Study protocol for evaluating Brown Buttabean Motivation (BBM): a community-based, Pacific-driven approach to health.

Māori Obesity Pacific islander Physical activity Quality of life Quasi-experimental design Weight loss

Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
31 03 2022
Historique:
received: 10 02 2022
accepted: 14 03 2022
entrez: 1 4 2022
pubmed: 2 4 2022
medline: 5 4 2022
Statut: epublish

Résumé

Buttabean Motivation (BBM) is a Pacific-led organisation which aims to reduce obesity amongst Pacific and Māori people in New Zealand enabling them to choose a healthy and active life-style for the duration of their lives, their children, their wider family and the community. BBM offers a holistic approach to weight loss, recognising that mental health, family and cultural factors all play essential and critical role in nutrition and physical activity patterns. This study aims to evaluate the effectiveness of BBM for sustained health and wellbeing outcomes among its predominantly Pacific and Māori participants for both general BBM members and those with morbid obesity attending the 'From the Couch' programme. Quasi-experimental pre-post quantitative cohort study design with measured or self-reported weight at various time intervals for both cohorts. Weight will be analysed with general linear mixed model for repeated measures, and compared with a prediction model generated from the literature using a mixed method meta-analysis. The secondary outcome is change in pre- and post scores of Māori scale of health and well-being, Hua Oranga. Multiple studies have shown that many diet and physical activity programmes can create short-term weight loss. The fundamental question is whether BBM members maintain weight loss over time. In New Zealand, Pacific and Māori engagement in health enhancing programmes remains an important strategy for achieving better health and wellbeing outcomes, and quality of life. Internationally, the collectivist cultures of indigenous and migrant and minority populations, living within dominant individualist western ideologies, have much greater burdens of obesity. If BBM members demonstrate sustained weight loss, this culturally informed community-based approach could benefit to other indigenous and migrant populations. Australian New Zealand Clinical Trial Registry ACTRN12621000931875 (BBM general members) First submitted 10 May 2021, registration completed 15 July 2021. ACTRN12621001676808 7 (From the Couch) First submitted 28 October 2021, registration completed 7 December 2021.

Sections du résumé

BACKGROUND
Buttabean Motivation (BBM) is a Pacific-led organisation which aims to reduce obesity amongst Pacific and Māori people in New Zealand enabling them to choose a healthy and active life-style for the duration of their lives, their children, their wider family and the community. BBM offers a holistic approach to weight loss, recognising that mental health, family and cultural factors all play essential and critical role in nutrition and physical activity patterns. This study aims to evaluate the effectiveness of BBM for sustained health and wellbeing outcomes among its predominantly Pacific and Māori participants for both general BBM members and those with morbid obesity attending the 'From the Couch' programme.
METHODS
Quasi-experimental pre-post quantitative cohort study design with measured or self-reported weight at various time intervals for both cohorts. Weight will be analysed with general linear mixed model for repeated measures, and compared with a prediction model generated from the literature using a mixed method meta-analysis. The secondary outcome is change in pre- and post scores of Māori scale of health and well-being, Hua Oranga.
DISCUSSION
Multiple studies have shown that many diet and physical activity programmes can create short-term weight loss. The fundamental question is whether BBM members maintain weight loss over time. In New Zealand, Pacific and Māori engagement in health enhancing programmes remains an important strategy for achieving better health and wellbeing outcomes, and quality of life. Internationally, the collectivist cultures of indigenous and migrant and minority populations, living within dominant individualist western ideologies, have much greater burdens of obesity. If BBM members demonstrate sustained weight loss, this culturally informed community-based approach could benefit to other indigenous and migrant populations.
TRIAL REGISTRATION
Australian New Zealand Clinical Trial Registry ACTRN12621000931875 (BBM general members) First submitted 10 May 2021, registration completed 15 July 2021. ACTRN12621001676808 7 (From the Couch) First submitted 28 October 2021, registration completed 7 December 2021.

Identifiants

pubmed: 35361189
doi: 10.1186/s12889-022-12979-3
pii: 10.1186/s12889-022-12979-3
pmc: PMC8970058
doi:

Banques de données

ANZCTR
['ACTRN12621000931875', 'ACTRN12621001676808']

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

630

Informations de copyright

© 2022. The Author(s).

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Auteurs

Fa'asisila Savila (F)

Pacific Health, University of Auckland, Auckland, New Zealand.

Warwick Bagg (W)

School of Medicine, University of Auckland, Auckland, New Zealand.

Boyd Swinburn (B)

Population Nutrition and Global Health, University of Auckland, Auckland, New Zealand.

Bert van der Werf (B)

Section of Epidemiology and Biostatistics, University of Auckland, Auckland, New Zealand.

Dave Letele (D)

BBM, Unit 11 613-615 Great South Road, Manukau, Auckland, New Zealand.

Anele Bamber (A)

BBM, Unit 11 613-615 Great South Road, Manukau, Auckland, New Zealand.

Truely Harding (T)

Faculty of Medical & Health Science, University of Auckland, Auckland, New Zealand.

Felicity Goodyear-Smith (F)

Department of General Practice & Primary Health Care, General Practice & Primary Health Care, University of Auckland, PB 92129, Auckland, 1142, New Zealand. f.goodyear-smith@auckland.ac.nz.

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