None listed
Conditions
Brief summary
The distribution of and access to resources to enable better health and wellbeing for Pacific families with members who have long-term conditions, continues to be unequal, and lacks cultural responsiveness that is acceptable to Pacific groups living in hard to reach regions. This project uses a co-design approach, and the central research questions are: Is a family-centered diabetes intervention programme for Pacific families an effective approach to prevent diabetes? The impact of the overall research programme will provide a methodological approach that can be replicated in other communities and ethnic groups.
Interventions
Participants with a recently diagnosed prediabetes and/or diabetes (defined by having an HbA1c test in the last 12 months) will be invited to join the study from Phase 1 of the study, that focuses on co-designing the intervention programme. The co-design programme will be delivered to the community over a 24 week period, every week for up to 2 hours per meeting. These co-design meetings will be conducted in face-to-face workshops, delivered by the Community Coordinator (who is already trained in the co-design methodology). Phase 2 study participants include the same participants with prediabetes/diabetes diagnosis from phase 1, and their families (approximately 100 individuals >18years old). It is anticipated that the co-designed life-style based and behavioural change intervention programme may include weekly activities, such as increased physical activities (eg. organised community 4km walks, community-based fitness classes), and behavioural change activities (eg. educational modules related to cooking and nutritional skills). The intervention programme will be measured at baseline (time-point 1: week 0) and at post-intervention (time-point 2: week 24). Data collection at Time-point 1: • Socio-demographic data: date of birth, gender, ethnicity, highest education level, and annual household income; • Anthropometry: self-reported weight (kilograms) and height (centimetres); blood pressure; diet diversity • Health status: self-reported health condition(s) defined as being told by a doctor that they have this condition, including prediabetes, diabetes, and heart disease; • Holistic wellbeing (for Pasifika participants): spiritual, physical, mental and family wellbeing measured by 10-items based on the Fonofale Model. All answers are measured on a 5-point Likert scale. Data collection at Time-point 2: Anthropometry: self-reported weight (kilograms) and height (centimetres); blood pressure; diet diversity • Health status: self-reported health condition(s) defined as being told by a doctor that they have this condition, including prediabetes, diabetes, and heart disease; • Holistic wellbeing (for Pasifika participants): spiritual, physical, mental and family wellbeing measured by 10-items based on the Fonofale Model. All answers are measured on a 5-point Likert scale.
Sponsors
Study design
Eligibility
Inclusion criteria
The inclusion criteria: Pacific ethnicity (self-identified), with at least one family member at high risk of developing diabetes (defined by having a BMI>30 and high blood-pressure) and resides in a moderate-high deprivation area.
Exclusion criteria
Non-Pacific participants; Has had chronic diabetes and have had medical complications related to diabetes longer than 12months; Has not been amendable to previous interventions offered (ie. non-compliant).