Evolution of a sustained health promotion programme exploring adolescent metabolic health in the Cook Islands.
The non-communicable disease (NCD) burden in the Cook Islands is severe; 62% of adults 18–69 years live with 3–5 risk factors. Understanding NCD complexity and developing evidence-based actions to mitigate this burden is crucial. This article reports on the evolution of a sustained health promotion...
| Publicado en: | Health Promotion International Vol. 40; no. 3; pp. 1 - 15 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jun2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186811130&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186811130 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09574824 F9Y jtl: Health Promotion International issn: 09574824 maglogo: N pubinfo: dt: Jun2025 vid: 40 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 186811130 186811130 186811130 10.1093/heapro/daaf069 186811130 ppf: 1 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Evolution of a sustained health promotion programme exploring adolescent metabolic health in the Cook Islands. aug: au: Bay, Jacquie L John, Tania Barrett-Watson, Celeste Ngamata, Karen Renelle, Amy Trask, Suzanne A Bates, Metua Vickers, Mark H Cochrane, Danielle Tungane affil: Liggins Institute, Waipapa Taumata Rau The University of Auckland, Auckland 1142, New Zealand sug: subj: Health Promotion Program Evaluation Metabolic Diseases In Adolescence Human Funding Source Action Research Descriptive Statistics Noncommunicable Diseases Quantitative Studies Data Analysis Software Chi Square Test Mann-Whitney U Test One-Way Analysis of Variance Kruskal-Wallis Test T-Tests Male Female Adolescence Student Attitudes School Health Education School Health Services Cook Islands Adolescent: 13-18 years Male Female ab: The non-communicable disease (NCD) burden in the Cook Islands is severe; 62% of adults 18–69 years live with 3–5 risk factors. Understanding NCD complexity and developing evidence-based actions to mitigate this burden is crucial. This article reports on the evolution of a sustained health promotion programme contributing to understanding adolescent metabolic health in Rarotonga. Ora'anga Tūmanava (established 2013) is a transdisciplinary initiative engaging adolescents in exploring NCD-related challenges through curriculum-linked learning. Community-based participatory research integrated within the Tivaevae framework guides co-design. In 2013, inclusion of health measures within this initiative was considered but rejected. Feedback in 2015 identified that, after examining population-level NCD burdens, adolescents wanted greater access to personal health information. Consequently, inclusion of health measures was revisited and agreed for trial alongside learning about metabolic health within a Year 9 programme. Data from 2016 to 2019 and 2022 to 2023 (n = 783; 65% total cohort; median age 13.8 years) indicated overweight 22.1%; obesity 37.6%; waist-to-height ratio > 0.5, 39.1%; elevated blood cholesterol, 8.1%; and elevated blood glucose, 15.6%. Where all measures were available (n = 321), 27.7% of students were living with ≥ 3 risk factors. Feedback confirmed the programme met student expectations, contributed to school-based health promotion, offered an acceptable strategy for tracking metabolic health indicators and highlighting NCD risk factors in this age-group, and encouraged health-related discussions. Alignment with curriculum-based learning and evidence-sharing has ensured sustained school-level support. This study highlights how transdisciplinary partnerships built via culturally appropriate co-design can support educational and health promotion goals and simultaneously inform public health in small island communities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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