title: Using a SWOT analysis to inform healthy eating and physical activity strategies for a remote First Nations community in Canada.
abstract: OBJECTIVE
  To plan community-driven health promotion strategies based on a strengths, weaknesses, opportunities, and threats (SWOT) analysis of the healthy eating and physical activity patterns of First Nation (FN) youth.
  
  
  METHODS
  Cross-sectional qualitative and quantitative data used to develop SWOT themes and strategies.
  
  
  METHODS
  Remote, subarctic FN community of Fort Albany, Ontario, Canada.
  
  
  METHODS
  Adult (n  =  25) and youth (n  =  66, grades 6-11) community members.
  
  
  METHODS
  Qualitative data were collected using five focus groups with adults (two focus groups) and youth (three focus groups), seven individual interviews with adults, and an environmental scan of 13 direct observations of events/locations (e.g., the grocery store). Quantitative data on food/physical activity behaviors were collected using a validated Web-based survey with youth.
  
  
  METHODS
  Themes were identified from qualitative and quantitative data and were analyzed and interpreted within a SWOT matrix.
  
  
  RESULTS
  Thirty-two SWOT themes were identified (e.g., accessibility of existing facilities, such as the gymnasium). The SWOT analysis showed how these themes could be combined and transformed into 12 strategies (e.g., expanding and enhancing the school snack/breakfast program) while integrating suggestions from the community.
  
  
  CONCLUSIONS
  SWOT analysis was a beneficial tool that facilitated the combination of local data and community ideas in the development of targeted health promotion strategies for the FN community of Fort Albany.
authors: School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada. kskinner@uwaterloo.ca
authors: Kelly
authors: K
authors: Skinner
authors: Rhona M
authors: RM
authors: Hanning
authors: Celine
authors: C
authors: Sutherland
authors: Ruby
authors: R
authors: Edwards-Wheesk
authors: Leonard J S
authors: LJ
authors: Tsuji
mesh_terms: D000293:Adolescent; D002170:Canada; D003430:Cross-Sectional Studies; D004032:Diet; D005247:Feeding Behavior; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods; D006801:Humans; D007198:Indians, North American / Q000706:statistics & numerical data*; D008297:Male; D009043:Motor Activity / Q000502:physiology*; D009752:Nutritional Status; D036301:Qualitative Research; D012424:Rural Population / Q000706:statistics & numerical data*; D057185:Sedentary Behavior; D040241:Social Marketing