Using Community Based Research Frameworks to Develop and Implement a Church-Based Program to Prevent Diabetes and Its Complications for Samoan Communities in South Western Sydney

Dorothy W. Ndwiga, Kate A. McBride, David Simmons, Ronda Thompson, Jennifer Reath, Penelope Abbott, Olataga Alofivae-Doorbinia, Paniani Patu, Annalise T. Vaovasa and Freya MacMillan
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Dorothy W. Ndwiga: School of Health Sciences, Western Sydney University, Penrith 2751, Australia
Kate A. McBride: School of Medicine, Western Sydney University, Penrith 2751, Australia
David Simmons: School of Medicine, Western Sydney University, Penrith 2751, Australia
Ronda Thompson: School of Medicine, Western Sydney University, Penrith 2751, Australia
Jennifer Reath: School of Medicine, Western Sydney University, Penrith 2751, Australia
Penelope Abbott: School of Medicine, Western Sydney University, Penrith 2751, Australia
Olataga Alofivae-Doorbinia: Powell Street Family Practice, Yagoona 2199, Australia
Paniani Patu: The Practice Blacktown NSW, Blacktown 2148, Australia
Annalise T. Vaovasa: School of Health Sciences, Western Sydney University, Penrith 2751, Australia
Freya MacMillan: School of Health Sciences, Western Sydney University, Penrith 2751, Australia

IJERPH, 2021, vol. 18, issue 17, 1-18

Abstract: Pasifika communities bear a disproportionate burden of diabetes compared to the general Australian population. Community-based participatory research (CBPR), which involves working in partnership with researchers and communities to address local health needs, has gained prominence as a model of working with underserved communities. This paper describes how Le Taeao Afua (LTA) Samoan diabetes prevention program was underpinned by two CBPR frameworks to develop a culturally tailored church-based lifestyle intervention to prevent diabetes and its complications in the Australian Samoan community. The name LTA, which means ‘a new dawn,’ was chosen by the community to signify a new dawn without diabetes in the Australian Samoan community. Strategies for engaging with the Australian Samoan community in South Western Sydney are discussed mapped to the key principles from the CBPR frameworks. In particular, this paper highlights the steps involved in building relationships with Samoan community leaders and the vital role of community activators and peer support facilitators in the success of delivering the program. Lessons learnt, such as the importance of church and maintaining a Samoan way of life in daily activities, and processes to build effective partnerships and maintain long-term relationships with the Australian Samoan community, are also discussed. Our paper, through providing a case example of how to apply CBPR frameworks, will help guide future community-based health promotion programs for underserved communities.

Keywords: Australian Samoan community; community-based participatory research; diabetes; obesity; health promotion; community activation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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