About
the Intervention Program
The
KSDPP program of intervention activities takes a holistic approach
to preventing diabetes in the community by embedding intervention
activities which include a health education program, recreational
activities, and community based activities all within the overall
goal of Living in Balance.
Living
in Balance reflects being well in mind, body, emotion and spirit.
KSDPP's messages are rooted in this traditional philosophy of
health and were realized through program objectives aimed at
promoting active living, promoting eating in balance, and raising
diabetes awareness.
Intervention
Objectives
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To
continue and improve curriculum activities for Kahnawake school
children.
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To
reinforce a supportive school environment by maintaining and
expanding interventions to all Kahnawake schools.
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Provide
diabetes prevention activities for families and community
in collaboration with local organizations.
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Continue capacity building and sustainability efforts within
Kahnawake.
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To share and expand upon the experiences of Kahnawake diabetes
initiatives within Kahnawake.
Key
messages are attached to the above objectives:
Promoting
Active Living:
Promoting
Eating in Balance:
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Having
a regular eating patterns (e.g.,meal pattern) , making healthy
food choices, and eating healthy meals (e.g, portion size,
food groups).
Raising
Diabetes Awareness:
-
Conveying
the seriousness of the disease, the preventability of the
disease and assessing personal risk of diabetes
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School Based
Intervention
The KSDPP
school-based intervention involves introducing new lessons (Health
Education Program) , increasing physical activity and strengthening
nutrition policy within community schools. A hands-on, interactive
approach.... congruent with native culture and learning styles
is used.
Since
KSDPP's intervention in the schools physical activity has increased.
More time is now devoted to organized sports and to exercise in
the classroom. Major new events were also organized such as the
annual schools "Racers for Health" one mile run. Each
age group competed separately and all participants,
as well as the winners, were awarded.
The
most significant new physical activity was a daily 20 minute walk
around the school. Teachers, many of whom also participated, said
the children complained at first but quickly developed the habit.
They said student attitudes and performance improved as a result.
Getting teachers
on side was the key to introducing new lessons and increasing
physical activity. The importance of the teacher's role in improving
community health was emphasized during in-service training. They
were also urged to keep a calendar of activities and through a
series of incentives, were rewarded for their efforts.
Also
the schools have adopted a hard line on junk food. The school
canteen only serves healthy snacks now. Any food or drinks considered
unhealthy, like soda pop, candy or chips, end up in the garbage,
or are sent back home. Many teachers became role models since
students were watching what they ate as well. Students, parents
and teachers took a few months to adapt, but now healthier lifestyles
are routine.
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Community
Based Intervention
The promotion
of healthy family lifestyles outside of the schools was designed
to have a ripple effect. The community-based intervention supports
the parents who, in turn, reinforce what the children have picked
up in school.
Most
Adults turned out to be receptive to the project and the community-based
component grew rapidly.
Kahnawake
has a long tradition of organized recreation. A key feature of
the project strategy was building on existing healthy lifestyles
and institutions. Two dozen, or about half of the organizations,
embrace the project goals.
The project
partnered with a group to develop a bicycle and walking path.
It also supported gymnastics and line-dancing clubs, and a volleyball
team. Exercise classes were organized.
The Youth Center was one of the project's key partners. Paddling,
biking, Winter Carnival, provision of healthier foods at the canteen
are all areas of collaboration. The expansion of the Mohawk Miles
walking club was perhaps the greatest achievement of co-sponsoring.
Walking is a year-round activity and participation increased 5
fold.
To
encourage family recreation and healthy eating, new activities
were also organized. Families were involved in monthly events
including sledding, bowling at the local lanes, ice-skating and
hiking. The arena was taken over for a day of family broomball.
At all the events nutritious foods were served.
Healthy eating was also widely encouraged. Alternatives to Halloween
candy were promoted at the Harvest Fair in collaboration with
the environment office. Healthy foods were served at community
events like the annual Clean-up Day and blood donor clinics, as
well as the community meals like the spaghetti lunch, or the paddling
club. Zucchini and chili cook-offs and community gardens were
organized to promote the "Three Sisters" of traditional
Mohawk food: Corn, Beans and Squash.
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