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Funded by the American Diabetes Association
Health Challenges
* Project Goal * Features of ZA:TPD * Communication Methods & Materials
* Project Reports * Pictures
HEALTH CHALLENGES
ZA: TPD Manual of Procedures available in 2007!
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Diabetes is one of the major causes of morbidity and mortality in aboriginal Canadians.
This and other chronic diseases are related to a changing lifestyle. Increasing physical activity
levels and eating a diet that is low in fat and sugar and high in fiber are parts of improving lifestyle.
PROJECT GOAL
To work with First Nations communities to develop sustainable diabetes prevention programs that will:
- Improve the availability of healthy foods in local stores.
- Promote the purchase and consumption of healthy food alternatives through schools, stores, and health/social services channels.
- Increase the levels of physical activity among all community members.
- Evaluate how successful the programs are in increasing knowledge and improving eating patterns and physical activity.
FEATURES OF ZA:TPD
The current ZA:TPD project is a feasibility study for an expanded trial. The feasibility study consists of:
- 9 month intervention period:
◊ Round 1 - September 2005-June 2006
◊ Round 2 - September 2006-June 2007
- Involves 7 First Nations and schools, stores, and health providers serving them.
- Messages developed with approval and participation of community leaders.
The expanded trial will include a revised program based on the results of the feasibility study to be implemented in
two rounds in 18-20 First Nations in Ontario and Manitoba, Canada and American Indian Tribes in Michigan and Wisconsin, USA. For more information on
participating in the expanded trial, please click here.
ZA:TPD is a Network Contributor of the
COMMUNICATION METHODS AND MATERIALS
Schools:
- 3rd and 4th grade healthy living curriculum
- Principals encouraged to provide healthy food choices and ban junk foods
Stores:
- Owners encouraged to stock healthy food choices
- Shelf labels to identify healthy foods
- Cooking demonstrations and taste tests
Community:
- Workshops and events
- Band offices encouraged to make healthier options available
Mass Media in all venues:
- Radio/TV announcements of key events and themes
- Cartoons and notices in band and school newsletters
- Posters, flyers and recipe cards
PROJECT REPORTS
May 2006: Check out the ZA:TPD Spring Newsletter (pdf).
January-May 2006: Recruitment of additional Ontario First Nations and Michigan Tribes for the
expanded trial. For more information on participating in the expanded trial, please click here.
Winter 2005: Check out the ZA:TPD Winter Newsletter.
December 2005: Round 1 of the intervention is underway. Preliminary description of the process evaluation
and study design/baseline results are now available.
June 2004: Preliminary formative research (Development of an integrated diabetes prevention program with First Nations in Canada) engaged three Native Canadian communities in investigating their concepts, needs, and resources surrounding diabetes prevention using participatory methods, and examined how the Sandy Lake Health and Diabetes Project (SLHDP) programs could be adapted for use with other Native reserves. Data from this project were used to develop the Zhiiwaapenewin Akino´maagewin: Teaching to Prevent Diabetes (ZA: TPD) program. ZA: TPD consists of three components: a school program, a food store program (First Nations Healthy Stores), and community activities.
PICTURES FROM THE PROJECT
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