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Int. J. Environ. Res. Public Health 2019, 16(6), 1063; https://doi.org/10.3390/ijerph16061063

‘It’s Important to Make Changes.’ Insights about Motivators and Enablers of Healthy Lifestyle Modification from Young Aboriginal Men in Western Australia

1
The Rural Clinical School of Western Australia, The University of Western Australia, Broome WA 6725, Australia
2
Derby Aboriginal Health Service, Derby WA 6728, Australia
3
Kimberley Aboriginal Medical Services, Broome WA 6725, Australia
*
Author to whom correspondence should be addressed.
Current institution: North and West Remote Health, Mount Isa QLD 4825, Australia.
Received: 9 February 2019 / Revised: 18 March 2019 / Accepted: 21 March 2019 / Published: 24 March 2019
(This article belongs to the Special Issue Rural and Remote Health)
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PDF [415 KB, uploaded 24 March 2019]
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Abstract

Lifestyle modification can improve the health of people with or at risk of non-communicable diseases; however, initiating and maintaining positive health behaviours including healthy eating and physical activity is challenging. Young remote Aboriginal people who had successfully made significant healthy lifestyle changes were sought out to explore how they achieved this success. Four Aboriginal men aged 20–35 years were identified and consented to participate. Their perceptions of motivation for change, strategies, and facilitators and barriers were explored through in-depth interviews. Themes developed from the interviews included self-efficacy, self-reliance, and increased knowledge and altered health beliefs underpinning change. Participants with diabetes were highly motivated to avoid diabetes complications and had a strong belief that their actions could achieve this. In a setting with high levels of disadvantage, participants had relatively favourable socioeconomic circumstances with solid social supports. These findings highlight that lifestyle modification programs that foster internal motivation, enhance key health knowledge, and modify health beliefs and risk perception are needed. Increasing diabetes awareness among at-risk young people is important, emphasising the largely preventable and potentially reversible nature of the condition. Broad health improvements and individual changes will be facilitated by equitable socioeconomic circumstances and environments that support health. View Full-Text
Keywords: indigenous; type 2 diabetes; prevention; motivation; change; healthy lifestyle; health education; health behaviour; social determinants of health; qualitative research indigenous; type 2 diabetes; prevention; motivation; change; healthy lifestyle; health education; health behaviour; social determinants of health; qualitative research
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Seear, K.H.; Lelievre, M.P.; Atkinson, D.N.; Marley, J.V. ‘It’s Important to Make Changes.’ Insights about Motivators and Enablers of Healthy Lifestyle Modification from Young Aboriginal Men in Western Australia. Int. J. Environ. Res. Public Health 2019, 16, 1063.

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