A new approach to design and implement a lifestyle intervention programme to prevent type 2 diabetes in New Zealand Maori

Lifestyle programmes provide the greatest opportunity to stem the developing epidemic of type 2 diabetes. This is especially relevant to indigenous people worldwide, and to Maori in New Zealand. The shift from traditional diets and activities to a westernised energy dense diet and a sedentary lifestyle has precipitated the rapid increase in Maori developing type 2 diabetes in New Zealand. Attendance of Maori to mainstream health clinics or programmes has been poor, and a unique approach developed specifically for Maori is required if Maori are going to attend and benefit from lifestyle programmes. We describe the process involved in developing a successful community programme for Maori and outline the novel aspects of the programme which contribute to its acceptability and success in the local community.