ABSTRACT

This paper provides insights from a community-centre intervention study that was co-designed by youth, health providers and researchers. The aims of the paper were to highlight the effectiveness of a co-designed community centred diabetes prevention intervention, and to determine whether a culturally tailored approach was successful. The study participants (n = 26) were at risk of developing prediabetes and represented the working age group of Pasifika peoples in NZ (25–44-year olds). The community-centre intervention consisted of 8 weeks of community physical activity organised and led by the local youth, a community facilitator, and the community provider. Semi-structured interviews with each of the intervention participants using a Pasifika narrative approach (talanoa) was carried out. Each interview was transcribed, coded and analysed and compared using thematic analyses. The study highlights four major themes illuminating positive successes of the community-centre intervention programme, and conclude that co-designing interventions for Pasifika peoples, should be culturally tailored to meet the realities of the communities and require strong support from associated community providers.

摘要

本文提供了由青年，卫生服务提供者和研究人员共同设计的社区中心干预研究的见解。本文的目的是强调共同设计的以社区为中心的糖尿病预防干预措施的有效性，并确定以文化为依据的方法是否成功。研究参与者（n = 26）有患前驱糖尿病的危险，并且代表新西兰（25-44岁）的帕西菲卡人的工作年龄组。社区中心干预包括由当地青年，社区促进者和社区提供者组织和领导的为期8周的社区体育活动。使用Pasifika叙事方法（talanoa）对每个干预参与者进行了半结构化访谈。每次采访都进行转录，编码，分析和使用主题分析进行比较。该研究突出了四个主要主题，这些主题说明了社区中心干预计划的积极成功，并得出结论：针对Pasifika人民的共同设计干预措施，应在文化上进行量身定制，以满足社区的实际情况，并需要相关社区提供者的大力支持。