Relatively few health education interventions directed at preventive health behaviors and management of chronic illness among Native Americans have been reported in the literature. This article provides a selective review of health education interventions among Native Americans that address the prevention and management of chronic illnesses/conditions as well as preventive health behaviors. For each intervention included in the review, a description of its cultural relevance, sample, design, and evaluation is provided. Limitations are noted, as well as implications for research and practice.
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References
1.
Dinges NG, Joos SK: Stress, coping, and health: Models of interaction for Indian and Native populations . Am Indian Alaska Native Mental Health Res1:8-64, 1988.
2.
Johnson AE, Taylor AK: Prevalence of Chronic Diseases: A Summary of Data from the Survey of American Indians and Alaska Natives (AHCPR Pub. No. 91-0031. National Medical Expenditure Survey Data Summary 3, Agency for Health Care Policy and Research. Rockville, MD: Public Health Service, July 1991.
3.
Tom-Orme L.: Chronic disease and the social matrix: A Native American diabetes intervention . Recent Adv Nurs22:89-109, 1988.
4.
Leonard B., Leonard C., Wilson R.: Zuni Diabetes Project. Public Health Rep101:282-288, 1986.
5.
Heath GW, Leonard BE, Wilson RH, Kendrick JS, Powell KE: Community-based exercise intervention: Zuni Diabetes Project. Diabetes Care10:579-583, 1987.
6.
Leonard BE, Wilson RH, Gohdes D., Hull HF: Community-based exercise intervention -The Zuni Diabetes Project. MMWR36:661-664,1987.
7.
Heath GW, Wilson RH, Smith J., Leonard BE: Community-based exercise and weight control: Diabetes risk reduction and glycemic control in Zuni Indians. Am J Clin Nutr53:1642S-1646S,1991.
8.
Wilson R., Smith J., Marfin AM, Helgerson S.: A low-cost competitive approach to weight reduction in a Native American community . Int J Obes13:731-738, 1989.
9.
Hagey R.: The Native Diabetes Program: Rhetorical process and praxis. Med Anthropol12:7-33, 1989.
10.
Stegmayer P. , Lovrien FC, Smith M., Keller T., Gohdes DM: Designing a diabetes nutrition education program for a Native American community. Diabetes Educ14:64-66, 1988.
11.
Newman WP, Hollevoet JJ, Frohlich KL: The Diabetes Project at Fort Totten, North Dakota, 1984-1988. Diabetes Care16:361-363, 1993.
12.
Harris MB , Davis SM, Ford VL, Tso H.: The Checkerboard Cardiovascular Curriculum: A culturally oriented program . J School Health58:104-107, 1988.
13.
Indian Health Service: Trends in Indian Health, 1991. Rockville, MD: US Department of Health and Human Services, 1991.
14.
Beauvais F. , Oetting ER, Edwards RW: Trends in drug use of Indian adolescents living on reservations: 1975-1983 . Am J Drug Alcohol Abuse11:209-229, 1985.
15.
Beauvais F. , LaBoueff S: Drug and alcohol abuse intervention in American Indian communities . Int J Addict20:139-171, 1985.
16.
Beauvais F. , Oetting ER, Wolf W., Edwards RW: American Indian youth and drugs, 1976-87: A continuing problem. Am J Public Health79:634-636, 1989.
17.
Carpenter RA , Lyons CA, Miller WR: Peer-managed self-control program for prevention of alcohol abuse in American Indian high school students: A pilot evaluation study. Int J Addict20:299-310, 1985.
18.
Gilchrist LD , Schinke SP, Trimble JE, Cvetkovich GT: Skills enhancement to prevent substance abuse among American Indian adolescents. Int J Addict22:869-879, 1987.
19.
Bobo JK, Gilchrist LD, Cvetkovich GT, Trimble JE, Schinke SP: Cross-cultural service delivery to minority communities. J Community Psychol16:263-272, 1988.
20.
Schinke SP, Botvin GJ, Trimble JE, Orlandi MA, Gilchrist LD, Locklear VS: Preventing substance abuse among American-Indian adolescents: A bicultural competence skills approach. J Counseling Psychol35:87-90, 1988.
21.
Schinke SP, Schilling RF, Gilchrist LD: Prevention of drug and alcohol abuse in American Indian youths. Soc Work Res Abstr22:18-19, 1986.
22.
Schinke SP, Bebel MY, Orlandi MA, Botvin GJ: Prevention strategies for vulnerable pupils: School social work practices to prevent substance abuse. Urban Educ22: 510-519, 1988.
23.
Parker L.: The missing component in substance abuse prevention efforts: A Native American example. Cont Drug Probl17:251-270, 1990.
24.
Parker L., Jamous M., Marek R., Camacho C.: Traditions and innovations: A community-based approach to substance abuse prevention. Rhode Island Med J74:281-286, 1991.
25.
May PA, Hymbaugh KJ, Aase JM, Samet JM: Epidemiology of fetal alcohol syndrome among American Indians of the Southwest . Soc Biol30:374-387, 1983.
26.
May PA, Hymbaugh KJ: A macro-level fetal alcohol syndrome prevention program for Native Americans and Alaska Natives: Description and evaluation. J Stud Alcohol50:508-518, 1989.
27.
Miller BF , Keane CB: Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health (2nd ed.). Philadelphia, PA : W.B. Saunders Company, 1978 .
28.
Masis KB, May PA: A comprehensive local program for the prevention of fetal alcohol syndrome . Public Health Rep106:484-489, 1991.
29.
Indian HealthService and Dental Disease Prevention Activity, CDC: Dental caries in American Indian and Alaskan Native children. MMWR34:400-401, 1985.
30.
Kelly M., Bruerd B.: The prevalence of baby bottle tooth decay among two Native American populations . J Public Health Dent47:94-97, 1987.
31.
Broderick E. , Mabry J., Robertson D., Thompson J.: Baby bottle tooth decay in Native American children in Head Start centers. Public Health Rep104:50-54, 1989.
32.
Barnes GP, Parker WA, Lyon TC, Drum MA, Coleman GC: Ethnicity, location, age, and fluoridation factors in baby bottle tooth decay and caries prevalence of Head Start children. Public Health Rep107:167-173, 1992.
Bruerd B., Kinney MB, Bothwell E.: Preventing baby bottle tooth decay in American Indian and Alaska Native communities: A model for planning. Public Health Rep104:631-640, 1989.
35.
Glor ED: Impacts of a prenatal program for Native women. Can J Public Health78:249-254, 1987.
36.
Mayfield MI , Davies G.: An early intervention program for Native Indian infants and their families . Can J Public Health75:450-453, 1984.
37.
Schurman M. : Community teamwork in nutrition education: An example in Canada's North. Hum Nutr Appl Nutr37A:172-179, 1983.
38.
Crown M., Duncan K., Hurrell M., Ootoova R., Tremblay R., Yazdanmehr S.: Making HIV prevention work in the North. Can J Public Health84:S55-S58, 1993.
39.
Davis SM, Hunt K., Kitzes JM: Improving the health of Indian teenagers—A demonstration program in rural New Mexico. Public Health Rep104:271-278, 1989.
40.
Knowler WC, Pettitt DJ, Saad MF, Bennett PH: Diabetes mellitus in the Pima Indians: Incidence, risk factors and pathogenesis . Diabetes Metab Rev6:1-27, 1990.
41.
Rhoades ER, Hammond J., Welty TK, Handles AO, Amler RW: The Indian burden of illness and future health interventions. Public Health Rep102:361-368, 1987.
42.
Baines DR : Issues in cultural sensitivity: Examples from the Indian peoples, in Becker DM, Hill DR, Jackson JS, Levine DM, Stillman FA, Weiss SM (eds.): Health Behavior Research in Minority Populations: Access, Design, and Implementation . Rockville, MD: U.S. Department of Health and Human Services, National Institutes of Health, NIH Publication No. 92-2965, 1992.
43.
U.S. Department of Health and Human Services, Health Resources and Services Administration: Healthy Mothers, Healthy Babies: A Compendium of Program Ideas for Serving Low-Income Women . Washington, DC: USDHHS. January 1986.
44.
Pine CJ: Diabetes and behavior: American Indian issues. Am Indian Alaska Native Mental Health Res1:94-109, 1988.
45.
Jackson MY, Broussard BA: Cultural challenges in nutrition education among American Indians . Diabetes Educ13:47-50, 1987.
46.
Garro LC: Culture and high blood pressure: Understandings of a chronic illness in an Ojibwa community. Arctic Med Res47:70-73, 1988.
47.
Beauvais F. , Trimble JE: The role of the researcher in evaluating American Indian alcohol and other drug abuse prevention programs , in Orlandi MA (ed.): Cultural Competence for Evaluators: A Guide for Alcohol and Other Drug Abuse Prevention Practitioners Working with Ethnic/Racial Communities. Rockville, MD: Office for Substance Abuse Prevention, Alcohol, Drug Abuse, and Mental Health Administration , DHHS Publication No. (ADM) 92-1884, 1992 .
48.
Cleaver VL, Ratcliff R., Rogers B.: Community Health Representatives: A valuable resource for providing coronary heart disease health education activities for Native Americans. Health Educ20:16-20, 31, 1989.
49.
Edwards ED, Edwards ME: Alcoholism prevention/treatment and Native American youth: A community approach . J Drug Issues18:103-114, 1988.
50.
Berlin IN: Prevention of adolescent suicide among some Native American tribes . Adolesc Psychiatry12:77-93, 1985.
51.
Lamarine RJ : Alcohol abuse among Native Americans. J Community Health13:143-155, 1988.
52.
Long KA: Suicide intervention and prevention with Indian adolescent populations . Issues Mental Health Nurs8:247-253, 1986.
53.
May PA: Alcohol and drug misuse prevention programs for American Indians: Needs and opportunities. J Stud Alcohol47:187 -195, 1986.
54.
Neligh G.: Secondary and tertiary prevention strategies applied to suicide among American Indians. Am Indian Alaska Native Mental Health Res1:4-18, 1988.
55.
Pedigo J.: Finding the "meaning" of Native American substance abuse: Implications for community prevention. Personnel Guidance J61:273-277, 1983.
56.
Flores PJ : Alcoholism treatment and the relationship of Native American cultural values to recovery. Int J Addict20:1707-1726, 1985/1986.
57.
Basch CE: Focus group interview: An underutilized research technique for improving theory and practice in health education. Health Educ Q14:411-448, 1987.
58.
Davis MZ: Observation in natural settings, in Chenitz WC, Swanson JM (eds.): From Practice to Grounded Theory. Menlo Park, CA : Addison-Wesley, 1986.
59.
Patton MQ: Qualitative Evaluation and Research Methods (2nd ed.). Newbury Park, CA: Sage Publications , 1990.
60.
Spradley JP: The Ethnographic Interview. New York, NY: Holt, Rinehart and Winston, 1979.
61.
Schinke SP, Gilchrist LD, Schilling RF, Walker RD, Locklear VS, Bobo JK, Maxwell JS, Trimble JE, Cvetkovich GT: Preventing substance abuse among American Indian and Alaska Native youth: Research issues and strategies. J Soc Service Res9:53-67, 1986.