title: A new approach to design and implement a lifestyle intervention programme to prevent type 2 diabetes in New Zealand Maori.
abstract: Lifestyle programmes provide the greatest opportunity to stem the developing epidemic of type 2 diabetes. This is especially relevant to indigenous people worldwide, and to Maori in New Zealand. The shift from traditional diets and activities to a westernised energy dense diet and a sedentary lifestyle has precipitated the rapid increase in Maori developing type 2 diabetes in New Zealand. Attendance of Maori to mainstream health clinics or programmes has been poor, and a unique approach developed specifically for Maori is required if Maori are going to attend and benefit from lifestyle programmes. We describe the process involved in developing a successful community programme for Maori and outline the novel aspects of the programme which contribute to its acceptability and success in the local community.
authors.affiliation: Diabetes Department, Dunedin Hospital, HealthCare Otago, Great King Street, Dunedin, New Zealand.
authors.forename: Eleanor
authors.initials: E
authors.lastname: Murphy
authors.forename: Kirsten A
authors.initials: KA
authors.lastname: McAuley
authors.forename: Damon
authors.initials: D
authors.lastname: Bell
authors.forename: Rebecca T
authors.initials: RT
authors.lastname: McLay
authors.forename: Alex
authors.initials: A
authors.lastname: Chisholm
authors.forename: Roanne
authors.initials: R
authors.lastname: Hurley
authors.forename: Gretchen
authors.initials: G
authors.lastname: Story
authors.forename: Jim I
authors.initials: JI
authors.lastname: Mann
authors.forename: Ruth
authors.initials: R
authors.lastname: Thomson
authors.forename: Sheila M
authors.initials: SM
authors.lastname: Williams
mesh_terms: D001294:Attitude to Health; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000503:physiopathology / Q000517:prevention & control*; D015444:Exercise; D005192:Family Health; D005247:Feeding Behavior; D005500:Follow-Up Studies; D005518:Food Preferences; D006284:Health Plan Implementation; D006293:Health Promotion; D006801:Humans; D008019:Life Style; D009520:New Zealand / Q000453:epidemiology; D010342:Patient Acceptance of Health Care; D010349:Patient Compliance; D010358:Patient Participation; D010809:Physical Fitness; D016730:Program Development; D015397:Program Evaluation; D040242:Risk Reduction Behavior