Co-design of school-based strategies and supports for Aboriginal and Torres Strait Islander youth living with type 2 diabetes: A qualitative study
Objective: Youth-onset type 2 diabetes is an emerging condition impacting Indigenous populations worldwide. Schools have an important role in supporting students to manage their health. Methods: We undertook a qualitative study to (i) explore the lived experience of type 2 diabetes, diabetes managem...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | Australian and New Zealand Journal of Public Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1326020025000469 |
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| author | Stefanie Puszka Angela Titmuss Emma Weaver Natasha Freeman Marylin Carino Jade Morris Peggy Tom Shiree Mack Sumaria Corpus Deanne Minniecon Peter Azzopardi James Dowler Louise Maple-Brown Renae Kirkham |
| author_facet | Stefanie Puszka Angela Titmuss Emma Weaver Natasha Freeman Marylin Carino Jade Morris Peggy Tom Shiree Mack Sumaria Corpus Deanne Minniecon Peter Azzopardi James Dowler Louise Maple-Brown Renae Kirkham |
| author_sort | Stefanie Puszka |
| collection | DOAJ |
| description | Objective: Youth-onset type 2 diabetes is an emerging condition impacting Indigenous populations worldwide. Schools have an important role in supporting students to manage their health. Methods: We undertook a qualitative study to (i) explore the lived experience of type 2 diabetes, diabetes management and support in school environments and (ii) co-design recommendations for age-appropriate, culturally safe school-based strategies and supports. Interviews and focus groups were undertaken with Aboriginal and Torres Strait Islander youth, caregivers, health professionals and school-based staff. Aboriginal and Torres Strait Islander youth were involved in determining the research topic. Results: We found a need for school-based measures to address diabetes stigma, medication management, privacy and confidentiality, healthy eating and social and emotional wellbeing and identified further needs for staff training. Conclusions: In many cases, schools are providing extensive support to students, but without adequate resources, supportive systems and policies or staff training, current approaches are insufficient. Implications for public health: Recommendations include whole-of-school responses to address diabetes stigma and to generate sensitive approaches to nutrition, school-based management plans for students with T2D and adoption of Aboriginal and Torres Strait Islander-driven approaches. |
| format | Article |
| id | doaj-art-2a91edc4d2ef4579bd42fb1972c58eb2 |
| institution | Kabale University |
| issn | 1326-0200 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj-art-2a91edc4d2ef4579bd42fb1972c58eb22025-08-20T05:04:49ZengElsevierAustralian and New Zealand Journal of Public Health1326-02002025-08-0149410026510.1016/j.anzjph.2025.100265Co-design of school-based strategies and supports for Aboriginal and Torres Strait Islander youth living with type 2 diabetes: A qualitative studyStefanie Puszka0Angela Titmuss1Emma Weaver2Natasha Freeman3Marylin Carino4Jade Morris5Peggy Tom6Shiree Mack7Sumaria Corpus8Deanne Minniecon9Peter Azzopardi10James Dowler11Louise Maple-Brown12Renae Kirkham13Menzies School of Health Research, Charles Darwin University, Casuarina, NT, Australia; School of Medicine and Psychology, College of Science and Medicine, The Australian National University, Canberra, ACT, Australia; Correspondence to: Stefanie Puszka, The Australian National University Canberra ACT 2600 AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, NT, Australia; Department of Paediatrics, Division of Women, Children and Youth, Royal Darwin Hospital, Casuarina, NT, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, NT, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, NT, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, NT, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, NT, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, NT, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, NT, AustraliaDepartment of Endocrinology, Division of Medicine, Royal Darwin and Palmerston Hospitals, NT, AustraliaDiabetes Australia, Canberra, ACT, AustraliaAdolescent Health and Wellbeing Program, Telethon Kids Institute, Adelaide, SA, Australia; Centre for Adolescent Health, Murdoch Children’s Research Institute, Royal Children's Hospital, Parkville, VIC, AustraliaDepartment of Paediatrics, Alice Springs Hospital, Alice Springs, NT, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, NT, Australia; Department of Endocrinology, Division of Medicine, Royal Darwin and Palmerston Hospitals, NT, AustraliaMenzies School of Health Research, Charles Darwin University, Casuarina, NT, AustraliaObjective: Youth-onset type 2 diabetes is an emerging condition impacting Indigenous populations worldwide. Schools have an important role in supporting students to manage their health. Methods: We undertook a qualitative study to (i) explore the lived experience of type 2 diabetes, diabetes management and support in school environments and (ii) co-design recommendations for age-appropriate, culturally safe school-based strategies and supports. Interviews and focus groups were undertaken with Aboriginal and Torres Strait Islander youth, caregivers, health professionals and school-based staff. Aboriginal and Torres Strait Islander youth were involved in determining the research topic. Results: We found a need for school-based measures to address diabetes stigma, medication management, privacy and confidentiality, healthy eating and social and emotional wellbeing and identified further needs for staff training. Conclusions: In many cases, schools are providing extensive support to students, but without adequate resources, supportive systems and policies or staff training, current approaches are insufficient. Implications for public health: Recommendations include whole-of-school responses to address diabetes stigma and to generate sensitive approaches to nutrition, school-based management plans for students with T2D and adoption of Aboriginal and Torres Strait Islander-driven approaches.http://www.sciencedirect.com/science/article/pii/S1326020025000469youthschoolstype 2 diabetesstigmaAboriginal and Torres Strait Islander peoplesco-design |
| spellingShingle | Stefanie Puszka Angela Titmuss Emma Weaver Natasha Freeman Marylin Carino Jade Morris Peggy Tom Shiree Mack Sumaria Corpus Deanne Minniecon Peter Azzopardi James Dowler Louise Maple-Brown Renae Kirkham Co-design of school-based strategies and supports for Aboriginal and Torres Strait Islander youth living with type 2 diabetes: A qualitative study Australian and New Zealand Journal of Public Health youth schools type 2 diabetes stigma Aboriginal and Torres Strait Islander peoples co-design |
| title | Co-design of school-based strategies and supports for Aboriginal and Torres Strait Islander youth living with type 2 diabetes: A qualitative study |
| title_full | Co-design of school-based strategies and supports for Aboriginal and Torres Strait Islander youth living with type 2 diabetes: A qualitative study |
| title_fullStr | Co-design of school-based strategies and supports for Aboriginal and Torres Strait Islander youth living with type 2 diabetes: A qualitative study |
| title_full_unstemmed | Co-design of school-based strategies and supports for Aboriginal and Torres Strait Islander youth living with type 2 diabetes: A qualitative study |
| title_short | Co-design of school-based strategies and supports for Aboriginal and Torres Strait Islander youth living with type 2 diabetes: A qualitative study |
| title_sort | co design of school based strategies and supports for aboriginal and torres strait islander youth living with type 2 diabetes a qualitative study |
| topic | youth schools type 2 diabetes stigma Aboriginal and Torres Strait Islander peoples co-design |
| url | http://www.sciencedirect.com/science/article/pii/S1326020025000469 |
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