Obesity and Adaptive Strategies among American Indians Living off Reservation uses the CDCs Social Ecological Model (SEM) as well as resilience and Rapid Assessment, Response and Evaluation (RARE) approaches to investigate lifestyle changes and obesity related to physician-patient communication among American Indians living off reservation. Strategies will be designed at the community and policy levels and will inform the activities of CAIR, a local wellness policy coalition and community stakeholders. Partnerships include three agencies that serve American Indians: a CHC, an urban Indian health care center, and a hospital affiliated obesity clinic for children.
Aims i nclude: 1) Identify current knowledge, attitudes, beliefs, and behaviors among American Indians related to increased fitness and demonstrated resilience through lifestyle changes 2) Assess patient ~provider communication about overweight and obesity 3) Develop evidence-based, culturally appropriate strategies to promote healthy lifestyles and 4) Make policy and procedural recommendations. Rapid assessment will be used to conduct qualitative and quantitative research in homes and clinical settings regarding obesity diagnoses and health-seeking behaviors. Participants will include health care providers, and individuals and children (and caregivers) who have shown a marked improvement in blood pressure, A1C and/or BMI over the past two years. RARE will include the training and employment of Community Ethnographers on methods and analysis and data collection. Methods will include a combination of interviews, surveys, focus groups, and observations. At the conclusion of research and analysis Community Ethnographers will develop a set of evidence-based strategies in keeping with RARE methodology. At the conclusion of research and analysis Community Ethnographers will develop a set of evidence-based strategies in keeping with RARE methodology. Strategies will inform policy and procedural recommendations to the Center for American Indian Resilience (CAIR) Community Advisory Board, partner agencies, and American Indian people working to adopt healthy lifestyles.
While obesity are stabilizing across the United States, the American Indian population continues to experience escalating obesity and co-morbid conditions. Given the serious long term health impact of obesity, this project will provide important multilevel strategies based on resliance to address this health condition and inform providers of more successful ways of communicating with American Indians.
|Hardy, Lisa J; Hughes, Amy; Hulen, Elizabeth et al. (2016) Hiring the experts: best practices for community-engaged research. Qual Res 16:592-600|
|Henson, Michele; Sabo, Samantha; Trujillo, Aurora et al. (2016) Identifying Protective Factors to Promote Health in American Indian and Alaska Native Adolescents: A Literature Review. J Prim Prev :|
|Hardy, Lisa J; Hughes, Amy; Hulen, Elizabeth et al. (2016) Implementing Qualitative Data Management Plans to Ensure Ethical Standards in Multi-Partner Centers. J Empir Res Hum Res Ethics 11:191-8|
|Chico-Jarillo, Tara M; Crozier, Athena; Teufel-Shone, Nicolette I et al. (2016) A Brief Evaluation of a Project to Engage American Indian Young People as Agents of Change in Health Promotion Through Radio Programming, Arizona, 2009-2013. Prev Chronic Dis 13:E23|
|(2016) Anthropologists address health equity: recognizing barriers to care. Pract Anthropol 38:15-17|
|Whitewater, Shannon; Reinschmidt, Kerstin M; Kahn, Carmella et al. (2016) Flexible Roles for American Indian Elders in Community-Based Participatory Research. Prev Chronic Dis 13:E72|
|Trotter 2nd, Robert T; Laurila, Kelly; Alberts, David et al. (2015) A diagnostic evaluation model for complex research partnerships with community engagement: the partnership for Native American Cancer Prevention (NACP) model. Eval Program Plann 48:10-20|
|Hardy, Lisa; Figueroa, Alejandra; Hughes, Amy et al. (2014) Toolkit for Community-engaged Wellness Mapping. CES4healthinfo 2014:W5CFPHW8|