aut.relation.issue	12	en_NZ
aut.relation.journal	Public Health Nutrition	en_NZ
aut.relation.volume	11	en_NZ
dc.contributor.author	Simmons, D	en_NZ
dc.contributor.author	Rush, E	en_NZ
dc.contributor.author	Crook, N	en_NZ
dc.date.accessioned	2021-06-03T23:38:46Z
dc.date.available	2021-06-03T23:38:46Z
dc.date.copyright	2008	en_NZ
dc.date.issued	2008	en_NZ
dc.description.abstract	Objective The progression from impaired glucose tolerance (IGT)/impaired fasting glucose (IFG) to type 2 diabetes can be prevented or delayed through intensive lifestyle changes. How to translate this to implementation across whole communities remains unclear. We now describe the results to a pilot of a personal trainer (Maori Community Health Worker, MCHW) approach among Maori in New Zealand. Design, setting and subjects A randomised cluster-controlled trial of intensive lifestyle change was commenced among 5240 non-pregnant Maori family members without diabetes from 106 rural and 106 urban geographical clusters. Baseline assessments included lifestyle questionnaires, anthropometric measurements and venesection. A pilot study (Vanguard Study) cohort of 160 participants were weighed before and during MCHW intervention, and compared with fifty-two participants weighed immediately before intervention and with 1143 participants from the same geographical area. Interactions between participants and the MCHW were reported using personal digital assistants with a programmed detailed structured approach to each interview. Results During the Vanguard Study, participants and MCHW found the messages, toolkit and delivery approach acceptable. Those with IGT/IFG diagnosed (n 27) experienced significant weight loss after screening and during the Vanguard Study (5·2 (sd 6·6) kg, paired t test P < 0·01). Significant weight loss occurred during the Vanguard Study among all participants (−1·3 (sd 3·6) kg, P < 0·001). Conclusions Comparable initial weight loss was shown among those with IGT/IFG and those from existing trials. Community-wide prevention programmes are feasible among Maori and are likely to result in significant reductions in the incidence of diabetes.
dc.identifier.citation	Public Health Nutrition, Volume 11, Issue 12, December 2008, pp. 1318 - 1325, DOI: https://doi.org/10.1017/S1368980008002711
dc.identifier.doi	10.1017/S1368980008002711	en_NZ
dc.identifier.roid	4554	en_NZ
dc.identifier.uri	https://hdl.handle.net/10292/14240
dc.publisher	Cambridge University Press
dc.relation.uri	https://www.cambridge.org/core/journals/public-health-nutrition/article/development-and-piloting-of-a-community-health-workerbased-intervention-for-the-prevention-of-diabetes-among-new-zealand-maori-in-te-wai-o-rona-diabetes-prevention-strategy/9E0F974120E72D463E2F5BD8B49CA2C1#
dc.rights	Copyright © The Authors 2008
dc.rights.accessrights	OpenAccess	en_NZ
dc.subject	Type 2 diabetes; Prevention; Diet; Lifestyle; Community
dc.title	Development and Piloting of a Community Health Worker-based Intervention for the Prevention of Diabetes Among New Zealand Māori in Te Wai O Rona: Diabetes Prevention Strategy	en_NZ
dc.type	Journal Article
pubs.elements-id	14950
pubs.organisational-data	/AUT
pubs.organisational-data	/AUT/Faculty of Health & Environmental Science
pubs.organisational-data	/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation
pubs.organisational-data	/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation/Physical Activity, Nutrition & the Outdoors Department
pubs.organisational-data	/AUT/PBRF
pubs.organisational-data	/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data	/AUT/PBRF/PBRF Health and Environmental Sciences/HS Sports & Recreation 2018 PBRF

Development and Piloting of a Community Health Worker-based Intervention for the Prevention of Diabetes Among New Zealand Māori in Te Wai O Rona: Diabetes Prevention Strategy

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