Item – Theses Canada

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OCLC number
289051988
Link(s) to full text
LAC copy
LAC copy
Author
Doxsee, Elizabeth A.(Elizabeth Anne),1981-
Title
What goes into the mix? : Examining interventions implemented by the Kahnawake Schools Diabetes Prevention Project.
Degree
M.A. -- Queen's University, 2006
Publisher
Ottawa : Library and Archives Canada = Bibliothèque et Archives Canada, [2007]
Description
2 microfiches
Notes
Includes bibliographical references.
Abstract
More health promoters are designing culturally relevant, theory-based packages based on an ecological approach; however what constitutes the "best" intervention mix for a given population remains unknown. The purpose of this study was to apply an ecological lens and to examine theoretical and cultural underpinnings of interventions designed to enhance physical activity involvement, healthy eating, and diabetes awareness in children and community members from Kahnawake, Québec. Fifty-nine interventions implemented from 2003--2004 by the Kahnawake Schools Diabetes Prevention Project (KSDPP) were examined. Activity Report Forms developed and completed by KSDPP intervention staff (n=3) were analyzed to distil intervention settings, targets, and strategies according to the Intervention Analysis Procedure (Lévesque et al., 2000; 2005; Richard et al., 1996). Implementation Checklists were assessed to identify integration of theoretical constructs from social cognitive theory, action strategies from the Ottawa Charter of Health Promotion, and factor groupings from the precede-proceed planning framework. Activity descriptions were examined to determine what strategies were employed to enhance the cultural relevance of interventions. Descriptive statistics, chi-square analyses, and Wilcoxon tests were conducted to examine trends. Results demonstrate that 39.0% of KSDPP interventions focused on nutrition only while 20.9% included a nutrition, physical activity, and diabetes awareness component. Intervention staff ratings of success were not related to any intervention characteristics (p > .05). Nearly three-quarters of KSDPP intervention planning and implementation occurred with a community partner. KSDPP intervention staff used nine different intervention strategies and implemented interventions in both organizational and community settings. Predisposing factors were targeted significantly more than enabling and reinforcing factors. Strategies to enhance behavioural capability were used significantly more than all other social cognitive theory constructs. Both developing personal skills and strengthening community action were principles targeted significantly more than other Ottawa charter action means. Peripheral and socio-cultural strategies were used in 25.4% and 33.9% of the interventions examined. Results revealed a complex mix of theoretically and culturally driven multi-target, multi-setting intervention strategies that favour the individual level. Next steps are to link findings with intervention outcomes to identify which combinations represent the "best" intervention mix.
ISBN
9780494187128
0494187123