力。该项目力求将传统的土著做法与现代保健战略结合起来，通过同侪指导促进更好的保健成果和社会心理支持。该方案由一名伊尤伊什奇族（EI）社区成员制定和领导，涉及各种促进健康的活动，包括饮食指导、体育锻炼和传统的陆上实践。这些活动旨在改善糖尿病的自我管理，并解决糖尿病困扰（DD），这是糖尿病护理中的一个重要因素。预期的结果包括改善心理社会因素（减少痛苦和增强恢复力）和糖尿病管理的临床措施（血糖、体重指数、血压）。该项目的方法将心理和健康结果的定量评估与参与者的定性反馈相结合，通过Photovoice等创新方法捕获，以确保参与者的声音和经验直接告知干预的有效性和适应性。总的来说，该议定书概述了一个可扩展的、可持续的卫生干预模式框架，该模式尊重和振兴土著文化习俗和社区自治。预期结果旨在证明同伴主导和了解文化的干预措施在改善心理和健康结果方面的有效性，并有可能指导全世界其他土著和边缘化社区采取类似举措。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Journal of Diabetes ENDOCRINOLOGY & METABOLISM-

CiteScore

4.80

自引率

4.00%

发文量

130

审稿时长

54 days

期刊介绍： The Canadian Journal of Diabetes is Canada''s only diabetes-oriented, peer-reviewed, interdisciplinary journal for diabetes health-care professionals. Published bimonthly, the Canadian Journal of Diabetes contains original articles; reviews; case reports; shorter articles such as Perspectives in Practice, Practical Diabetes and Innovations in Diabetes Care; Diabetes Dilemmas and Letters to the Editor.