Effective Nutrition Education for Aboriginal Australians: Lessons from a Diabetes Cooking Course

Abbott, Penelope A; Davison, Joyce; Moore, Louise F.; Rubinstein, Raechelle

doi:10.1016/j.jneb.2010.10.006

Cited by 38 publications

(66 citation statements)

References 16 publications

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“…The authors of the nutritional programme for Aboriginal Australians also described that culturally appropriate and accessible interventions can be developed only through community control of the programme or extensive community consultation. 122 …”

Section: Component Definitionmentioning

confidence: 99%

“…122 When needs assessments were conducted, programme designers found that peer-support workers were needed who could offer support in native languages. Programmes that specifically tailored for individuals with limited English language reported increased participation.…”

Section: Component Definitionmentioning

confidence: 99%

“…Authors from the nutritional programme for the Healthy Eating Aboriginal Australians cluster argued that the cultural targeting of the course was considered crucial to its success. 122 The participants knew other students would be Aboriginal and cultural appropriateness was increased by using an Aboriginal teacher supported by Aboriginal health workers. Essentially, addressing cultural needs suggests a shift in power from a 'top-down' approach to providing interventions to a 'bottom-up' approach.…”

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confidence: 99%

“…127 However, although accounting for cultural needs was a central element of many of the clusters, within the nutritional programme for the Healthy Eating Aboriginal Australians cluster the importance of tailoring programmes to individual needs was highlighted. 122 Although the programmes were designed to target a specific group (defined by ethnicity) and the recipes were designed with culturally appropriate foods in mind, individual barriers (such as the cost of healthy foods) were not always accounted for. The danger is that 'culturally sensitive' might mean that individually tailored is lost.…”

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confidence: 99%

“…135 The approach of selecting on qualifications and interpersonal skills worked for this programme, but may have worked less well when qualifications led the PS to use their professional rather than lay knowledge. For example, in the Aboriginal nutrition intervention, 122 the person providing peer support was actually employed at the technical college as a tutor, who was:…”

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confidence: 99%

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Can community-based peer support promote health literacy and reduce inequalities? A realist review

Harris

Springett

Croot

et al. 2015

Public Health Research

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BackgroundCommunity-based peer support (CBPS) has been proposed as a potentially promising approach to improve health literacy (HL) and reduce health inequalities. Peer support, however, is described as a public health intervention in search of a theory, and as yet there are no systematic reviews exploring why or how peer support works to improve HL.ObjectiveTo undertake a participatory realist synthesis to develop a better understanding of the potential for CBPS to promote better HL and reduce health inequalities.Data sourcesQualitative evidence syntheses, conceptual reviews and primary studies evaluating peer-support programmes; related studies that informed theoretical or contextual elements of the studies of interest were included. We conducted searches covering 1975 to October 2011 across Scopus, Global Health (including MEDLINE), ProQuest Dissertations & Theses database (PQDT) [including the Education Resources Information Center (ERIC) and Social Work Abstracts], The King’s Fund Database and Web of Knowledge, and the Institute of Development Studies supplementary strategies were used for the identification of grey literature. We developed a new approach to searching called ‘cluster searching’, which uses a variety of search techniques to identify papers or other research outputs that relate to a single study.Study eligibility criteriaStudies written in English describing CBPS research/evaluation, and related papers describing theory, were included.Study appraisal and synthesis methodsStudies were selected on the basis of relevance in the first instance. We first analysed within-programme articulation of theory and appraised for coherence. Cross-programme analysis was used to configure relationships among context, mechanisms and outcomes. Patterns were then identified and compared with theories relevant to HL and health inequalities to produce a middle-range theory.ResultsThe synthesis indicated that organisations, researchers and health professionals that adopt an authoritarian design for peer-support programmes risk limiting the ability of peer supporters (PSs) to exercise autonomy and use their experiential knowledge to deliver culturally tailored support. Conversely, when organisations take a negotiated approach to codesigning programmes, PSs are enabled to establish meaningful relationships with people in socially vulnerable groups. CBPS is facilitated when organisations prioritise the importance of assessing community needs; investigate root causes of poor health and well-being; allow adequate time for development of relationships and connections; value experiential cultural knowledge; and share power and control during all stages of design and implementation. The theory now needs to be empirically tested via further primary research.LimitationsAnalysis and synthesis were challenged by a lack of explicit links between peer support for marginalised groups and health inequalities; explicitly stated programme theory; inconsistent reporting of context and mechanism; poor reporting of intermediate process outcomes; and the use of theories aimed at individual-level behaviour change for community-based interventions.ConclusionsPeer-support programmes have the potential to improve HL and reduce health inequalities but potential is dependent upon the surrounding equity context. More explicit empirical research is needed, which establishes clearer links between peer-supported HL and health inequalities.Study registrationThis study is registered as PROSPERO CRD42012002297.FundingThe National Institute for Health Research Public Health Research programme.

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Section: Component Definitionmentioning

confidence: 99%

Section: Component Definitionmentioning

confidence: 99%

mentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Can community-based peer support promote health literacy and reduce inequalities? A realist review

Harris

Springett

Croot

et al. 2015

Public Health Research

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A scoping review of Aboriginal and Torres Strait Islander health promotion programs focused on modifying chronic disease risk factors

Canuto

Aromataris

Burgess

et al. 2019

Health Prom J of Aust

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Issue addressed Noncommunicable chronic disease underlies much of the life expectancy gap experienced by Aboriginal and Torres Strait Islander people. Modifying contributing risk factors; tobacco smoking, nutrition, alcohol consumption, physical activity, social and emotional wellbeing (SNAPS) could help close this disease gap. This scoping review identified and describes SNAPS health promotion programs implemented for Aboriginal and Torres Strait Islander people in Australia. Methods Databases PubMed, CINAHL, Informit (Health Collection and Indigenous Peoples Collection), Scopus, Trove and relevant websites and clearing houses were searched for eligible studies until June 2015. To meet the inclusion criteria the program had to focus on modifying one of the SNAPS risk factors and the majority of participants had to identify as being of Aboriginal and/or Torres Strait Islander heritage. Results The review identified 71 health promotion programs, described in 83 publications. Programs were implemented across a range of health and community settings and included all Australian states and territories, from major cities to remote communities. The SNAPS factor addressed most commonly was nutrition. Some programs included the whole community, or had multiple key audiences, whilst others focused solely on one subgroup of the population such as chronic disease patients, pregnant women or youth. Fourteen of the programs reported no outcome assessments. Conclusions Health promotion programs for Aboriginal and Torres Strait Islander people have not been adequately evaluated. The majority of programs focused on the development of individual skills and changing personal behaviours without addressing the other health promotion action areas, such as creating supportive environments or reorienting health care services. So What? This scoping review provides a summary of the health promotion programs that have been delivered in Australia for Aboriginal and Torres Strait Islander people to prevent or manage chronic disease. These programs, although many are limited in quality, should be used to inform future programs. To improve evidence‐based health promotion practice, health promotion initiatives need to be evaluated and the findings published publicly.

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Social Inclusion and Medical Practitioners

Abbott

2021

Handbook of Social Inclusion

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Effective Nutrition Education for Aboriginal Australians: Lessons from a Diabetes Cooking Course

Cited by 38 publications

References 16 publications

Can community-based peer support promote health literacy and reduce inequalities? A realist review

Can community-based peer support promote health literacy and reduce inequalities? A realist review

A scoping review of Aboriginal and Torres Strait Islander health promotion programs focused on modifying chronic disease risk factors

Social Inclusion and Medical Practitioners

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