Developing and Piloting the Journey to Native Youth Health Program in Northern Plains Indian Communities

Brown, Blakely; Noonan, Curtis W.; Harris, Kari Jo; Parker, Martin; Gaskill, Steven E.; Ricci, Christiana L.; Cobbs, Georgia; Gress, Shannon

doi:10.1177/0145721712465343

Cited by 41 publications

(86 citation statements)

References 31 publications

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“…21,23,24,28,30,32 Eight interventions (40%) worked with more than one tribal community (e.g., Pathways 33 worked with seven American Indian tribes residing in Arizona, New Mexico and South Dakota). 23,24,27,29–31,33,34 Only four interventions had a sample size or recruitment goal greater than 500 participants. 22,25,29,30 …”

Section: Resultsmentioning

confidence: 99%

Promoting Physical Activity Among Native American Youth: a Systematic Review of the Methodology and Current Evidence of Physical Activity Interventions and Community-wide Initiatives

Fleischhacker

Roberts

Camplain

et al. 2015

J. Racial and Ethnic Health Disparities

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Promoting physical activity using environmental, policy, and systems approaches could potentially address persistent health disparities faced by American Indian and Alaska Native children and adolescents. To address research gaps and help inform tribally-led community changes that promote physical activity, this review examined the methodology and current evidence of physical activity interventions and community-wide initiatives among Native youth. A keyword guided search was conducted in multiple databases to identify peer-reviewed research articles that reported on physical activity among Native youth. Ultimately, 20 unique interventions (described in 76 articles) and 13 unique community-wide initiatives (described in 16 articles) met the study criteria. Four interventions noted positive changes in knowledge and attitude relating to physical activity but none of the interventions examined reported statistically significant improvements on weight-related outcomes. Only six interventions reported implementing environmental, policy, and system approaches relating to promoting physical activity and generally only shared anecdotal information about the approaches tried. Using community-based participatory research or tribally-driven research models strengthened the tribal-research partnerships and improved the cultural and contextual sensitivity of the intervention or community-wide initiative. Few interventions or community-wide initiatives examined multi-level, multi-sector interventions to promote physical activity among Native youth, families and communities. More research is needed to measure and monitor physical activity within this understudied, high risk group. Future research could also focus on the unique authority and opportunity of tribal leaders and other key stakeholders to use environmental, policy, and systems approaches to raise a healthier generation of Native youth.

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Section: Resultsmentioning

confidence: 99%

Promoting Physical Activity Among Native American Youth: a Systematic Review of the Methodology and Current Evidence of Physical Activity Interventions and Community-wide Initiatives

Fleischhacker

Roberts

Camplain

et al. 2015

J. Racial and Ethnic Health Disparities

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show abstract

“…Another CBPR study used a modified DPPLI to target disproportionately high Type 2 diabetes (T2D) rates in an American–Indian population [37,38]. Previously gathered data demonstrated a two- to four-fold increase in obesity rates among American–Indian children in the Northern Plains region of the USA when compared with the national average [39].…”

Section: Cbpr In Diabetes and Obesitymentioning

confidence: 99%

“…In our review, the majority of the work indicated at least partially positive results or outcomes. Brown et al, however, did indicate that there was no overall change in BMI in their study, possibly due to the short intervention time [37]. …”

Section: Cbpr Challengesmentioning

confidence: 99%

Use of community-based participatory research in primary care to improve healthcare outcomes and disparities in care

Tapp

White

Steuerwald

et al. 2013

J. Compar. Effect. Res.

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Community-based participatory research (CBPR) has emerged to bridge the gap between research and primary-care practice through community engagement and social action to increase health equity. It is widely acknowledged that access to high-quality primary care services is important to the overall health of a community. Here, CBPR studies in a primary care setting are reviewed to assess the use of CBPR associated with common health problems seen in primary care such as access to care and disparities in chronic disease management across vulnerable populations. CBPR involves building relationships with local communities, determining areas of need and establishing priorities for health concerns. Studies showing improved access to care for a Hispanic population, reduced asthma symptoms and weight loss are highlighted.

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“…It has been reported that 57% of Native Americans (5-19 years of age) are overweight or obese, 30% are pre-hypertensive or hypertensive and 62% reported having a relative with diabetes [16]. The Mohawks of Kahnawake have previously been described as having both a high incidence of T2D and high rates of complications associated with this disease [17].…”

Section: Problem/issuementioning

confidence: 99%

Community Based Early Intervention for the Prevention of Type 2 Diabetes: A Case Report of the Kahnawake Schools Diabetes Prevention Project

Quarrell¹

2013

J Diabetes Metab

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Type 2 diabetes (T2D) is a chronic metabolic disorder that is predominately associated with lifestyle changes including reduced physical activity, poor nutrition and obesity. Despite major medical advances in the treatment of T2D, its prevalence is still increasing at an alarming rate. Accordingly, better management and prevention strategies are urgently needed to prevent the development and progression of this disease. In the last decade there have been considerable efforts to improve public health through alternative research paradigms. Community-Based Participatory Research (CBPR) is one such process by which researchers form an equal and transparent partnership with the community with the final goal of creating empowerment and societal change to facilitate action and provide solutions to promote health and well-being. One CBPR program, the Kahnawake Schools Diabetes Prevention Project (KSDPP), was initiated to promote increased physical activity and healthier eating habits among school children based on the Mohawk's "Living in Balance" philosophy. Utilizing CBPR principles, KSDPP engaged researchers and the community in all stages of the research processes. This project was community driven from the beginning and was independent of any external institutional change agent to facilitate community action and the implementation of strategies to find solutions. Although the project has been instrumental in community empowerment and societal change, several challenges remain. Accordingly, understanding the unique social, environmental and historical context that shapes lifestyle and risk factors for T2D in Native populations will help to understand the unique nature of this disease in these groups.

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Developing and Piloting the Journey to Native Youth Health Program in Northern Plains Indian Communities

Abstract: Results suggest the Journey DPP is feasible to implement and has the potential to impact behaviors and weight gain associated with risk for type-2 diabetes in Native American youth.

Cited by 41 publications

References 31 publications

Promoting Physical Activity Among Native American Youth: a Systematic Review of the Methodology and Current Evidence of Physical Activity Interventions and Community-wide Initiatives

Promoting Physical Activity Among Native American Youth: a Systematic Review of the Methodology and Current Evidence of Physical Activity Interventions and Community-wide Initiatives

Use of community-based participatory research in primary care to improve healthcare outcomes and disparities in care

Community Based Early Intervention for the Prevention of Type 2 Diabetes: A Case Report of the Kahnawake Schools Diabetes Prevention Project

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