International Corridor Meeting Sharon Bruce October 17, 2005
Participatory Framework • Projects follow principles of community-based participatory research: • Collaboration • Equity • Community-driven • Action plan – purpose • Direct benefits to community
Current Research Projects • Screening for diabetes and diabetes complications • Relationship between stress and diabetes • Prevention of gestational diabetes
Screening • Glucose and lipids (12-hour fast) • Retinopathy – digital retinal camera • Neuropathy – foot exam and 10-g monofilament • Nephropathy – Albumin/creatinine ratio using Bayer DCA point-of-care instrument
Screening • Anthropometric Measures • Height • Weight • Waist and hip circumferences • Health History and Lifestyle Questions • 4 Manitoba First Nations Communities
Screening • Capacity Building • In each community, local residents hired and trained: • Recruitment; • Obtained informed consent and administered questionnaires; and • Assisted registered nurse with physical exams
Diabetes and Stress • What is the impact of chronic, multi-generational stress? • Investigate stress at individual, family and community level. • Qualitative – experience of stress; sources of stress; coping measures. • Quantitative – develop stress questionnaire that encompasses First Nation experiences • Case-control design for questionnaire. • Correlate with metabolic and anthropometric measures.
Prevention of Gestational Diabetes • Dietary education and activity intervention. • Two arms: usual care and intervention activities. • Developed exercise DVD for pregnant women. • Exercises can be done at home or with group.
Graduate Student Projects • Development of a diabetes foot complications prevention program. • Issues surrounding food insecurity and prevention and/or management of diabetes.