Topic:	Diabetes (DM)
Title:	Community Diabetes Education and Gardening Project to Improve Diabetes Care in a Northwest American Indian Tribe.
Author:	Armstrong, D.L.
Source:	Diabetes Educator. 26(1): 113-120. January-February 2000.
Availability:	Available from American Association of Diabetes Educators. 100 West Monroe Street, 4th Floor, Chicago, IL 60603-1901. (312) 424-2426.
Abstract:	This article describes a study that used a community based approach to design a culturally appropriate diabetes education program for a Northwest Indian American tribe. Needs assessment revealed that a community approach rather than clinic based education would address multiple barriers to diabetes care. The intervention design consisted of community diabetes workshops that represented a traditional holistic view of health. The workshops included the specific themes of taking care of the body, with an emphasis on diabetes care and physical activity; mental health needs; foods for healthy living; and spirituality and healing the whole person. Workshops were designed to be social and informational and involve all community members. A community garden was established to improve access to fresh produce and encourage exercise. Plans for diabetes community workshops, materials, and evaluations were developed but not implemented because of a decision by the tribal government to discontinue receiving federal funding due to a disagreement with the funding agency. Alternative state funding will allow the community to implement portions of the program. The community garden was established prior to the decision of the tribal government. 2 tables. 33 references. (AA-M).
Format:	Journal Article
Language:	English.
Major Keywords:	Diabetes Mellitus. Type 1 Diabetes. Type 2 Diabetes. Program Development. Program Evaluation. Health Promotion. Health Education.
Minor Keywords:	Native Americans. Exercise. Mental Health. Diet. Food. Financial Aid.
Publication Number:	DMJA09132
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