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Native American Early Adolescents Response to a Cultural-Based Prevention for Obesity
Title
Native American Early Adolescents Response to a Cultural-Based Prevention for Obesity.
Creator
Kelley, Melessa N., Lowe, John, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Over the past 30 years, obesity has increased rapidly as an epidemic and major public health concern in the United Stated, particularly among Native American children and adolescents. Native American adolescents have the highest prevalence rates of obesity of all ethnic groups in the United States. Although there has been an increasing effort to develop and evaluate obesity prevention programs for children and adolescents, very little attention has been devoted to understanding culturally...
Show moreOver the past 30 years, obesity has increased rapidly as an epidemic and major public health concern in the United Stated, particularly among Native American children and adolescents. Native American adolescents have the highest prevalence rates of obesity of all ethnic groups in the United States. Although there has been an increasing effort to develop and evaluate obesity prevention programs for children and adolescents, very little attention has been devoted to understanding culturally effective approaches for ethnic populations. There is a significant gap in the research literature regarding effective obesity intervention and prevention studies for Native American children and adolescents. The purpose of this study was to explore the impact of a culturally based talking circle approach, KCTC-O, for the prevention of obesity among early adolescent Native American (Keetoowah-Cherokee) and to examine the relationships between Cherokee self-reliance; perceived stress levels; and obesity knowledge, attitudes, and behavior. A 7-week intervention in which a 2-condition quasi-experimental design was implemented to compare the KCTC-O experimental condition with a standard school health education (SE) control condition on three outcome variables (Cherokee self-reliance; perceived stress levels; and obesity knowledge, attitudes, and behavior at pre- and post-intervention. A total sample of 100 participants were recruited for this study, 50 participants per condition. The participants were distributed almost evenly in terms of gender: 55 females compared to 45 males for both groups combined. Participants ranged in ages from 10 to 13, with a mean age of 11.5 years of age, and ranged in grades from 4 through 7, with Grade 6 being the most frequently reported grade in school. The results of this study revealed the effectiveness of the KCTC-O condition was not significantly greater than the SE condition. However, although not statistically significant, the results of this study provided some evidence that a culturally based intervention was slightly more effective for the prevention of obesity than a non-culturally based intervention for Native American early adolescents. This study helps to validate the need for more robust obesity prevention programs from a cultural perspective among Native American early adolescents.
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Date Issued
2016
PURL
http://purl.flvc.org/fau/fd/FA00004685, http://purl.flvc.org/fau/fd/FA00004685
Subject Headings
Community based social services, Health behavior in adolescence, Indians of North America -- Health, Indians of North America -- Psychology, Obesity in adolescence -- Prevention
Format
Document (PDF)
GIving voice to historical trauma through storytelling
Title
GIving voice to historical trauma through storytelling: the impact of boarding school experience on American Indians.
Creator
Charbonneau-Dahlen, Barbara K., Christine E. Lynn College of Nursing
Abstract/Description
Objectives: This study documented events contributing to historical trauma among American Indian mission boarding school survivors, described residual effects of that trauma, and verified the Dream Catcher-Medicine Wheel model as a culturally appropriate tool that enhanced storytelling. Research Design and Methods: Nine women from two Upper Plains tribes were located through snowball sampling and participant referrals. A descriptive exploratory qualitative approach facilitated them in...
Show moreObjectives: This study documented events contributing to historical trauma among American Indian mission boarding school survivors, described residual effects of that trauma, and verified the Dream Catcher-Medicine Wheel model as a culturally appropriate tool that enhanced storytelling. Research Design and Methods: Nine women from two Upper Plains tribes were located through snowball sampling and participant referrals. A descriptive exploratory qualitative approach facilitated them in relating their survival stories. Seven were tape-recorded and two were hand-written on the Dream Catcher-Medicine Wheel, a model specifically designed for this study; this, combined with traditional spiritual grounding ceremonies, enhanced perspective for researcher and participants alike. Data Analysis: Liehr and Smith's (2008) Story Theory guided the methodology in the data gathering and analysis process using the Dream Catcher-Medicine Wheel combined with taped and written storytelling sessions. Major themes were categorized and supported with interview quotes through inductive analysis of the two research questions: What were the health challenges faced by survivors of American Indian mission boarding schools over time?, and, How have American Indian mission boarding school survivors resolved the health challenges they have faced over time? The first theme, subdivided into Breaking and Silencing of Spirit, examined physical, mental, and sexual abuse. The second theme, Survival of Spirit, examined relationships/parenting, coping/substance abuse, and spirituality. Findings: The seven dimensions described in Lowe and Struthers' (2001) Nursing in Native American Culture Conceptual Framework provided the value structure used for interpretation of findings. Implications for practice and research were related to the seven dimensions as culturally appropriate parameters for nursing., Data analysis identified disturbing themes; unanticipated candor emerged, possibly owing to the fact that the researcher is a historical trauma survivor. Despite having survived historical trauma through the survival of the spirit, each participant struggles to resolve health challenges to this day. Unable to voice mission boarding school experiences for most of their adult lives, each affirmed the rediscovery of Native spirituality empowering; all expressed appreciation for traditional methods woven into storytelling sessions, particularly the Dream Catcher-Medicine Wheel, and all indicated they experienced release and healing through telling their stories. Key words: American Indian; historical trauma; nursing; boarding school; Dream Catcher-Medicine Wheel.
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Date Issued
2010
PURL
http://purl.flvc.org/FAU/2975245
Subject Headings
Psychic trauma in children, Treatment, Resilience (Personality trait), Identity (Psychology), Indians of North America, Cultural assimilation, Indians of North America, Social conditions, Indians of North America, Medical care, Boarding schools, History, Narrative therapy, Interpersonal relations in children, Psychological aspects
Format
Document (PDF)