Abstract:
OBJECTIVES:The rapid increase in the prevalence of type 2 diabetes (T2D) has created an urgent need to develop new practices to prevent and treat it. One possibility is to provide specialists services to remote areas through videoconferencing (VC). Therefore, the aim was to study the feasibility of short-term group counselling by a clinical nutritionist (4 sessions at 1.5-hour each at 2-week intervals from baseline, and the session 5 at 6 months) performed by videoconferencing (VC). STUDY DESIGN:We recruited 74 subjects at high risk of T2D, and compiled 5 VC groups (each group included 5-9 subjects, total n=33) and 6 face-to-face groups (FF, total n=44). The subjects were also asked to participate in a follow-up visit 15 months after the last counselling session. METHODS:Data were collected by a questionnaire (satisfaction with group counselling via videoconferencing), by theme interviews (experiences on group counselling) and by metabolic measures (laboratory tests). RESULTS:Only one of the 74 subjects dropped out during the first 6 months. The proportion of subjects who had received social support from group peers was higher in the videoconferencing group than in the face-to-face groups (p=0.001). The experiences of group counselling transmitted by videoconferencing were positive. Waist circumference decreased significantly at 0 to 6 months of counselling (p<0.01), and was significantly lower at 21 months than at baseline in FF groups (p=0.015). However, no significant differences were observed in most of the measurements between VC and face-to-face groups. CONCLUSIONS:Short-term group counselling by a clinical nutritionist through videoconferencing is a feasible way and a practical model to provide specialists services to remote areas, and thus can be used as an option to diminish inequality related to restricted health care services in sparsely inhabited areas.
journal_name
Int J Circumpolar Healthjournal_title
International journal of circumpolar healthauthors
Laitinen J,Korkiakangas E,Alahuhta M,Keinänen-Kiukaanniemi S,Rajala U,Timonen O,Jokelainen T,Keränen AM,Remes J,Ruokonen A,Hedberg P,Taanila A,Husman P,Olkkonen Sdoi
10.3402/ijch.v69i5.17688subject
Has Abstractpub_date
2010-12-01 00:00:00pages
500-11issue
5eissn
1239-9736issn
2242-3982pii
1052journal_volume
69pub_type
杂志文章abstract::Arctic peoples are spread over eight countries and comprise 3.74 million residents, of whom 9% are indigenous. The Arctic countries include Canada, Finland, Greenland (Denmark), Iceland, Norway, Russia, Sweden and the United States. Although Arctic peoples are very diverse, there are a variety of environmental and hea...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v65i1.17889
更新日期:2006-02-01 00:00:00
abstract::Human health is now a critical component of the Arctic Council's sustainable development program. The newly formed Arctic Human Health Expert Group (AHHEG), a subsidiary body of experts within the Sustainable Development Working Group (SDWG), will focus on identifying human health priorities that will improve the heal...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v69i3.17622
更新日期:2010-06-01 00:00:00
abstract::Subsistence food preparations may lead to human illnesses caused by pathogenic bacteria and viruses. Little is known about the incidence of food-borne illnesses other than botulism in circumpolar indigenous populations. Lack of documentation for other pathogens may be related to the sparsely populated communities invo...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,评审
doi:
更新日期:1998-01-01 00:00:00
abstract::The study was aimed at ascertaining the prevalence of diffuse liver lesions and associated factors in the general population of Novosibirsk, Western Siberia. A representative sample of 362 men and 870 women aged 25-64 years was investigated using ultrasound examination and blood tests for liver-derived enzymes (AST, A...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
abstract::Despite extensive investigations, some patients have no identifiable cause for their cholestatic liver enzyme abnormalities. The aim of this study was to document the clinical, laboratory, radiologic and histologic features of adult patients with idiopathic cholestasis (AIC). A computerised database of referred patien...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2017.1388104
更新日期:2017-01-01 00:00:00
abstract::A prevalence study methodology developed for use in rural and frontier settings is described. The general method was developed over a 15 year period and has been successfully adapted and used in studies of 14 different childhood onset developmental disorders. Subjects were the 168,000 school aged children from North D...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVES:Aboriginal communities have a high prevalence of diabetes and heart disease, and limited resources to address them. The objective of this study was to test the effectiveness of prioritizing care with audit and feedback on cholesterol management of diabetic patients. STUDY DESIGN:A controlled before-after in...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,随机对照试验
doi:10.3402/ijch.v69i4.17629
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Despite a growing number of studies and reports indicating a very high and increasing prevalence of trauma exposure in Greenlandic adolescents, the knowledge on this subject is still very limited. The purpose of the present study was twofold: To estimate the lifetime prevalence of potentially traumatic event...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,多中心研究
doi:10.3402/ijch.v71i0.18378
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:To determine how residents of the Inuit community of Nain, Nunatsiavut, Canada would like research results disseminated to their community. STUDY DESIGN:Qualitative study using focus groups and key informant interviews. METHODS:As part of a larger study on food safety, one focus group was conducted with hu...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v70i5.17860
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Kivalina is a northwest Alaska barrier island village of 400 people vulnerable to storm surges exacerbated recently by delayed winter sea and shore ice formation. The village has no in-home piped water or sewage; the "washeteria" is the only structure providing public showers, laundry facilities and flush to...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21233
更新日期:2013-08-05 00:00:00
abstract::Recent reports have found a rise in Hepatitis C virus (HCV) infection in reproductive age women in the USA. Surveillance data suggests one group that is at increased risk of HCV infection is the American Indian and Alaska Native population (AI/AN). Using the National Center for Health Statistics (NCHS) birth certifica...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2019.1608139
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVES:To analyze the prevalence of poor oral health and selected determinants in First Nations (FN) and Caucasian samples in Manitoba, Canada. STUDY DESIGN:Cross-sectional survey, nested in a cohort study. METHODS:FN and Caucasian participants completed a questionnaire on socio-demographic variables, oral health...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.17394
更新日期:2012-03-19 00:00:00
abstract::Diagnostic ultrasound in remote sites is limited by attendant delay in interpretation and reporting. Technology advances were incorporated in an ultrasound program based in Churchill, Manitoba, and designed to meet the needs of the Central Canadian Arctic. Still-frame ultrasound images are digitized via a sonographer'...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:High suicide rates in the Russian North are coupled with high alcohol consumption in the described populations. OBJECTIVE:To investigate the potential role of alcohol consumption on suicides in the Nenets Autonomous Okrug (NAO) in 2002-2012 and to compare this information with corresponding data from the ne...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.30965
更新日期:2016-07-22 00:00:00
abstract:OBJECTIVES:To compare 3 questionnaires used to evaluate early developmental problems, emotional disturbances and competence in 18-month-old infants. STUDY DESIGN:A follow-up study with parents of infants 8 to 36 months of age who responded to a developmental questionnaire. METHODS:Fifty infants (18 months of age) wer...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v68i4.17365
更新日期:2009-09-01 00:00:00
abstract::Reliance on self-reported health status information as a measure of population health can be challenging due to errors associated with participant recall. We sought to determine agreement between self-reported and registry-recorded site-specific cancer diagnoses in a cohort of Alaska Native people. We linked cancer hi...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2019.1571383
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVES:This article is based on a pilot study of Finnmark University College's off-campus bachelor programme (BA) for nurses, organised in rural areas. The objectives were to explore whether these courses had contributed to reduced vacancies; whether the learning outcome of the off-campus courses was the same as th...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.17902
更新日期:2012-03-30 00:00:00
abstract:BACKGROUND:With invasive Haemophilus influenzae serotype b (Hib) disease controlled by vaccination with conjugate Hib vaccines, there is concern that invasive disease due to non-serotype b strains may emerge. OBJECTIVE:This study characterized invasive H. influenzae (Hi) isolates from Nunavut, Canada, in the post-Hib ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.29798
更新日期:2016-01-12 00:00:00
abstract:BACKGROUND:This study was part of the international research project "Circumpolar Indigenous Pathways to Adulthood" (CIPA). OBJECTIVES:To explore ethnic identity negotiation, an unexplored theme, among indigenous North Sami youth living in a majority Sami community context in Arctic Norway. METHODS:A qualitative desi...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2017.1316939
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:To trace the historical development of the Rankin Inlet Birthing Centre since its inception in 1993 in the context of plans to make it the nucleus of a system of community birthing centres throughout Nunavut. STUDY DESIGN:This is an analytical historical study using a combination of oral history interviews,...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v70i2.17803
更新日期:2011-04-01 00:00:00
abstract::Engaging community partners to work as co-researchers and research assistants for research involving Inuit communities or regions helps to ensure the equitable recognition of community and researcher priorities, mutual trust and respect, participation by local participants, inclusion of local knowledge and local uptak...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2018.1425581
更新日期:2018-12-01 00:00:00
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journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v63i0.17766
更新日期:2004-01-01 00:00:00
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journal_title:International journal of circumpolar health
pub_type: 杂志文章,多中心研究
doi:
更新日期:2000-10-01 00:00:00
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journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:2001-11-01 00:00:00
abstract::Thyroid hormones are important for metabolic regulation. A number of studies have dealt with the effect of arctic living on thyroid hormone secretion and metabolism in healthy animals and humans. Little is however known of the effect of arctic living on the occurrence of thyroid diseases. In a study from Upernavik, Gr...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVE:Cochlear implant (CI) treatment was introduced to the world in the 1980s and has become a routine treatment for congenital or acquired severe-to-profound hearing loss. CI treatment requires access to a highly skilled team of ear, nose and throat specialists, audiologists and speech-language pathologists for e...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.20974
更新日期:2013-08-05 00:00:00
abstract:BACKGROUND:The US commercial fishing industry is hazardous, as measured by mortality data. However, research on non-fatal injuries is limited. Non-fatal injuries constitute the majority of occupational injuries and can result in workers' lowered productivity and wages, lost quality of life, and disability. In the Unite...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.30070
更新日期:2016-01-14 00:00:00
abstract::In the first part of the study the prevalence and incidence of diagnosed Type 2 diabetes among adult rural populations of southern, central and northern areas of the Krasnoyarsk region of Siberia is compared. The six-year mean incidence of diabetes in the southern area was 0.86 per 1000 (95% CI: 0.66-1.06), in the cen...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:Serum thyroid hormones, plasma catecholamines and mood were examined in 10 male members of the 16th Chinese Antarctic Expedition who spent the 2000 austral winter at Great Wall Station. STUDY DESIGN:Samples were taken prior to deployment to Antarctica (December, 1999) and upon return to China 54 weeks later...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v62i3.17562
更新日期:2003-09-01 00:00:00
abstract::We examined whether dietary supplementation with seal oil influenced the risk factors of atherosclerosis in healthy volunteers. Two intervention studies were carried out as preliminary steps in a larger project which aim at elucidating the disease preventive potential of seal oil. In study I ten healthy volunteers add...
journal_title:International journal of circumpolar health
pub_type: 临床试验,杂志文章
doi:
更新日期:2001-01-01 00:00:00