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Supporting Cook Island communities to access DOHaD evidence

Part of: 2019 DOHaD 11th World Congress

Published online by Cambridge University Press:  07 July 2020

Siobhan Tu’akoi ,
Neti Tamarua-Herman ,
Karen Tairea ,
Mark H. Vickers Open the ORCID record for Mark H. Vickers [Opens in a new window] ,
Yin Yin May Aung  and
Jacquie L. Bay Open the ORCID record for Jacquie L. Bay [Opens in a new window]
Siobhan Tu’akoi
Affiliation:
Liggins Institute, University of Auckland, Auckland, New Zealand
Neti Tamarua-Herman
Affiliation:
Liggins Institute, University of Auckland, Auckland, New Zealand
Karen Tairea
Affiliation:
Te Marae Ora, Ministry of Health, Avarua, Cook Islands
Mark H. Vickers
Affiliation:
Liggins Institute, University of Auckland, Auckland, New Zealand
Yin Yin May Aung
Affiliation:
Te Marae Ora, Ministry of Health, Avarua, Cook Islands
Jacquie L. Bay*
Affiliation:
Liggins Institute, University of Auckland, Auckland, New Zealand
*
Address for correspondence: Jacquie L. Bay, Liggins Institute, University of Auckland, Private Bag 92109, Victoria Street West, Auckland1142, New Zealand. Email: j.bay@auckland.ac.nz
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Abstract

Developmental origins of health and disease research have cemented relationships between the early-life environment and later risk of non-communicable diseases (NCDs). However, there is limited translation of this knowledge in developing-economy nations, such as the Cook Islands, that carry exceptionally high NCD burdens. Considering the evidence, Cook Islands leaders identified a need for increased community awareness of the importance of early-life nutrition. Using a community-based participatory research approach, this study aimed to engage Cook Islands community representatives in the co-construction of a contextually relevant early-life nutrition resource. A booklet distributed to mothers in Australia and New Zealand was used as a starting point. Ten semi-structured focus groups (n = 60) explored views regarding the existing resource and options for contextual adaptation. Three core themes were identified: knowledge of the importance of early-life nutrition, recognition of the need for an early-life nutrition resource and the importance of resources being context specific. A draft booklet was created based on these discussions. Participants were invited to give feedback via a second round of focus groups. This confirmed that the voice of the community was represented in the draft booklet. Suggestions for additional material not included in the original resource were also identified. We report on the process and outcomes of the co-construction with community representatives of a resource that has the potential to be used to stimulate community-level discussion about the importance of early-life nutrition. It is crucial that communities have an active voice in research and in making decisions about interventions for their population.

Keywords

DOHaDco-designknowledge translationhealth promotionculture
Type
Original Article
Information
Journal of Developmental Origins of Health and Disease , Volume 11 , Issue 6 , December 2020 , pp. 564 - 572
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Copyright
© Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2020

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