enhancing food security and physical activity for maori, pacific and ...

More documents

Recommendations

Info

Enhancing Food Security and Physical Activity for Māori, Pacific and Low-income PeoplesKey components for effectivenessThe following processes have been highlighted as contributing to the success ofinterventions, which have similarities with international research.• Strong links within the community.• Collaborative community participation and consultation.• Early, meaningful and ongoing engagement with community leaders and diversestakeholder advisory groups.• A holistic approach (eg, to combine physical activity and nutrition behaviours).• Adapting or including activities that are relevant to the population of interestPotential side-effectsThere are no anticipated side effects of developing culturally-specific interventions.Cost benefit analysisNo cost-benefit analyses were identified in New Zealand literature.ConclusionThere is a lack of high quality evidence supporting the effectiveness of culturally-specificphysical activity interventions. Despite this, international and national evidence highlightsthe potential for this approach. Many studies or programmes have incorporated physicalactivity as part of a lifestyle intervention and it is difficult to disentangle the effect onactivity. However, this lifestyle approach is more consistent with the holistic approachand health needs for Māori and Pacific people.There is a need to conduct more rigorous research to determine the impact of culturallyspecificinterventions on healthy lifestyles and behaviour change. Provision of ongoingsupport and education for those planning, delivering, and evaluating future interventionsis required to ensure rigorous design and evaluation is maintained. Building on the moresuccessful examples (eg, Korikori a Iwi, OPIC, Tongan Community Action Programme),with proper evaluation to refine and enhance the programmes, and adequate resourcingfor wider implementation is recommended.In terms of training and supporting rigorous evaluation of future culturally-specificprogrammes, some of this will be programme specific; however, it is not clear how otherforms of support will be provided. There is potential for government and non-governmentorganisations to fill this void.Recommendations• Evaluate existing culturally-specific physical activity programmes for their impacton target populations.• Continue to fund culturally-specific physical activity programmes while theevidence base is building.• Ensure funding is provided to physical activity programmes targeted to lowincomepeople as well as Māori and Pacific people.• Culturally-specific physical activity programmes need to be adequately funded,including evaluation activities.179
Enhancing Food Security and Physical Activity for Māori, Pacific and Low-income Peoples• The Request for Proposal process from contracting bodies should requireinformation on implementation logic and evaluation methods.• Evaluation activities should be supported by evaluation templates/toolkits andworkforce training.References1. Blair S, N, Kohl HW, Gordon NF, Paffenberger R. How much physical activity is goodfor health? Annual Reviews of Public Health 1992;13:99-126.2. Brown D. Exercise, fitness and mental health. In: Bouchard C, Shephard RJ,Stephens T, Sutton JR, McPherson BD, editors. Exercise, Fitness and Health: AConsensus of Current Knowledge. Champaign, IL: Human Kinetics, 1990:607-8823. Bull FC, Armstrong TP, Dixon T, Ham S, Neiman A, Pratt M. Physical inactivity. In:Essati M, Lopez AD, Rodgers A, Murray CJL, editors. Comparative Quantificationof Health Risks. Global and Regional Burden of Disease Attributable to SelectedMajor Risk Factors. Geneva: World Health Organization, 2004:729-881.4. Shaw K, Gennat H, O'Rourke P, Mar C. Exercise for overweight or obesity. TheCochrane Library 2006;4.5. Summerbell C, Waters E, Edmunds LD, Kely S, Brown T, Campbell KJ. Interventionsfor preventing obesity in children, (Cochrane Review). In: The Cochrane Library,Issue 3, 2006. Chichester, UK: John Wiley & Sons, Ltd, 2006.6. Ministry of Health. A Portrait of Health: Key results of the 2006/07 New ZealandHealth Survey. Wellington: Ministry of Health, 2008.7. Sport and Recreation New Zealand. Active NZ Survey: Sport, Recreation and PhysicalActivity Participation Among New Zealand Adults. Wellington: Sport andRecreation New Zealand (SPARC), 2008.8. Clark TC, Robinson E, Crengle S, Herd R, Grant S, Denny S. Te Ara WhakapikiTaitamariki.Youth’07: The Health and Wellbeing Survey of Secondary SchoolStudents in New Zealand. Results for Māori Young People. Auckland: Universityof Auckland, 2008.9. Kahn EB, Ramsey LT, Brownson RC, Heath GW, Howze EH, Powell KE, et al. Theeffectiveness of interventions to increase physical activity: A systematic review,.American Journal of Preventive Medicine 2002;22(4, Supplement 1):73-107.10. van Sluijs EMF, M McMinn A, Griffin SJ. Effectiveness of interventions to promotephysical activity in children and adolescents: systematic review of controlledtrials. British Medical Journal 2007;doi: 10.1136/bmj.39320.843947.BE,.11. Banks-Wallace J, Conn V. Interventions to promote physical activity among AfricanAmerican women. Public Health Nurse 2002;19:321-335.12. Taylor WC, Baranowski T, Young DR. Physical activity interventions in low-income,ethnic minority, and populations with disability. American Journal of PreventiveMedicine 1998;15:334–343.13. Beech BM, Klesges RC, Kumanyika SK, Murray DM, Klesges L, McClanahan B, etal. Child- and parented- targeted interventions: The Memphis GEMS pilot study.Ethnicity & Disease 2003;13(Suppl 1):S40 - S53.14. Klesges R, Obarzanek E, Klesges LM, Beech BM, Kumanyika S, McClanahan B, etal. The Memphis Girls Health Enrichment Multisite Studies (GEMS): Anevaluation of the long term efficacy of a weight gain prevention intervention inAfrican American girls. Circulation 2007;116:843.15. Fitzgibbon ML, Stolley MR, Dyer AR, VanHorn L, Kaufer Christoffel K. A communitybasedobesity prevention program for minority children: Rationale and study180
Page 1 and 2:
ENHANCING FOOD SECURITYAND PHYSICAL
Page 3:
Enhancing Food Security and Physica
Page 8 and 9:
Page 10 and 11:
Page 12 and 13:
Page 14 and 15:
Page 16 and 17:
Page 18 and 19:
Page 20 and 21:
Page 22 and 23:
Page 24 and 25:
Page 26 and 27:
Page 28 and 29:
Page 30 and 31:
Page 32 and 33:
Page 34 and 35:
Page 36 and 37:
Page 38 and 39:
Page 40 and 41:
Page 42 and 43:
Page 44 and 45:
Page 46 and 47:
Page 48 and 49:
Page 50 and 51:
Page 52 and 53:
Page 54 and 55:
Page 56 and 57:
Page 58 and 59:
Page 60 and 61:
Page 62 and 63:
Page 64 and 65:
Page 66 and 67:
Page 68 and 69:
Page 70 and 71:
Page 72 and 73:
Page 74 and 75:
Page 76 and 77:
Page 78 and 79:
Page 80 and 81:
Page 82 and 83:
Page 84 and 85:
Page 86 and 87:
Page 88 and 89:
Page 90 and 91:
Page 92 and 93:
Page 94 and 95:
Page 96 and 97:
Page 98 and 99:
Page 100 and 101:
Page 102 and 103:
Page 104 and 105:
Page 106 and 107:
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
Page 114 and 115:
Page 116 and 117:
Page 118 and 119:
Page 120 and 121:
Page 122 and 123:
Page 124 and 125:
Page 126 and 127:
Page 128 and 129:
Page 130 and 131:
Page 132 and 133: Enhancing Food Security and Physica
show all

enhancing food security and physical activity for maori, pacific and ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?