Trial and Participant Characteristics of a Home‐Visiting Diabetes Intervention: The Together Overcoming Diabetes Study DOI Creative Commons
Melissa L. Walls, Kelley J. Sittner,

Gabriel Gómez

et al.

Journal of Diabetes Research, Journal Year: 2025, Volume and Issue: 2025(1)

Published: Jan. 1, 2025

Background: American Indians (AIs) endure the most severe health inequities in nation, including disproportionately high rates of Type 2 diabetes (T2D). We describe baseline characteristics for AI participants enrolled a culturally grounded, intergenerational, home-based T2D preventive intervention called Together Overcoming Diabetes (TOD). Methods: This community-based participatory research collaboration between five tribal nations and university-based researchers launched recruitment waitlist randomized control trial (RCT) design 2021. Eligible were adults diagnosed with who self-identified as AI, lived on or near participating reservations, caregivers to youth aged 10-16 years. Participants completed assessments upon enrollment before being group. Results: A total N = 162 individuals (81 81 youth) study. Most adult (Indigenous) sample reported female (77.8%) average 49.5 years old. Average age was 13.2 years, similar representation girls boys. Mean HbA1c (primary outcome trial) 7.93 (SD 1.99) at baseline. Around 19% prediabetes diagnosis. Additional demographic holistic results are presented. Conclusion: study provides comprehensive information about physiological, psychological, behavioral, sociodemographic families Findings suggest that goals improve behaviors like diet physical activity warranted highlight need policy changes address social determinants health. Trial Registration: ClinicalTrials.gov identifier: NCT04734015.

Language: Английский

Intergenerational Impacts of Historical Trauma on Contemporary Depression Symptoms Among Indigenous Communities DOI
Ashley B. Cole, Kelley J. Sittner,

Trisha Bruyere

et al.

Journal of the American Academy of Child & Adolescent Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

Citations

1
Meanings of health and healthcare in a U.S. border region: a culture-centered approach to health disparities DOI Creative Commons
Rebecca de Souza,

Isabel Villegas-Glang,

Bach‐Nga Pham

et al.

Frontiers in Communication, Journal Year: 2025, Volume and Issue: 10

Published: Feb. 7, 2025

Health disparities influence health and health-related outcomes in a multitude of ways, can be attributed to the unequal distribution social, political, economic, environmental resources. This study uses culture-centered approach (CCA) illuminate experiences, meanings, negotiations 15 individuals residing border region southern California. Through qualitative semi-structured interview process, identified four main themes: impact structural deprivation stress on health, barriers U.S. healthcare transborder negotiations, confronting English hegemony interactions, turning traditional medicine when biomedicine is unavailable. The contributes research by providing nuanced exploration how power dynamics systemic inequalities shape experiences cultural communities as they resist, negotiate, adapt inequitable environments. amplifying voices participants, opens alternative pathways for constructing puts forth vision rooted relational anti-capitalist models healthcare.

Language: Английский

Citations

0
History, engagement, and visibility of Indigenous Peoples in urban forest management plans from Canada and the United States DOI Creative Commons
Alexander J.F. Martin,

Edgar Mayhew Bacon,

Niigani Migizikwe

et al.

Environmental Science & Policy, Journal Year: 2025, Volume and Issue: 166, P. 104026 - 104026

Published: March 3, 2025

Language: Английский

Citations

0
Trial and Participant Characteristics of a Home‐Visiting Diabetes Intervention: The Together Overcoming Diabetes Study DOI Creative Commons
Melissa L. Walls, Kelley J. Sittner,

Gabriel Gómez

et al.

Journal of Diabetes Research, Journal Year: 2025, Volume and Issue: 2025(1)

Published: Jan. 1, 2025

Background: American Indians (AIs) endure the most severe health inequities in nation, including disproportionately high rates of Type 2 diabetes (T2D). We describe baseline characteristics for AI participants enrolled a culturally grounded, intergenerational, home-based T2D preventive intervention called Together Overcoming Diabetes (TOD). Methods: This community-based participatory research collaboration between five tribal nations and university-based researchers launched recruitment waitlist randomized control trial (RCT) design 2021. Eligible were adults diagnosed with who self-identified as AI, lived on or near participating reservations, caregivers to youth aged 10-16 years. Participants completed assessments upon enrollment before being group. Results: A total N = 162 individuals (81 81 youth) study. Most adult (Indigenous) sample reported female (77.8%) average 49.5 years old. Average age was 13.2 years, similar representation girls boys. Mean HbA1c (primary outcome trial) 7.93 (SD 1.99) at baseline. Around 19% prediabetes diagnosis. Additional demographic holistic results are presented. Conclusion: study provides comprehensive information about physiological, psychological, behavioral, sociodemographic families Findings suggest that goals improve behaviors like diet physical activity warranted highlight need policy changes address social determinants health. Trial Registration: ClinicalTrials.gov identifier: NCT04734015.

Language: Английский

Citations

0