Community-Based Participatory Research With Native American Communities: The Chronic Disease Self-Management Program

Jernigan, Valarie Blue Bird

doi:10.1177/1524839909333374

Cited by 50 publications

(55 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Shaw et al discussed health literacy and the need for communities and public health units to understand the socioeconomic and cultural differences of at-risk populations (29). Programs exist that effectively incorporate cultural traditions in public and tribal health services (10,27,29,30). These models can improve the health of tribal communities and their elders.…”

Section: Discussionmentioning

confidence: 99%

Education, Income, and Employment and Prevalence of Chronic Disease Among American Indian/Alaska Native Elders

et al. 2018

View full text Add to dashboard Cite

IntroductionChronic disease studies have omitted analyses of the American Indian/Alaska Native (AI/AN) population, relied on small samples of AI/ANs, or focused on a single disease among AI/ANs. We measured the influence of income, employment status, and education level on the prevalence of chronic disease among 14,632 AI/AN elders from 2011 through 2014.MethodsWe conducted a national survey of AI/AN elders (≥55 y) to identify health and social needs. Using these data, we computed cross-tabulations for each independent variable (annual personal income, employment status, education level), 2 covariates (age, sex), and presence of any chronic disease. We also compared differences in values and used a binary logistic regression model to control for age and sex.ResultsMost AI/AN elders (89.7%) had been diagnosed with at least one chronic disease. AI/AN elders were also more than twice as likely to have diabetes and more likely to have arthritis. AI/AN elders with middle-to-low income levels and who were unemployed were more likely to have a chronic disease than were high-income and employed AI/AN elders.ConclusionAddressing disparities in chronic disease prevalence requires focus on more than access to and cost of health care. Economic development and job creation for all age cohorts in tribal communities may decrease the prevalence of long-term chronic diseases and may improve the financial status of the tribe. An opportunity exists to address health disparities through social and economic equity among tribal populations.

show abstract

Section: Discussionmentioning

confidence: 99%

Education, Income, and Employment and Prevalence of Chronic Disease Among American Indian/Alaska Native Elders

et al. 2018

View full text Add to dashboard Cite

show abstract

“…22,23 The development of partnership processes and study methods were informed by partners' previous CBPR with AIs in Oklahoma and elsewhere. [24][25][26][27] A unique aspect of this partnership was the participation of tribal commerce and marketing divisions, which provide economic and business expertise in creating environmental and policy interventions to promote health.…”

Section: Study Orientation and Partnershipmentioning

confidence: 99%

Social Support and Physical Activity Among American Indians in Oklahoma: Results From a Community‐based Participatory Research Study

Salvatore

Noonan

Williams

et al. 2018

The Journal of Rural Health

Self Cite

View full text Add to dashboard Cite

Purpose Little is known about the contribution of social support to physical activity (PA) behavior among American Indians (AIs). This community‐based participatory research study examined the prevalence of and associations between different types of PA social support and PA among AIs in rural Oklahoma. Methods Our tribal‐academic partnership surveyed AI adults (N = 513) living within the tribal jurisdictional areas of 2 tribal nations. We used the Physical Activity Social Support (PASS) scale to assess 3 types of PA social support and Poisson regression to investigate associations between PASS types and self‐reported PA behavior. Findings Over a third of participants perceived high levels of PA social support from friends (37%), family (35%), and overall (34%), yet only 29% reported regular PA (ie, 150 minutes or more weekly). Participants who exercised with pets/other were significantly more likely to achieve regular PA than those who exercised alone (PR 2.0, 95% CI: 1.4‐2.9). Although not significant, compared with those reporting no/low support, participants with high friend PASS (PR 1.2, 95%: CI 0.9‐1.6), medium family PASS (PR 1.2, 95% CI: 0.9‐1.7), and overall PASS (PR 1.1, 95% CI: 0.8‐1.6) were more likely to report regular PA. Conclusions The majority of participants did not meet current recommendations for PA behavior, which underscores the ongoing need for PA effective interventions among AIs living in rural areas. Results suggest that exercising with pets/other could be an important factor for future intervention. Further research is needed to elucidate determinants of PA and test interventions to increase PA among AIs.

show abstract

“…Concerns persist about whether enduring skepticism and mistrust may partially or substantially explain the low participation rates of people of color in medical research (Corbie-Smith, Thomas, & St. George, 2002; Corbie-Smith, Thomas, Williams, & Moody-Ayers, 1999). Community-based participatory research (CBPR), which involves partnering with the community to identify and address problems regarded as important to its residents, has been shown to be successful in recruiting and retaining minority participants for inclusion in research (Baiardi, Brush, & Lapides, 2010; Berge & Mendenhall, 2009; Israel et al, 2010; Jernigan, 2010; Mendenhall et al, 2010). …”

Section: Introductionmentioning

confidence: 99%

Investigating Health Disparities through Community-Based Participatory Research: Lessons Learned from a Process Evaluation

Bryan

Brye

Hudson

et al. 2014

Social Work in Public Health

View full text Add to dashboard Cite

This article describes one university's efforts to partner with a local agency (the “Coalition”) within a disadvantaged, predominantly African American neighborhood, to assist them with studying their community's health disparities and health care access. The final, mutually agreed-upon plan used a community-based participatory research approach, wherein university researchers prepared neighborhood volunteers and Coalition members to conduct face-to-face interviews with residents about their health and health care access. Subsequently, the Coalition surveyed 138 residents, and the agency now possesses extensive data about the nature and extent of health problems in their community. Lessons learned from these experiences are offered.

show abstract

Community-Based Participatory Research With Native American Communities: The Chronic Disease Self-Management Program

Cited by 50 publications

References 24 publications

Education, Income, and Employment and Prevalence of Chronic Disease Among American Indian/Alaska Native Elders

Education, Income, and Employment and Prevalence of Chronic Disease Among American Indian/Alaska Native Elders

Social Support and Physical Activity Among American Indians in Oklahoma: Results From a Community‐based Participatory Research Study

Investigating Health Disparities through Community-Based Participatory Research: Lessons Learned from a Process Evaluation

Contact Info

Product

Resources

About