Doktorarbeit / Dissertation, 2024
103 Seiten, Note: 100.00
1. CHAPTER ONE - INTRODUCTION
1.1 Purpose of the Study
1.2 A Brief Overview of Previous Studies
2. CHAPTER TWO – PROBLEM STATEMENT & RESEARCH QUESTION(S)
2.1 Summary of the Problem
2.2 Statement of the Problem
2.3 Research Questions
3. CHAPTER THREE – LITERATURE REVIEW
3.1 Introduction
3.2 Literature Review
3.3 Risk Factors for Type II Diabetes
3.4 Nutrition and Type II Diabetes
3.5 Meal Planning and Type II Diabetes
3.6 Diabetes Monitoring and Management
3.7 Management Programs and Strategies
3.8 Fitness, Exercise, and Lifestyle
3.9 Social and Cultural Barriers
3.10 Colonialism
3.11 Social Inequality
3.12 Educational Programs for Awareness
3.13 Six-Session Protocol Model
3.14 Conclusion
4. CHAPTER FOUR – METHODOLOGY
4.1 Research Design and Justification
4.2 Data Analysis from Statistics Canada Surveys
4.3 Description of Surveys
4.4 Collection Tools or Instruments Used, Such as Surveys or Standardized Tests
4.5 Selection of Sources
4.6 Description of any Statistical tests and other Analytical Procedures used for the Analysis of the Data Collected
4.7 Justification for any Statistical Test and Other Analytical Procedures Used
4.8 Data for the Six-Session Protocol
4.9 Information Sources for the Six-Session Protocol
4.10 Search Strategy
5. CHAPTER FIVE – DATA ANALYSIS & PRESENTATION OF RESULTS
5.1 Factors Leading to Type II Diabetes and Subsequent Sessions
5.2 Data Sources Relevant to Each Session
5.3 Session Information
5.4 Session 1 - Pre-needs Assessment
5.5 Session 2 Nutrition and Weight Loss Strategies
5.6 Session 3 Meal Planning and Diabetes Monitoring
5.7 Session 4 Fitness / Exercise and Lifestyle
5.8 Session 5 - Social, Cultural Barriers, and Motivational Support
5.9 Session 6 Post needs Assessment and Sharing Resources
5.10 Researched Session Outcomes / Results
5.11 Hypothesis
6. CHAPTER SIX – DISCUSSION, CONCLUSION, & APPLICATION OF THE RESEARCH
6.1 Reflection of the Findings in Relation to the Research Questions
6.2 Colonization
6.3 Geographical Barriers
6.4 What can be Done to Reverse the Rising type II diabetes Numbers
6.5 Implications of the Study
6.6 Limitations to the Study
6.7 Implications for Further Research
6.8 Conclusions and Future Directions
This research aims to analyze existing health data and literature to understand the rising prevalence of type II diabetes among the Indigenous population in Alberta, Canada. The central goal is to develop a six-session educational protocol that incorporates cultural context and practical strategies to mitigate diabetes risk factors and improve overall health outcomes.
Risk Factors for Type II Diabetes
Researchers at Alberta Health Services document the disparities between indigenous and non-indigenous people living in Alberta, which relates to the diabetes numbers being higher for the indigenous population. Colonization of Europeans to North America had caused disruptions in the lives of the indigenous, from dietary impacts to childcare and leading to trauma. This leads to lower socioeconomic status, lower education, and food insecurity (AHS, 2021).
Indigenous groups have lower consumption of vegetables, fruit, and whole grains. There is a higher consumption of processed foods, which are higher in salt and sugar and more deficient in essential nutrients. Ultra-processed foods make up 53.9% of the energy intake for Indigenous adults, hence part of the reason for a higher risk for type II diabetes (AHS, 2021).
The barriers Indigenous people face are discussed, and the next steps for improvement by collaborating with groups in the healthcare industry are shown as necessary. However, it does not offer any solid solutions to deal with the matters faced by the indigenous people.
CHAPTER ONE - INTRODUCTION: Discusses the prevalence of type II diabetes among Indigenous populations in Alberta and introduces the necessity of addressing underlying social, historical, and economic factors.
CHAPTER TWO – PROBLEM STATEMENT & RESEARCH QUESTION(S): Defines the health disparity for Indigenous people and outlines the study's research questions and the hypothesis regarding the six-session educational protocol.
CHAPTER THREE – LITERATURE REVIEW: Explores key risk factors, the role of nutrition, exercise, monitoring, and the impact of colonization on the health and diabetes management of Indigenous communities.
CHAPTER FOUR – METHODOLOGY: Details the literature review design, data collection from national surveys, and the approach taken to extract variables for the sessional protocol.
CHAPTER FIVE – DATA ANALYSIS & PRESENTATION OF RESULTS: Provides the structure of the six-session protocol and reviews findings from research on metabolic outcomes, dietary interventions, and lifestyle changes.
CHAPTER SIX – DISCUSSION, CONCLUSION, & APPLICATION OF THE RESEARCH: Reflects on the overall findings, discusses the necessity of culturally safe practices, and suggests future directions for healthcare and research.
Type II diabetes, Indigenous health, Alberta, community-based intervention, nutritional therapy, health disparities, colonization, social determinants of health, meal planning, diabetes monitoring, physical activity, culturally safe care, healthcare access, prevention, six-session protocol.
The study aims to analyze current literature and survey data to develop a comprehensive, six-session educational protocol specifically designed for Indigenous people in Alberta to prevent and manage type II diabetes.
The research focuses exclusively on Indigenous individuals living in Alberta, Canada, who are experiencing or at risk of developing type II diabetes.
The dissertation utilizes a literature review research design, synthesizing existing survey data from government and regional health reports to inform the development of the intervention.
Health is framed holistically, acknowledging the complex interplay between physical symptoms, lifestyle, socioeconomic factors, and the lingering, intergenerational impact of colonial processes.
The study emphasizes that diabetes management must move beyond biomedical models to include cultural safety, respect for traditional knowledge, and addressing the social and historical context of the community.
Critical variables identified include nutrition and diet quality, physical activity levels, access to healthcare and fresh food, monitoring of blood glucose, and the management of psychosocial stressors.
The IWC is highlighted as an example of a program that delivers health services honoring the culture, beliefs, and identities of First Nations people in Alberta.
Colonization is described as a fundamental determinant of health that has caused displacement, social and economic disruption, and the loss of traditional, nutritionally dense food sources—factors that collectively aggravate diabetes risk factors.
The literature indicates that meal planning must be culturally responsive, considering background and lifestyle, and that strategies to address food insecurity are essential for the effectiveness of dietary changes.
The protocol aims to increase health knowledge, instill prevention practices, provide access to lifestyle programs, and ultimately lower the Incidence of type II diabetes and its associated complications.
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