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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....
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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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. |
format | Online Article Text |
id | pubmed-8966038 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
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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