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      Multi-level Diabetes Prevention and Treatment Interventions for Native People in the USA and Canada: a Scoping Review

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          Abstract

          Purpose of Review

          This scoping literature review seeks to answer the question “What is known in the existing literature about multi-level diabetes prevention and treatment interventions for Native people living in the United States and Canada?”

          Recent Findings

          Multi-level interventions to prevent and/or treat chronic diseases, such as diabetes, promise to help individuals who experience health disparities related to social determinants of health. As described by the socio-ecological model, such interventions mobilize support through a combination of individual, interpersonal, organizational, community, and policy levels of activity.

          Summary

          This review revealed little literature about multi-level diabetes prevention and/or treatment programs for US and Canada-based Native peoples. Ten interventions were identified; all focused on diabetes prevention; eight were specific to youth. Multi-level intervention design elements were largely individual-, school-, and community-based. Only three interventions included environmental or policy-level components.

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          Most cited references64

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          Scoping studies: towards a methodological framework

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            Guidance for conducting systematic scoping reviews.

            Reviews of primary research are becoming more common as evidence-based practice gains recognition as the benchmark for care, and the number of, and access to, primary research sources has grown. One of the newer review types is the 'scoping review'. In general, scoping reviews are commonly used for 'reconnaissance' - to clarify working definitions and conceptual boundaries of a topic or field. Scoping reviews are therefore particularly useful when a body of literature has not yet been comprehensively reviewed, or exhibits a complex or heterogeneous nature not amenable to a more precise systematic review of the evidence. While scoping reviews may be conducted to determine the value and probable scope of a full systematic review, they may also be undertaken as exercises in and of themselves to summarize and disseminate research findings, to identify research gaps, and to make recommendations for the future research. This article briefly introduces the reader to scoping reviews, how they are different to systematic reviews, and why they might be conducted. The methodology and guidance for the conduct of systematic scoping reviews outlined below was developed by members of the Joanna Briggs Institute and members of five Joanna Briggs Collaborating Centres.
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              An Ecological Perspective on Health Promotion Programs

              During the past 20 years there has been a dramatic increase in societal interest in preventing disability and death in the United States by changing individual behaviors linked to the risk of contracting chronic diseases. This renewed interest in health promotion and disease prevention has not been without its critics. Some critics have accused proponents of life-style interventions of promoting a victim-blaming ideology by neglecting the importance of social influences on health and disease. This article proposes an ecological model for health promotion which focuses attention on both individual and social environmental factors as targets for health promotion interventions. It addresses the importance of interventions directed at changing interpersonal, organizational, community, and public policy, factors which support and maintain unhealthy behaviors. The model assumes that appropriate changes in the social environment will produce changes in individuals, and that the support of individuals in the population is essential for implementing environmental changes.
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                Author and article information

                Contributors
                Sarah.Stotz@cuanschutz.edu
                KMcNealy@EconometricaInc.com
                Rene.begay@cuanschutz.edu
                Kristen.desanto@cuanschutz.edu
                Spero.manson@cuanschutz.edu
                Kelly.moore@cuanschutz.edu
                Journal
                Curr Diab Rep
                Curr Diab Rep
                Current Diabetes Reports
                Springer US (New York )
                1534-4827
                1539-0829
                7 November 2021
                2021
                : 21
                : 11
                : 46
                Affiliations
                [1 ]GRID grid.430503.1, ISNI 0000 0001 0703 675X, Centers for American Indian and Alaska Native Health, Colorado School of Public Health, , University of Colorado Anschutz Medical Campus, ; 13055 East 17thAve, Aurora, CO 80045 USA
                [2 ]Econometrica, Inc., Bethesda, MD USA
                [3 ]GRID grid.430503.1, ISNI 0000 0001 0703 675X, Strauss Health Sciences Library, University of Colorado Anschutz Medical Campus, ; 13055 East 17th Ave, Aurora, CO 80045 USA
                Article
                1414
                10.1007/s11892-021-01414-3
                8572533
                34743261
                a6ce786c-2315-404f-bbc9-660230624f47
                © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 2 August 2021
                Categories
                Diabetes Epidemiology (S Albrecht, Section Editor)
                Custom metadata
                © Springer Science+Business Media, LLC, part of Springer Nature 2021

                Endocrinology & Diabetes
                multi-level intervention,diabetes prevention,diabetes treatment,american indian,alaska native,first nations

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