Skip to main content
×
Home

Arthritis Self-management in Native Populations of British Columbia: An Application of Health Promotion and Participatory Research Principles in Chronic Disease Control

  • Patrick McGowan (a1) and Lawrence W. Green (a1)
Abstract
ABSTRACT

Health promotion and participatory research present challenges and opportunities for extending the benefits of science to populations who have not fully benefited from innovations available through self-care and mutual aid. This paper illustrates some of the strengths, weaknesses, issues and problems in applying the approaches of health promotion and participatory research with First Nations populations for purposes of arthritis self-management. We suggest ways in which these experiences apply to the elderly. Preliminary results from our First Nations Arthritis Self-Management study illustrate participatory research and promising outcomes. The adaptability of these health promotion strategies in the First Nations community can be generalized to the elderly in the general population based on their common experience with arthritis and the advantages of participatory planning with distinguishable demographic groups who share a common identity.

RÉSUMÉ

La promotion de la santé et la recherche participative proposent aux scientifiques un défi fascinant: mettre à la portée de populations difficiles à rejoindre les bénéfices de l'adaptation, de l'implantation et de la diffusion des découvertes et innovations dans les domaines de l'auto-santé et de la constitution des réseaux d'entraide. Cet article présente quelques-unes des forces et faiblesses, de même que certains problèmes et controverses associés à une application de l'approche de promotion de la santé couplée à une recherche participative, auprès de populations autochtones, concernant l'auto-traitement de l'arthrite. Nous explorons aussi comment ces expériences pourraient être appliquées auprès des personnes âgées. Les premiers résultats de notre étude sur l'auto-traitement de l'arthrite dans les populations autochtones illustrent comment une recherche participative peut être implantée dans une population spécifique, et sont intéressants du point de vue des possibilités d'adaptation de ces stratégies de promotion de la santé dans des populations de personnes âgées ou des populations autochtones.

Copyright
References
Hide All
Bandura A. (1977). Self-efficacy: Toward a unifying theory of behavior change. Psychological Review, 84, 191215.
Epp J. (1986). Achieving Health for All: A framework for health promotion. Ottawa: Health and Welfare Canada.
Green L.W. (1974). Toward cost-benefit evaluations of health education: Some concepts, methods and examples. Health Education Monographs, 2(supp. 2), 3464.
Green L.W., George A., Daniel M., Frankish C.J., Herbert C.H., Bowie W., & O'Neill M. (1995). Participatory research in health promotion. Ottawa: Royal Society of Canada.
Green L.W., & Kreuter M.W. (1991). Health promotion planning: an educational and environmental approach (2nd. ed.). Mountain View, CA: Mayfield Publishing Co.
Green L.W., Levine D.M., & Deeds S.G. (1975). Clinical trials of health education for hypertensive outpatients: Design and baseline data. Preventive Medicine, 4, 417425.
Green L.W., Levine D.M., Wolle J., & Deeds S. (1979). Development of randomized patient education experiments with urban poor hypertensives. Patient Counselling and Health Education, 1, 106111.
Green L.W., & Lewis F.M. (1986). Measurement and evaluation in health education and health promotion. Mountain View, CA: Mayfield Publishing Co.
Green L.W., Werlin H., Schauffler H., & Avery C.H. (1977). Research and demonstration issues in self-care: Measuring the decline of medicocentrism. Commissioned paper for the National Center for Health Services Research. Health Education Monographs, 5, 161189.
Hall N.P. (1994). Health promotion research for older Canadians: Priorities from a community health unit perspective. In Gutman G. & Wister A. (Eds.), Health promotion for older Canadians: knowledge gaps and research needs. Vancouver: Gerontology Research Centre, Simon Fraser University.
Levine D.M., Green L.W., Deeds S.G., Chwalow A.J., Russell R.P., & Finlay J. (1979). Health education for hypertension patients. Journal of the American Medical Association, 241, 17001703.
Lorig K., & Hodman H. (1993). Arthritis self-management studies: a twelve year review. Health Education Quarterly, 20, 1728.
Lorig K., Lubeck D., Kraines R.G., Seleznick M., & Hodman H. (1985). Outcomes of self-help education for patients with arthritis. Arthritis and Rheumatism, 28, 680685.
Morisky D.E., Levine D.M., Green L.W., Shapiro S., Russell R.P., & Smith C.R. (1983). Five-year blood-pressure control and mortality following health education for hypertensive patients. American Journal of Public Health, 73, 153162.
Morisky D.E., Levine D.M., Green L.W., & Smith C. (1982). Health education program effects on the management of hypertension in the elderly. Archives of Internal Medicine, 142, 18351838.
Park P. (1993). What is participatory research? A theoretical and methodological perspective. In Park P. et al. (Eds.), Voices of Change: Participatory research in the United States and Canada. Toronto: OISE Press.
Shannon W., & MacDonald M. (1993). A Delphi survey of Aboriginal health priorities. Victoria: B.C. Ministry of Health and Ministry Responsible for Seniors.
World Health Organization. (1986). The Ottawa Charter for Health Promotion. Health Promotion, 1, 35.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Canadian Journal on Aging / La Revue canadienne du vieillissement
  • ISSN: 0714-9808
  • EISSN: 1710-1107
  • URL: /core/journals/canadian-journal-on-aging-la-revue-canadienne-du-vieillissement
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 12 *
Loading metrics...

Abstract views

Total abstract views: 128 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 25th November 2017. This data will be updated every 24 hours.