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A Diabetes Peer Mentorship Program for First Nations Youth and Young Adults: An Intervention Protocol.

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Τίτλος: A Diabetes Peer Mentorship Program for First Nations Youth and Young Adults: An Intervention Protocol.
Συγγραφείς: Fazeli S; Division of General Internal Medicine, Department of Medicine, McGill University, Montréal, Québec, Canada; Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada., Linton J; Public Health Department, Cree Board of Health and Social Services of James Bay, Chisasibi, Québec, Canada., Linton P; Public Health Department, Cree Board of Health and Social Services of James Bay, Chisasibi, Québec, Canada., Trapper L; Public Health Department, Cree Board of Health and Social Services of James Bay, Chisasibi, Québec, Canada., Godin C; Public Health Department, Cree Board of Health and Social Services of James Bay, Chisasibi, Québec, Canada., Porada H; Public Health Department, Cree Board of Health and Social Services of James Bay, Chisasibi, Québec, Canada., Da Costa D; Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada; Division of Clinical Epidemiology, Department of Medicine, McGill University, Montréal, Québec, Canada., Dasgupta K; Division of General Internal Medicine, Department of Medicine, McGill University, Montréal, Québec, Canada; Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada., Malhame I; Division of General Internal Medicine, Department of Medicine, McGill University, Montréal, Québec, Canada; Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada., Mitchell C; Department of Integrated Studies in Education, McGill University, Montréal, Québec, Canada., Rahme E; Division of General Internal Medicine, Department of Medicine, McGill University, Montréal, Québec, Canada; Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada., Von Oettingen JE; Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada; Department of Integrated Studies in Education, McGill University, Montréal, Québec, Canada., Pace R; Division of General Internal Medicine, Department of Medicine, McGill University, Montréal, Québec, Canada; Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada. Electronic address: romina.pace@mcgill.ca.
Πηγή: Canadian journal of diabetes [Can J Diabetes] 2025 Dec; Vol. 49 (8), pp. 417-423. Date of Electronic Publication: 2025 Jul 28.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Canadian Diabetes Association Country of Publication: Canada NLM ID: 101148810 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-3840 (Electronic) Linking ISSN: 14992671 NLM ISO Abbreviation: Can J Diabetes Subsets: MEDLINE
Imprint Name(s): Original Publication: Toronto : Canadian Diabetes Association, 2002-
Ιατρικοί όροι (MeSH): Diabetes Mellitus, Type 2*/therapy , Diabetes Mellitus, Type 2*/psychology , Diabetes Mellitus, Type 2*/ethnology , Health Promotion*/methods , Mentors*/psychology , Peer Group* , Indigenous Canadians*, Canada/epidemiology ; Adolescent ; Adult ; Female ; Humans ; Male ; Young Adult ; Health Services, Indigenous
Περίληψη: Objectives: The rising incidence of type 2 diabetes (T2D) among Indigenous peoples, exacerbated by historic injustices and health inequities, underscores the need for culturally sensitive health interventions that address both the physiological and psychological burdens of diabetes. This research protocol describes a community-driven initiative aimed at enhancing diabetes management among Indigenous youth and young adults in Canada, leveraging the lived experience and leadership of Indigenous young adults. This project seeks to integrate traditional Indigenous practices with modern health strategies to foster better health outcomes and psychosocial support through peer mentorship.
Methods: The program, developed and led by an Eeyou Istchee Cree community member, involves various health-promoting activities, including dietary guidance, physical exercise, and traditional land-based practices. These activities are designed to improve self-management of diabetes and to address diabetes distress, a significant factor in diabetes care.
Results: Anticipated outcomes include improved psychosocial factors (reduced distress and enhanced resilience) and clinical measures of diabetes management (glycemia, body mass index, and blood pressure). The project's methodology combines quantitative assessments of psychological and health outcomes with qualitative feedback from participants, captured through innovative methods like Photovoice to ensure participants' voices and experiences directly inform the intervention's efficacy and adaptability.
Conclusions: Overall, this protocol outlines a framework for a scalable, sustainable model of health intervention that respects and revitalizes Indigenous cultural practices and community autonomy. The expected results aim to demonstrate the effectiveness of peer-led and culturally informed interventions in improving psychological and health outcomes, with the potential to guide similar initiatives in other Indigenous and marginalized communities worldwide.
(Copyright © 2025 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.)
Contributed Indexing: Keywords: Indigenous health; Indigenous youth; Photovoice; diabetes management; diabète de type 2; gestion du diabète; jeunesse autochtone; mentorat par les pairs; peer mentorship; santé autochtone; type 2 diabetes
Entry Date(s): Date Created: 20250730 Date Completed: 20251213 Latest Revision: 20260804
Update Code: 20260804
DOI: 10.1016/j.jcjd.2025.07.003
PMID: 40738452
Βάση Δεδομένων: MEDLINE
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  Data: A Diabetes Peer Mentorship Program for First Nations Youth and Young Adults: An Intervention Protocol.
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  Data: <searchLink fieldCode="AU" term="%22Fazeli+S%22">Fazeli S</searchLink>; Division of General Internal Medicine, Department of Medicine, McGill University, Montréal, Québec, Canada; Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada.<br /><searchLink fieldCode="AU" term="%22Linton+J%22">Linton J</searchLink>; Public Health Department, Cree Board of Health and Social Services of James Bay, Chisasibi, Québec, Canada.<br /><searchLink fieldCode="AU" term="%22Linton+P%22">Linton P</searchLink>; Public Health Department, Cree Board of Health and Social Services of James Bay, Chisasibi, Québec, Canada.<br /><searchLink fieldCode="AU" term="%22Trapper+L%22">Trapper L</searchLink>; Public Health Department, Cree Board of Health and Social Services of James Bay, Chisasibi, Québec, Canada.<br /><searchLink fieldCode="AU" term="%22Godin+C%22">Godin C</searchLink>; Public Health Department, Cree Board of Health and Social Services of James Bay, Chisasibi, Québec, Canada.<br /><searchLink fieldCode="AU" term="%22Porada+H%22">Porada H</searchLink>; Public Health Department, Cree Board of Health and Social Services of James Bay, Chisasibi, Québec, Canada.<br /><searchLink fieldCode="AU" term="%22Da+Costa+D%22">Da Costa D</searchLink>; Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada; Division of Clinical Epidemiology, Department of Medicine, McGill University, Montréal, Québec, Canada.<br /><searchLink fieldCode="AU" term="%22Dasgupta+K%22">Dasgupta K</searchLink>; Division of General Internal Medicine, Department of Medicine, McGill University, Montréal, Québec, Canada; Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada.<br /><searchLink fieldCode="AU" term="%22Malhame+I%22">Malhame I</searchLink>; Division of General Internal Medicine, Department of Medicine, McGill University, Montréal, Québec, Canada; Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada.<br /><searchLink fieldCode="AU" term="%22Mitchell+C%22">Mitchell C</searchLink>; Department of Integrated Studies in Education, McGill University, Montréal, Québec, Canada.<br /><searchLink fieldCode="AU" term="%22Rahme+E%22">Rahme E</searchLink>; Division of General Internal Medicine, Department of Medicine, McGill University, Montréal, Québec, Canada; Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada.<br /><searchLink fieldCode="AU" term="%22Von+Oettingen+JE%22">Von Oettingen JE</searchLink>; Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada; Department of Integrated Studies in Education, McGill University, Montréal, Québec, Canada.<br /><searchLink fieldCode="AU" term="%22Pace+R%22">Pace R</searchLink>; Division of General Internal Medicine, Department of Medicine, McGill University, Montréal, Québec, Canada; Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada. Electronic address: romina.pace@mcgill.ca.
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  Data: <searchLink fieldCode="JN" term="%22101148810%22">Canadian journal of diabetes</searchLink> [Can J Diabetes] 2025 Dec; Vol. 49 (8), pp. 417-423. <i>Date of Electronic Publication: </i>2025 Jul 28.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Canadian+Diabetes+Association%22">Canadian Diabetes Association </searchLink><i>Country of Publication: </i>Canada <i>NLM ID: </i>101148810 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>2352-3840 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2214992671%22">14992671 </searchLink><i>NLM ISO Abbreviation: </i>Can J Diabetes <i>Subsets: </i>MEDLINE
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  Data: <i>Original Publication</i>: Toronto : Canadian Diabetes Association, 2002-
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  Data: <searchLink fieldCode="MM" term="%22Diabetes+Mellitus%2C+Type+2%22">Diabetes Mellitus, Type 2*</searchLink>/<searchLink fieldCode="MM" term="%22Diabetes+Mellitus%2C+Type+2+therapy%22">therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Diabetes+Mellitus%2C+Type+2%22">Diabetes Mellitus, Type 2*</searchLink>/<searchLink fieldCode="MM" term="%22Diabetes+Mellitus%2C+Type+2+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Diabetes+Mellitus%2C+Type+2%22">Diabetes Mellitus, Type 2*</searchLink>/<searchLink fieldCode="MM" term="%22Diabetes+Mellitus%2C+Type+2+ethnology%22">ethnology</searchLink> <br /><searchLink fieldCode="MM" term="%22Health+Promotion%22">Health Promotion*</searchLink>/<searchLink fieldCode="MM" term="%22Health+Promotion+methods%22">methods</searchLink> <br /><searchLink fieldCode="MM" term="%22Mentors%22">Mentors*</searchLink>/<searchLink fieldCode="MM" term="%22Mentors+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Peer+Group%22">Peer Group*</searchLink> <br /><searchLink fieldCode="MM" term="%22Indigenous+Canadians%22">Indigenous Canadians*</searchLink><br /><searchLink fieldCode="MH" term="%22Canada%22">Canada</searchLink>/<searchLink fieldCode="MH" term="%22Canada+epidemiology%22">epidemiology</searchLink> ; <searchLink fieldCode="MH" term="%22Adolescent%22">Adolescent</searchLink> ; <searchLink fieldCode="MH" term="%22Adult%22">Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Young+Adult%22">Young Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Health+Services%2C+Indigenous%22">Health Services, Indigenous</searchLink>
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  Data: Objectives: The rising incidence of type 2 diabetes (T2D) among Indigenous peoples, exacerbated by historic injustices and health inequities, underscores the need for culturally sensitive health interventions that address both the physiological and psychological burdens of diabetes. This research protocol describes a community-driven initiative aimed at enhancing diabetes management among Indigenous youth and young adults in Canada, leveraging the lived experience and leadership of Indigenous young adults. This project seeks to integrate traditional Indigenous practices with modern health strategies to foster better health outcomes and psychosocial support through peer mentorship.<br />Methods: The program, developed and led by an Eeyou Istchee Cree community member, involves various health-promoting activities, including dietary guidance, physical exercise, and traditional land-based practices. These activities are designed to improve self-management of diabetes and to address diabetes distress, a significant factor in diabetes care.<br />Results: Anticipated outcomes include improved psychosocial factors (reduced distress and enhanced resilience) and clinical measures of diabetes management (glycemia, body mass index, and blood pressure). The project's methodology combines quantitative assessments of psychological and health outcomes with qualitative feedback from participants, captured through innovative methods like Photovoice to ensure participants' voices and experiences directly inform the intervention's efficacy and adaptability.<br />Conclusions: Overall, this protocol outlines a framework for a scalable, sustainable model of health intervention that respects and revitalizes Indigenous cultural practices and community autonomy. The expected results aim to demonstrate the effectiveness of peer-led and culturally informed interventions in improving psychological and health outcomes, with the potential to guide similar initiatives in other Indigenous and marginalized communities worldwide.<br /> (Copyright © 2025 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.)
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  Data: <i>Keywords: </i>Indigenous health; Indigenous youth; Photovoice; diabetes management; diabète de type 2; gestion du diabète; jeunesse autochtone; mentorat par les pairs; peer mentorship; santé autochtone; type 2 diabetes
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      – SubjectFull: Diabetes Mellitus, Type 2 psychology
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