Culturally sensitive lifestyle intervention to prevent type 2 diabetes among Somalis in Finland: a pilot study using JA CHRODIS Recommendations and Criteria

Abstract

Introduction. Somalis, particularly women, have high risk for type 2 diabetes (T2D). We designed and piloted a culturally tailored lifestyle intervention model to prevent T2D among Somalis.

Methods. The pilot was designed using the JA CHRODIS Recommendations and Criteria, with special emphasis on target group empowerment. Intervention consisting of risk identification and group and digital lifestyle counselling was created based on the existing Stop Diabetes-model. The 12-week intervention was conducted in the mosque.

Results. Of those at T2D risk, 24 participants (73%) agreed to participate in the lifestyle counselling. Mean participation rate in the group sessions was 50% and 76% of the participants used the mobile application. A statistically significant increase in vegetable intake was seen after the intervention. A non-significant increasing tendency was seen in all parameters of physical activity. All respondents considered counselling meetings very useful or useful.

Discussion. The piloted model proved to be feasible in providing prevention interventions to an underserved population group. Key success factor was active involvement of the target community.