e oral glucose tolerance test in rural and remote Australia. Int J Environ Res Public Health 2019; https://www.mdpi.com/1660-4601/16/22/448888
- Jamieson EL, Spry E, Kirke AB, Roxburgh C, Atkinson D, Marley JV. Underestimation of risk for large babies in rural and remote Australia: Time to change plasma glucose collection protocols. J Clin Transl Endocrin; 2020: 100247.
- Jamieson EL, Spry E, Kirke AB, Roxburgh C, Atkinson D, Marley JV. Variations in the Prevalence of Gestational Diabetes Mellitus With Remote Testing and a Pragmatic Solution to Improve Accuracy. Diabetes Care; 2020: 09: 09.
- Jamieson EL, Spry EP, Kirke AB, Griffiths E, Porter C, Roxburgh C, Singleton S, Sterry K, Atkinson DN, Marley JV. Prediabetes and pregnancy: Early pregnancy HbA1c identifies Australian Aboriginal women with high-risk of gestational diabetes mellitus and adverse perinatal outcomes. Diab Res Clin Prac 2021; https://doi.org/10.1016/j.diabres.2021.108868
Checking for Diabetes in rural communities – plain language summary of the ORCHID study (296 KB)
Audit of OGTT completion in 2013 – plain language report (113 KB)
Failure of the sugar drink test to detect GDM – plain language report for community (222 KB)
Failure of the OGTT to detect GDM in rural WA – plain language report for staff (263 KB)
Failure of the OGTT to detect GDM in rural WA – peer reviewed publication (1.43 MB)
Missing risk for large babies – plain language report for staff
Missing risk for large babies – peer reviewed publication
Early HbA1c detects pre-pregnancy prediabetes – plain language report for community
Early HbA1c detects pre-pregnancy prediabetes – plain language report for staff
Early HbA1c detects pre-pregnancy prediabetes – peer reviewed publication
- Assoc Prof Julia Marley, RCSWA Broome
- Erica Spry, KAMS
- Emma Jamieson, RCSWA Bunbury
- Dr Andrew Kirke, RCSWA Bunbury
- Dr Kylie Sterry, RCSWA Kalgoorlie
- Dr Sarah Moore, RCSWA Bussleton
- Dr Carly Roxburgh, RCSWA Albany
- Dr Sally Singleton
- Dr Emma Griffiths, KAMS
- Dr Cynthia Porter, GRAMS
- Prof David Atkinson, RCSWA Broome
Be Healthy: Implementing culturally secure programs for obesity and chronic disease prevention with remote Aboriginal communities and families
Aboriginal people from several Kimberley communities have requested support for implementing culturally secure lifestyle modification programs that foster internal motivation, enhance health knowledge, and modify health beliefs and risk perception. We codesigned, piloted and refined the ‘Be Healthy’ program with 110 Derby Aboriginal people. The 8-module program involves practical nutrition education, discussion of chronic diseases, cooking, stress management and group physical activity. Content, while consistent with the US Diabetes Prevention Program, is tailored to local culture and younger age (15-40 years), and delivered by Aboriginal facilitators in a culturally secure, supportive and enjoyable atmosphere. The pilot program demonstrated acceptability, positive behaviour changes and proof of concept in a challenging setting.
This project will empower Aboriginal people to increase exercise levels, improve nutrition and reduce obesity. It combines the power of research to drive evidence-based positive behaviour change with the wisdom, knowledge and cultural strength of Aboriginal communities, integrated with the major Kimberley healthcare providers. This community-led initiative will be adapted using a similar codesign process with other Aboriginal communities, implemented on a large scale over 5 years and evaluated. While the program will be open to all Aboriginal residents, we will particularly encourage participation of people who are 1) obese, 2) pregnant (improve outcomes for baby/child), and 3) parents (intergenerational transfer of health regarding behaviour). Through partnerships between Aboriginal organisations and academic researchers, the program will be culturally relevant, rigorously evaluated and embedded within the community for sustainability and will deliver short, medium and long-term health benefits.
- Assoc Professor Jul