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Centering the Strengths of American Indian Culture, Families and Communities to Overcome Type 2 Diabetes

Type 2 diabetes (T2D) is a critical Indigenous health inequity rooted in experiences of colonization and marginalization including disproportionate exposure to stressors, disruption of traditional family and food systems, and attacks on cultural practices that have led to more sedentary lifestyles....

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Autores principales: Walls, Melissa, Chambers, Rachel, Begay, Marissa, Masten, Kristin, Aulandez, Kevalin, Richards, Jennifer, Gonzalez, Miigis, Forsberg, Angie, Nelson, Leonela, Larzelere, Francene, McDougall, Cindy, Lhotka, Megan, Grass, Ryan, Kellar, Sidnee, Reid, Raymond, Barlow, Allison
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8966038/
https://www.ncbi.nlm.nih.gov/pubmed/35368509
http://dx.doi.org/10.3389/fpubh.2021.788285
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author Walls, Melissa
Chambers, Rachel
Begay, Marissa
Masten, Kristin
Aulandez, Kevalin
Richards, Jennifer
Gonzalez, Miigis
Forsberg, Angie
Nelson, Leonela
Larzelere, Francene
McDougall, Cindy
Lhotka, Megan
Grass, Ryan
Kellar, Sidnee
Reid, Raymond
Barlow, Allison
author_facet Walls, Melissa
Chambers, Rachel
Begay, Marissa
Masten, Kristin
Aulandez, Kevalin
Richards, Jennifer
Gonzalez, Miigis
Forsberg, Angie
Nelson, Leonela
Larzelere, Francene
McDougall, Cindy
Lhotka, Megan
Grass, Ryan
Kellar, Sidnee
Reid, Raymond
Barlow, Allison
author_sort Walls, Melissa
collection PubMed
description Type 2 diabetes (T2D) is a critical Indigenous health inequity rooted in experiences of colonization and marginalization including disproportionate exposure to stressors, disruption of traditional family and food systems, and attacks on cultural practices that have led to more sedentary lifestyles. Thus, an important step in redressing inequities is building awareness of and interventions attuned to unique Indigenous contexts influencing T2D and Indigenous culture as a pathway to community wellbeing. Using a dynamic, stage-based model of intervention development and evaluation, we detail the creation and evolution of a family-based, culturally centered T2D preventive intervention: Together on Diabetes (later Together Overcoming Diabetes) (TOD). The TOD program was built by and for Indigenous communities via community-based participatory research and has been implemented across diverse cultural contexts. The TOD curriculum approaches health through a holistic lens of spiritual, mental, physical and emotional wellness. Preliminary evidence suggests TOD is effective in reducing diabetes risk factors including lowering BMI and depressive symptoms, and the program is viewed favorably by participants and community members. We discuss lessons learned regarding collaborative intervention development and adaptation across Indigenous cultures, as well as future directions for TOD.
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spelling pubmed-89660382022-03-31 Centering the Strengths of American Indian Culture, Families and Communities to Overcome Type 2 Diabetes Walls, Melissa Chambers, Rachel Begay, Marissa Masten, Kristin Aulandez, Kevalin Richards, Jennifer Gonzalez, Miigis Forsberg, Angie Nelson, Leonela Larzelere, Francene McDougall, Cindy Lhotka, Megan Grass, Ryan Kellar, Sidnee Reid, Raymond Barlow, Allison Front Public Health Public Health Type 2 diabetes (T2D) is a critical Indigenous health inequity rooted in experiences of colonization and marginalization including disproportionate exposure to stressors, disruption of traditional family and food systems, and attacks on cultural practices that have led to more sedentary lifestyles. Thus, an important step in redressing inequities is building awareness of and interventions attuned to unique Indigenous contexts influencing T2D and Indigenous culture as a pathway to community wellbeing. Using a dynamic, stage-based model of intervention development and evaluation, we detail the creation and evolution of a family-based, culturally centered T2D preventive intervention: Together on Diabetes (later Together Overcoming Diabetes) (TOD). The TOD program was built by and for Indigenous communities via community-based participatory research and has been implemented across diverse cultural contexts. The TOD curriculum approaches health through a holistic lens of spiritual, mental, physical and emotional wellness. Preliminary evidence suggests TOD is effective in reducing diabetes risk factors including lowering BMI and depressive symptoms, and the program is viewed favorably by participants and community members. We discuss lessons learned regarding collaborative intervention development and adaptation across Indigenous cultures, as well as future directions for TOD. Frontiers Media S.A. 2022-03-16 /pmc/articles/PMC8966038/ /pubmed/35368509 http://dx.doi.org/10.3389/fpubh.2021.788285 Text en Copyright © 2022 Walls, Chambers, Begay, Masten, Aulandez, Richards, Gonzalez, Forsberg, Nelson, Larzelere, McDougall, Lhotka, Grass, Kellar, Reid and Barlow. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Walls, Melissa
Chambers, Rachel
Begay, Marissa
Masten, Kristin
Aulandez, Kevalin
Richards, Jennifer
Gonzalez, Miigis
Forsberg, Angie
Nelson, Leonela
Larzelere, Francene
McDougall, Cindy
Lhotka, Megan
Grass, Ryan
Kellar, Sidnee
Reid, Raymond
Barlow, Allison
Centering the Strengths of American Indian Culture, Families and Communities to Overcome Type 2 Diabetes
title Centering the Strengths of American Indian Culture, Families and Communities to Overcome Type 2 Diabetes
title_full Centering the Strengths of American Indian Culture, Families and Communities to Overcome Type 2 Diabetes
title_fullStr Centering the Strengths of American Indian Culture, Families and Communities to Overcome Type 2 Diabetes
title_full_unstemmed Centering the Strengths of American Indian Culture, Families and Communities to Overcome Type 2 Diabetes
title_short Centering the Strengths of American Indian Culture, Families and Communities to Overcome Type 2 Diabetes
title_sort centering the strengths of american indian culture, families and communities to overcome type 2 diabetes
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8966038/
https://www.ncbi.nlm.nih.gov/pubmed/35368509
http://dx.doi.org/10.3389/fpubh.2021.788285
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