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Type 2 diabetes mellitus has emerged as a major public health problem in Canada. Although the prevalence of Type 2 diabetes among black people is higher than that of white people in Canada, there is no diabetes prevention programme specifically designed to address the behavioural and sociocultural influences on the development of the disease in the black communities. This paper discusses a proposed conceptual framework for the development and evaluation of a diabetes prevention programme that is culturally relevant and responsive to the black communities in Canada. The research literature and results of a recent pilot study that assessed the programming needs of four black communities provide the basis upon which the proposed framework is developed.

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