KSDPPKahnawake Schools Diabetes Prevention Project (Mohawk Nation, Quebec)
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The cross-sectional component of KSDPP found a significant decrease in the consumption of high fat and high sugar items between baseline and Year 8, but there was also a reduction in fruit and vegetable consumption.
KSDPP found that average body fat in the intervention school had increased less than in the control school at Year 2 follow-up, but the cross-sectional measures found that that the percentage of intervention school children with high BMI or body fat had increased by Year 8.
Table 1 Appraisal of evidence of effectiveness, impact, plausibility, and fit Effectiveness Design (a) PA/ Diet (c) Physical SB (b) fitness (d) Pathways A A a[check] -- KSDPP A B b[check] A SHARE-AP A B b[check] -- OPPS A A C -- Action B A B a[check] Schools!
Projects like Head Start and the KSDPP are preventative in nature; they aim to circumvent pediatric health problems before they even arise.
Rather, preventative care that aims to secure and maintain "health," such as that provided by Head Start programs or the KSDPP, must be included within children's health care rights.
Programs like Head Start and the KSDPP reveal the potential successes of initiatives designed to tackle challenges to pediatric health within Aboriginal communities.
While local control of these initiatives helps to ensure that Indigenous communities take active leadership roles in securing the health of their children, the example of the KSDPP reveals that too strong an emphasis on local administration and design could preclude promising projects from receiving Head Start funding.
As programs like the KSDPP reflect, preventing and coping with illness is facilitated by a nurturing environment in which families and communities understand an illness and its prognosis, and provide support and encouragement for those undergoing treatment or attempting to change life behaviours.
First, as exemplified by the Head Start and the KSDPP programs, community leadership over, and involvement in, Aboriginal health initiatives is imperative for ensuring the success of programs designed to promote their children's well-being.
The community partners are all working together to support the KSDPP. Nutritionists and community health nurses have introduced the "hands-on" health curriculum into the schools.