NAU publications by CHER
Faculty & staff publications
NAU faculty and staff have the opportunity to publish their findings and knowledge as authors. CHER has many researchers that have been cited multiple times in major publications for their great work. The Center for Health Equity Research has accumulated all faculty publications into one, easy to navigate database.
Please type in a key word or author LAST name to search
O’Keefe, Victoria M; Fish, Jillian; Maudrie, Tara L; Hunter, Amanda M; Rakena, Hariata Tai G; Ullrich, Jessica Saniġaq; Clifford, Carrie; Crawford, Allison; Brockie, Teresa; Walls, Melissa; Haroz, Emily E; Cwik, Mary; Whitesell, Nancy Rumbaugh; Barlow, Allison Int. J. Environ. Res. Public Health, 19 (10), pp. 6271, 2022. @article{O’Keefe2022, title = {Centering Indigenous Knowledges and Worldviews: Applying the Indigenist Ecological Systems Model to Youth Mental Health and Wellness Research and Programs}, author = {Victoria M. O’Keefe and Jillian Fish and Tara L. Maudrie and Amanda M. Hunter and Hariata G. Tai Rakena and Jessica Saniġaq Ullrich and Carrie Clifford and Allison Crawford and Teresa Brockie and Melissa Walls and Emily E. Haroz and Mary Cwik and Nancy Rumbaugh Whitesell and Allison Barlow}, url = {https://doi.org/10.3390/ijerph19106271}, doi = {10.3390/ijerph19106271}, year = {2022}, date = {2022-05-21}, journal = {Int. J. Environ. Res. Public Health}, volume = {19}, number = {10}, pages = {6271}, abstract = {Globally, Indigenous communities, leaders, mental health providers, and scholars have called for strengths-based approaches to mental health that align with Indigenous and holistic concepts of health and wellness. We applied the Indigenist Ecological Systems Model to strengths-based case examples of Indigenous youth mental health and wellness work occurring in CANZUS (Canada, Australia, New Zealand, and United States). The case examples include research, community-led programs, and national advocacy. Indigenous youth development and well-being occur through strengths-based relationships across interconnected environmental levels. This approach promotes Indigenous youth and communities considering complete ecologies of Indigenous youth to foster their whole health, including mental health. Future research and programming will benefit from understanding and identifying common, strengths-based solutions beyond narrow intervention targets. This approach not only promotes Indigenous youth health and mental health, but ripples out across the entire ecosystem to promote community well-being.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Globally, Indigenous communities, leaders, mental health providers, and scholars have called for strengths-based approaches to mental health that align with Indigenous and holistic concepts of health and wellness. We applied the Indigenist Ecological Systems Model to strengths-based case examples of Indigenous youth mental health and wellness work occurring in CANZUS (Canada, Australia, New Zealand, and United States). The case examples include research, community-led programs, and national advocacy. Indigenous youth development and well-being occur through strengths-based relationships across interconnected environmental levels. This approach promotes Indigenous youth and communities considering complete ecologies of Indigenous youth to foster their whole health, including mental health. Future research and programming will benefit from understanding and identifying common, strengths-based solutions beyond narrow intervention targets. This approach not only promotes Indigenous youth health and mental health, but ripples out across the entire ecosystem to promote community well-being. |
Dreifuss, Heather M; Belin, Kalvina L; Wilson, Jamie; George, Shawndeena; Waters, Amber-Rose; Bauer, Carmella Kahn 1and Mark B C; Teufel-Shone, Nicolette I Engaging Native American High School Students in Public Health Career Preparation Through the Indigenous Summer Enhancement Program Journal Article Frontiers in Public Heath, 10 , 2022. @article{Dreifuss2022, title = {Engaging Native American High School Students in Public Health Career Preparation Through the Indigenous Summer Enhancement Program}, author = {Heather M Dreifuss and Kalvina L Belin and Jamie Wilson and Shawndeena George and Amber-Rose Waters and Carmella B Kahn 1and Mark C Bauer and Nicolette I Teufel-Shone}, url = {https://pubmed.ncbi.nlm.nih.gov/35273937/10.3389/fpubh.2022.789994}, doi = {10.3389/fpubh.2022.789994}, year = {2022}, date = {2022-02-22}, journal = {Frontiers in Public Heath}, volume = {10}, abstract = {Native American populations are systematically marginalized in the healthcare and public health workforce. One effective approach to reduce health disparities and improve health care delivery among Indigenous populations is to train more Native American health professionals who integrate academic and cultural knowledge to understand and influence health behaviors and perspectives. Diné College partnered with Northern Arizona University to develop the Navajo Native American Research Center for Health (NARCH) Partnership, funded by the National Institutes of Health. The high school component of the Navajo NARCH Partnership created the Indigenous Summer Enhancement Program (ISEP), a 1-week summer training program providing exposure to health careers and mentorship in pursuing public health careers for Native American high school students. ISEP utilizes the Diné Educational Philosophy (DEP), a Navajo conceptual framework to serve as the foundation of the program. In 2020-2021, due to COVID-19 restrictions, the DEP model had to be incorporated in the Navajo NARCH high school virtual program activities. ISEP used 2018 and 2019 past program evaluation data to inform the virtual programming. Students' perception of the program was collected using an online Qualtrics evaluation questionnaire. Students stated appreciation for program staff, fellow students, peer mentors and culturally relevant learning experiences in both virtual and in-person environments. Recommendations included: expanding the length of ISEP and continuing the hands-on activities and Public Health Leadership series}, keywords = {}, pubstate = {published}, tppubtype = {article} } Native American populations are systematically marginalized in the healthcare and public health workforce. One effective approach to reduce health disparities and improve health care delivery among Indigenous populations is to train more Native American health professionals who integrate academic and cultural knowledge to understand and influence health behaviors and perspectives. Diné College partnered with Northern Arizona University to develop the Navajo Native American Research Center for Health (NARCH) Partnership, funded by the National Institutes of Health. The high school component of the Navajo NARCH Partnership created the Indigenous Summer Enhancement Program (ISEP), a 1-week summer training program providing exposure to health careers and mentorship in pursuing public health careers for Native American high school students. ISEP utilizes the Diné Educational Philosophy (DEP), a Navajo conceptual framework to serve as the foundation of the program. In 2020-2021, due to COVID-19 restrictions, the DEP model had to be incorporated in the Navajo NARCH high school virtual program activities. ISEP used 2018 and 2019 past program evaluation data to inform the virtual programming. Students' perception of the program was collected using an online Qualtrics evaluation questionnaire. Students stated appreciation for program staff, fellow students, peer mentors and culturally relevant learning experiences in both virtual and in-person environments. Recommendations included: expanding the length of ISEP and continuing the hands-on activities and Public Health Leadership series |
Tutt, Marissa; Becenti, Lyle; Tallis, Kristen; Teufel-Shone, Nicolette Intertribal Collaboration and Health: A Literature Review Journal Article Turtle Island Journal of Indigenous Health , 1 (2), pp. 116-123, 2021. @article{Tutt2021, title = {Intertribal Collaboration and Health: A Literature Review}, author = {Marissa Tutt and Lyle Becenti and Kristen Tallis and Nicolette Teufel-Shone}, url = {https://jps.library.utoronto.ca/index.php/tijih/issue/view/2514/487}, year = {2021}, date = {2021-11-01}, journal = {Turtle Island Journal of Indigenous Health }, volume = {1}, number = {2}, pages = {116-123}, abstract = {In the United States, American Indians and Alaska Natives (AIAN) are rebuilding their nations through assertion of sovereignty, standards of governance, cultural frameworks, strategic orientation, and effective leadership. The approach emphasizes tribal self-determination in managing nation affairs and reducing reliance on state and federal assistance. Through nation-building, tribal nations can improve their citizens’ health and well-being while empowering local capacity and cultural pride. Intertribal collaboration can be an effective strategy to leverage resources and create a coalition for support and knowledge exchange; however, the research documenting practices, and outcomes of tribal health management that uses intertribal collaboration is limited. This systematic review investigates health-focused collaborations among the tribal nations in North America. Peer-reviewed articles that included at least two federally recognized tribes, de-scribed AIAN driven initiatives, implemented a health management plan, collaborated between Indigenous leaders, and goals of social, behavioral, mental, and physical health outcomes were examined. This search was limited to articles published between January 1, 1970 to November 30, 2019. The PRISMA systematic review process was used. Twenty-seven articles were screened, and three articles were eligible for thematic review. The articles highlighted the importance of utilizing an Indigenous framework to facilitate program management and collaboration, recognition of cultural differences, and sovereignty rights. Characteristics that contributed to the establishment and strengthening of intertribal collaboration were: (1) adapt new proposals, (2) respectful recognition of sovereignty, and (3) transparent and honest communication. The small sample size indicated most Indigenous health programs are not “AIAN-driven”, limiting the foundation for building evidence-based frameworks.}, keywords = {}, pubstate = {published}, tppubtype = {article} } In the United States, American Indians and Alaska Natives (AIAN) are rebuilding their nations through assertion of sovereignty, standards of governance, cultural frameworks, strategic orientation, and effective leadership. The approach emphasizes tribal self-determination in managing nation affairs and reducing reliance on state and federal assistance. Through nation-building, tribal nations can improve their citizens’ health and well-being while empowering local capacity and cultural pride. Intertribal collaboration can be an effective strategy to leverage resources and create a coalition for support and knowledge exchange; however, the research documenting practices, and outcomes of tribal health management that uses intertribal collaboration is limited. This systematic review investigates health-focused collaborations among the tribal nations in North America. Peer-reviewed articles that included at least two federally recognized tribes, de-scribed AIAN driven initiatives, implemented a health management plan, collaborated between Indigenous leaders, and goals of social, behavioral, mental, and physical health outcomes were examined. This search was limited to articles published between January 1, 1970 to November 30, 2019. The PRISMA systematic review process was used. Twenty-seven articles were screened, and three articles were eligible for thematic review. The articles highlighted the importance of utilizing an Indigenous framework to facilitate program management and collaboration, recognition of cultural differences, and sovereignty rights. Characteristics that contributed to the establishment and strengthening of intertribal collaboration were: (1) adapt new proposals, (2) respectful recognition of sovereignty, and (3) transparent and honest communication. The small sample size indicated most Indigenous health programs are not “AIAN-driven”, limiting the foundation for building evidence-based frameworks. |
Horne, Yoshira Ornelas Van; Chief, Karletta; Charley, Perry H; Begay, Mae-Gilene; Bell, Nathan Lothrop 5and Melanie L; Canales, Robert A; Teufel-Shone, Nicolette I; Beamer, Paloma I Impacts to Diné activities with the San Juan River after the Gold King Mine Spill Journal Article J Expo Sci Environ Epidemiol, 31 (5), pp. 852-86, 2021. @article{Horne2021, title = {Impacts to Diné activities with the San Juan River after the Gold King Mine Spill}, author = {Yoshira Ornelas Van Horne and Karletta Chief and Perry H Charley and Mae-Gilene Begay and Nathan Lothrop 5and Melanie L Bell and Robert A Canales and Nicolette I Teufel-Shone and Paloma I Beamer}, url = {https://pubmed.ncbi.nlm.nih.gov/33526814/}, doi = {10.1038/s41370-021-00290-z}, year = {2021}, date = {2021-09-01}, journal = {J Expo Sci Environ Epidemiol}, volume = {31}, number = {5}, pages = {852-86}, abstract = {On August 5th, 2015, 3 million gallons of acid mine drainage was accidentally discharged from the Gold King Mine near Silverton, Colorado into Cement Creek which is a tributary to the Animas and San Juan Rivers. The government-initiated risk assessment only assessed a recreational scenario (i.e. hiker drinking from the river), failing to recognize the deep connection of the Diné (Navajo) with the San Juan River. Utilizing a mixed-methods approach we determined the impacts of the 2015 Gold King Mine Spill (GKMS or Spill) on Diné activities. We developed a questionnaire to collect pre- and post-GKMS Diné activity frequency and duration. Navajo Nation Community Health Representatives administered the questionnaire to 63 Diné adults and 27 children living in three Navajo communities along the River. Through analysis of the focus group transcripts we identified 43 unique activities between the Diné and San Juan River. There were significant reductions in the total number, frequency, and duration of livelihood, dietary, recreational, cultural/spiritual and arts and craft activities. On average, Diné activities with the San Juan River following the GKMS decreased by 56.2%. The significant reduction in activities following the GKMS may lead to long-term trauma, impacting the ability of the Diné to pass down teachings to their children affecting future generations to come. The 43 distinct activities between the Diné and the San Juan River highlight the importance for scientists and disaster responders to consider cultural and spiritual impacts when responding to environmental disasters and conducting risk assessments among Indigenous communities.}, keywords = {}, pubstate = {published}, tppubtype = {article} } On August 5th, 2015, 3 million gallons of acid mine drainage was accidentally discharged from the Gold King Mine near Silverton, Colorado into Cement Creek which is a tributary to the Animas and San Juan Rivers. The government-initiated risk assessment only assessed a recreational scenario (i.e. hiker drinking from the river), failing to recognize the deep connection of the Diné (Navajo) with the San Juan River. Utilizing a mixed-methods approach we determined the impacts of the 2015 Gold King Mine Spill (GKMS or Spill) on Diné activities. We developed a questionnaire to collect pre- and post-GKMS Diné activity frequency and duration. Navajo Nation Community Health Representatives administered the questionnaire to 63 Diné adults and 27 children living in three Navajo communities along the River. Through analysis of the focus group transcripts we identified 43 unique activities between the Diné and San Juan River. There were significant reductions in the total number, frequency, and duration of livelihood, dietary, recreational, cultural/spiritual and arts and craft activities. On average, Diné activities with the San Juan River following the GKMS decreased by 56.2%. The significant reduction in activities following the GKMS may lead to long-term trauma, impacting the ability of the Diné to pass down teachings to their children affecting future generations to come. The 43 distinct activities between the Diné and the San Juan River highlight the importance for scientists and disaster responders to consider cultural and spiritual impacts when responding to environmental disasters and conducting risk assessments among Indigenous communities. |
Teufel-Shone, Nicolette; Gamber, Michelle; Watahomigie, Helen; Siyuja, Jr T J; Crozier, Laurie; Irwin, Sandra L Preventing Chronic Disease, 11 (E166), 2014. @article{Teufel-Shone2014, title = {Using a participatory research approach in a school-based physical activity intervention to prevent diabetes in the Hualapai Indian community, Arizona, 2002-2006}, author = {Nicolette Teufel-Shone and Michelle Gamber and Helen Watahomigie and Jr T. J. Siyuja and Laurie Crozier and Sandra L Irwin}, url = {https://www.ncbi.nlm.nih.gov/pubmed/25254984}, doi = {10.5888/pcd11.130397}, year = {2014}, date = {2014-09-25}, journal = {Preventing Chronic Disease}, volume = {11}, number = {E166}, abstract = {INTRODUCTION: In the United States, type 2 diabetes has reached epidemic proportions among indigenous people. Community-based participatory research offers American Indian communities and university partners an opportunity to integrate skills in community action and systematic inquiry to develop locally acceptable primary prevention interventions to combat diabetes risk factors. The Hualapai Tribe and the University of Arizona designed, implemented, and assessed a school-based physical activity intervention to reduce diabetes risk factors among youth. METHODS: During a 2-year period, trained community members led in-school physical activity classes 2 times per week among students in grades 3 through 8. Body mass index (BMI), fitness measures, and fasting blood glucose level were measured on 6 occasions. Descriptive statistics and t tests were used to assess change in outcome measures. RESULTS: Of the more than 100 youth who took part in the physical activity classes for 2 years, 71 youth (38 male, 33 female) participated in 3 or more data collection sessions. Over time, the percentage of youth with a high fasting blood glucose level of more than 125 mg/dL decreased concurrently with significant improvements in fitness measures. However, BMI increased in both male and female participants. The high number of youth who missed more than 3 data collection sessions was attributed to poor school attendance and tardiness. CONCLUSION: Classes led by lay physical activity leaders can affect diabetes risk factors in youth. Incongruous health and fitness outcomes suggest that one indicator does not adequately define the risk profile; BMI alone may not be sufficient as a measure of diabetes risk in youth.}, keywords = {}, pubstate = {published}, tppubtype = {article} } INTRODUCTION: In the United States, type 2 diabetes has reached epidemic proportions among indigenous people. Community-based participatory research offers American Indian communities and university partners an opportunity to integrate skills in community action and systematic inquiry to develop locally acceptable primary prevention interventions to combat diabetes risk factors. The Hualapai Tribe and the University of Arizona designed, implemented, and assessed a school-based physical activity intervention to reduce diabetes risk factors among youth. METHODS: During a 2-year period, trained community members led in-school physical activity classes 2 times per week among students in grades 3 through 8. Body mass index (BMI), fitness measures, and fasting blood glucose level were measured on 6 occasions. Descriptive statistics and t tests were used to assess change in outcome measures. RESULTS: Of the more than 100 youth who took part in the physical activity classes for 2 years, 71 youth (38 male, 33 female) participated in 3 or more data collection sessions. Over time, the percentage of youth with a high fasting blood glucose level of more than 125 mg/dL decreased concurrently with significant improvements in fitness measures. However, BMI increased in both male and female participants. The high number of youth who missed more than 3 data collection sessions was attributed to poor school attendance and tardiness. CONCLUSION: Classes led by lay physical activity leaders can affect diabetes risk factors in youth. Incongruous health and fitness outcomes suggest that one indicator does not adequately define the risk profile; BMI alone may not be sufficient as a measure of diabetes risk in youth. |
Teufel-Shone, Nicolette; Fitzgerald, Carrie; Teufel-Shone, Louis; Gamber, Michelle American Journal of Public health, 23 (6), pp. S8-S32, 2009. @article{Teufel-Shone2009, title = {Systematic review of physical activity interventions implemented with American Indian and Alaska Native populations in the United States and Canada}, author = {Nicolette Teufel-Shone and Carrie Fitzgerald and Louis Teufel-Shone and Michelle Gamber}, url = {https://www.ncbi.nlm.nih.gov/pubmed/19601485}, doi = {10.4278/ajhp.07053151}, year = {2009}, date = {2009-08-01}, journal = {American Journal of Public health}, volume = {23}, number = {6}, pages = {S8-S32}, abstract = {OBJECTIVE: To describe physical activity (PA) interventions implemented in American Indian/Alaska Native (AI/AN) populations in the United States and Canada. DATA SOURCES: MEDLINE, PubMed, ERIC, and Sociological Abstracts were used to identify peer-reviewed journal articles. Dissertation abstracts, Web sites, and conference proceedings were searched to identify descriptions within the gray literature from 1986 to 2006. STUDY INCLUSION AND EXCLUSION CRITERIA: The target population had to be described as AI/ AN, aboriginal, native Hawaiian, and/or native U.S. Samoan. PA interventions among indigenous populations of Latin America were not included. DATA EXTRACTION: Descriptions of 64 different AI/AN PA interventions (28 peer-reviewed journal articles and 36 in the gray literature) were identified. DATA SYNTHESIS: Data were synthesized by geographic region, intervention strategy, target audience, activities, and sustainability. RESULTS: Most interventions were conducted in the southwest United States (35.4%), in reservation communities (72%), and among participants 18 years and younger (57.8%). Forty-one percent of the 27 interventions with evaluation components reported significant changes in health, behavior, or knowledge. CONCLUSIONS: Effective AI/AN PA interventions demonstrated impact on individual health and community resources. Program sustainability was linked to locally trained personnel, local leadership, and stable funding. Culturally acceptable and scientifically sound evaluation methods that can be implemented by local personnel are needed to assess the health and social impact of many long-running AI/AN PA interventions.}, keywords = {}, pubstate = {published}, tppubtype = {article} } OBJECTIVE: To describe physical activity (PA) interventions implemented in American Indian/Alaska Native (AI/AN) populations in the United States and Canada. DATA SOURCES: MEDLINE, PubMed, ERIC, and Sociological Abstracts were used to identify peer-reviewed journal articles. Dissertation abstracts, Web sites, and conference proceedings were searched to identify descriptions within the gray literature from 1986 to 2006. STUDY INCLUSION AND EXCLUSION CRITERIA: The target population had to be described as AI/ AN, aboriginal, native Hawaiian, and/or native U.S. Samoan. PA interventions among indigenous populations of Latin America were not included. DATA EXTRACTION: Descriptions of 64 different AI/AN PA interventions (28 peer-reviewed journal articles and 36 in the gray literature) were identified. DATA SYNTHESIS: Data were synthesized by geographic region, intervention strategy, target audience, activities, and sustainability. RESULTS: Most interventions were conducted in the southwest United States (35.4%), in reservation communities (72%), and among participants 18 years and younger (57.8%). Forty-one percent of the 27 interventions with evaluation components reported significant changes in health, behavior, or knowledge. CONCLUSIONS: Effective AI/AN PA interventions demonstrated impact on individual health and community resources. Program sustainability was linked to locally trained personnel, local leadership, and stable funding. Culturally acceptable and scientifically sound evaluation methods that can be implemented by local personnel are needed to assess the health and social impact of many long-running AI/AN PA interventions. |
2022 |
O’Keefe, Victoria M; Fish, Jillian; Maudrie, Tara L; Hunter, Amanda M; Rakena, Hariata Tai G; Ullrich, Jessica Saniġaq; Clifford, Carrie; Crawford, Allison; Brockie, Teresa; Walls, Melissa; Haroz, Emily E; Cwik, Mary; Whitesell, Nancy Rumbaugh; Barlow, Allison Int. J. Environ. Res. Public Health, 19 (10), pp. 6271, 2022. @article{O’Keefe2022, title = {Centering Indigenous Knowledges and Worldviews: Applying the Indigenist Ecological Systems Model to Youth Mental Health and Wellness Research and Programs}, author = {Victoria M. O’Keefe and Jillian Fish and Tara L. Maudrie and Amanda M. Hunter and Hariata G. Tai Rakena and Jessica Saniġaq Ullrich and Carrie Clifford and Allison Crawford and Teresa Brockie and Melissa Walls and Emily E. Haroz and Mary Cwik and Nancy Rumbaugh Whitesell and Allison Barlow}, url = {https://doi.org/10.3390/ijerph19106271}, doi = {10.3390/ijerph19106271}, year = {2022}, date = {2022-05-21}, journal = {Int. J. Environ. Res. Public Health}, volume = {19}, number = {10}, pages = {6271}, abstract = {Globally, Indigenous communities, leaders, mental health providers, and scholars have called for strengths-based approaches to mental health that align with Indigenous and holistic concepts of health and wellness. We applied the Indigenist Ecological Systems Model to strengths-based case examples of Indigenous youth mental health and wellness work occurring in CANZUS (Canada, Australia, New Zealand, and United States). The case examples include research, community-led programs, and national advocacy. Indigenous youth development and well-being occur through strengths-based relationships across interconnected environmental levels. This approach promotes Indigenous youth and communities considering complete ecologies of Indigenous youth to foster their whole health, including mental health. Future research and programming will benefit from understanding and identifying common, strengths-based solutions beyond narrow intervention targets. This approach not only promotes Indigenous youth health and mental health, but ripples out across the entire ecosystem to promote community well-being.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Globally, Indigenous communities, leaders, mental health providers, and scholars have called for strengths-based approaches to mental health that align with Indigenous and holistic concepts of health and wellness. We applied the Indigenist Ecological Systems Model to strengths-based case examples of Indigenous youth mental health and wellness work occurring in CANZUS (Canada, Australia, New Zealand, and United States). The case examples include research, community-led programs, and national advocacy. Indigenous youth development and well-being occur through strengths-based relationships across interconnected environmental levels. This approach promotes Indigenous youth and communities considering complete ecologies of Indigenous youth to foster their whole health, including mental health. Future research and programming will benefit from understanding and identifying common, strengths-based solutions beyond narrow intervention targets. This approach not only promotes Indigenous youth health and mental health, but ripples out across the entire ecosystem to promote community well-being. |
Dreifuss, Heather M; Belin, Kalvina L; Wilson, Jamie; George, Shawndeena; Waters, Amber-Rose; Bauer, Carmella Kahn 1and Mark B C; Teufel-Shone, Nicolette I Engaging Native American High School Students in Public Health Career Preparation Through the Indigenous Summer Enhancement Program Journal Article Frontiers in Public Heath, 10 , 2022. @article{Dreifuss2022, title = {Engaging Native American High School Students in Public Health Career Preparation Through the Indigenous Summer Enhancement Program}, author = {Heather M Dreifuss and Kalvina L Belin and Jamie Wilson and Shawndeena George and Amber-Rose Waters and Carmella B Kahn 1and Mark C Bauer and Nicolette I Teufel-Shone}, url = {https://pubmed.ncbi.nlm.nih.gov/35273937/10.3389/fpubh.2022.789994}, doi = {10.3389/fpubh.2022.789994}, year = {2022}, date = {2022-02-22}, journal = {Frontiers in Public Heath}, volume = {10}, abstract = {Native American populations are systematically marginalized in the healthcare and public health workforce. One effective approach to reduce health disparities and improve health care delivery among Indigenous populations is to train more Native American health professionals who integrate academic and cultural knowledge to understand and influence health behaviors and perspectives. Diné College partnered with Northern Arizona University to develop the Navajo Native American Research Center for Health (NARCH) Partnership, funded by the National Institutes of Health. The high school component of the Navajo NARCH Partnership created the Indigenous Summer Enhancement Program (ISEP), a 1-week summer training program providing exposure to health careers and mentorship in pursuing public health careers for Native American high school students. ISEP utilizes the Diné Educational Philosophy (DEP), a Navajo conceptual framework to serve as the foundation of the program. In 2020-2021, due to COVID-19 restrictions, the DEP model had to be incorporated in the Navajo NARCH high school virtual program activities. ISEP used 2018 and 2019 past program evaluation data to inform the virtual programming. Students' perception of the program was collected using an online Qualtrics evaluation questionnaire. Students stated appreciation for program staff, fellow students, peer mentors and culturally relevant learning experiences in both virtual and in-person environments. Recommendations included: expanding the length of ISEP and continuing the hands-on activities and Public Health Leadership series}, keywords = {}, pubstate = {published}, tppubtype = {article} } Native American populations are systematically marginalized in the healthcare and public health workforce. One effective approach to reduce health disparities and improve health care delivery among Indigenous populations is to train more Native American health professionals who integrate academic and cultural knowledge to understand and influence health behaviors and perspectives. Diné College partnered with Northern Arizona University to develop the Navajo Native American Research Center for Health (NARCH) Partnership, funded by the National Institutes of Health. The high school component of the Navajo NARCH Partnership created the Indigenous Summer Enhancement Program (ISEP), a 1-week summer training program providing exposure to health careers and mentorship in pursuing public health careers for Native American high school students. ISEP utilizes the Diné Educational Philosophy (DEP), a Navajo conceptual framework to serve as the foundation of the program. In 2020-2021, due to COVID-19 restrictions, the DEP model had to be incorporated in the Navajo NARCH high school virtual program activities. ISEP used 2018 and 2019 past program evaluation data to inform the virtual programming. Students' perception of the program was collected using an online Qualtrics evaluation questionnaire. Students stated appreciation for program staff, fellow students, peer mentors and culturally relevant learning experiences in both virtual and in-person environments. Recommendations included: expanding the length of ISEP and continuing the hands-on activities and Public Health Leadership series |
2021 |
Tutt, Marissa; Becenti, Lyle; Tallis, Kristen; Teufel-Shone, Nicolette Intertribal Collaboration and Health: A Literature Review Journal Article Turtle Island Journal of Indigenous Health , 1 (2), pp. 116-123, 2021. @article{Tutt2021, title = {Intertribal Collaboration and Health: A Literature Review}, author = {Marissa Tutt and Lyle Becenti and Kristen Tallis and Nicolette Teufel-Shone}, url = {https://jps.library.utoronto.ca/index.php/tijih/issue/view/2514/487}, year = {2021}, date = {2021-11-01}, journal = {Turtle Island Journal of Indigenous Health }, volume = {1}, number = {2}, pages = {116-123}, abstract = {In the United States, American Indians and Alaska Natives (AIAN) are rebuilding their nations through assertion of sovereignty, standards of governance, cultural frameworks, strategic orientation, and effective leadership. The approach emphasizes tribal self-determination in managing nation affairs and reducing reliance on state and federal assistance. Through nation-building, tribal nations can improve their citizens’ health and well-being while empowering local capacity and cultural pride. Intertribal collaboration can be an effective strategy to leverage resources and create a coalition for support and knowledge exchange; however, the research documenting practices, and outcomes of tribal health management that uses intertribal collaboration is limited. This systematic review investigates health-focused collaborations among the tribal nations in North America. Peer-reviewed articles that included at least two federally recognized tribes, de-scribed AIAN driven initiatives, implemented a health management plan, collaborated between Indigenous leaders, and goals of social, behavioral, mental, and physical health outcomes were examined. This search was limited to articles published between January 1, 1970 to November 30, 2019. The PRISMA systematic review process was used. Twenty-seven articles were screened, and three articles were eligible for thematic review. The articles highlighted the importance of utilizing an Indigenous framework to facilitate program management and collaboration, recognition of cultural differences, and sovereignty rights. Characteristics that contributed to the establishment and strengthening of intertribal collaboration were: (1) adapt new proposals, (2) respectful recognition of sovereignty, and (3) transparent and honest communication. The small sample size indicated most Indigenous health programs are not “AIAN-driven”, limiting the foundation for building evidence-based frameworks.}, keywords = {}, pubstate = {published}, tppubtype = {article} } In the United States, American Indians and Alaska Natives (AIAN) are rebuilding their nations through assertion of sovereignty, standards of governance, cultural frameworks, strategic orientation, and effective leadership. The approach emphasizes tribal self-determination in managing nation affairs and reducing reliance on state and federal assistance. Through nation-building, tribal nations can improve their citizens’ health and well-being while empowering local capacity and cultural pride. Intertribal collaboration can be an effective strategy to leverage resources and create a coalition for support and knowledge exchange; however, the research documenting practices, and outcomes of tribal health management that uses intertribal collaboration is limited. This systematic review investigates health-focused collaborations among the tribal nations in North America. Peer-reviewed articles that included at least two federally recognized tribes, de-scribed AIAN driven initiatives, implemented a health management plan, collaborated between Indigenous leaders, and goals of social, behavioral, mental, and physical health outcomes were examined. This search was limited to articles published between January 1, 1970 to November 30, 2019. The PRISMA systematic review process was used. Twenty-seven articles were screened, and three articles were eligible for thematic review. The articles highlighted the importance of utilizing an Indigenous framework to facilitate program management and collaboration, recognition of cultural differences, and sovereignty rights. Characteristics that contributed to the establishment and strengthening of intertribal collaboration were: (1) adapt new proposals, (2) respectful recognition of sovereignty, and (3) transparent and honest communication. The small sample size indicated most Indigenous health programs are not “AIAN-driven”, limiting the foundation for building evidence-based frameworks. |
Horne, Yoshira Ornelas Van; Chief, Karletta; Charley, Perry H; Begay, Mae-Gilene; Bell, Nathan Lothrop 5and Melanie L; Canales, Robert A; Teufel-Shone, Nicolette I; Beamer, Paloma I Impacts to Diné activities with the San Juan River after the Gold King Mine Spill Journal Article J Expo Sci Environ Epidemiol, 31 (5), pp. 852-86, 2021. @article{Horne2021, title = {Impacts to Diné activities with the San Juan River after the Gold King Mine Spill}, author = {Yoshira Ornelas Van Horne and Karletta Chief and Perry H Charley and Mae-Gilene Begay and Nathan Lothrop 5and Melanie L Bell and Robert A Canales and Nicolette I Teufel-Shone and Paloma I Beamer}, url = {https://pubmed.ncbi.nlm.nih.gov/33526814/}, doi = {10.1038/s41370-021-00290-z}, year = {2021}, date = {2021-09-01}, journal = {J Expo Sci Environ Epidemiol}, volume = {31}, number = {5}, pages = {852-86}, abstract = {On August 5th, 2015, 3 million gallons of acid mine drainage was accidentally discharged from the Gold King Mine near Silverton, Colorado into Cement Creek which is a tributary to the Animas and San Juan Rivers. The government-initiated risk assessment only assessed a recreational scenario (i.e. hiker drinking from the river), failing to recognize the deep connection of the Diné (Navajo) with the San Juan River. Utilizing a mixed-methods approach we determined the impacts of the 2015 Gold King Mine Spill (GKMS or Spill) on Diné activities. We developed a questionnaire to collect pre- and post-GKMS Diné activity frequency and duration. Navajo Nation Community Health Representatives administered the questionnaire to 63 Diné adults and 27 children living in three Navajo communities along the River. Through analysis of the focus group transcripts we identified 43 unique activities between the Diné and San Juan River. There were significant reductions in the total number, frequency, and duration of livelihood, dietary, recreational, cultural/spiritual and arts and craft activities. On average, Diné activities with the San Juan River following the GKMS decreased by 56.2%. The significant reduction in activities following the GKMS may lead to long-term trauma, impacting the ability of the Diné to pass down teachings to their children affecting future generations to come. The 43 distinct activities between the Diné and the San Juan River highlight the importance for scientists and disaster responders to consider cultural and spiritual impacts when responding to environmental disasters and conducting risk assessments among Indigenous communities.}, keywords = {}, pubstate = {published}, tppubtype = {article} } On August 5th, 2015, 3 million gallons of acid mine drainage was accidentally discharged from the Gold King Mine near Silverton, Colorado into Cement Creek which is a tributary to the Animas and San Juan Rivers. The government-initiated risk assessment only assessed a recreational scenario (i.e. hiker drinking from the river), failing to recognize the deep connection of the Diné (Navajo) with the San Juan River. Utilizing a mixed-methods approach we determined the impacts of the 2015 Gold King Mine Spill (GKMS or Spill) on Diné activities. We developed a questionnaire to collect pre- and post-GKMS Diné activity frequency and duration. Navajo Nation Community Health Representatives administered the questionnaire to 63 Diné adults and 27 children living in three Navajo communities along the River. Through analysis of the focus group transcripts we identified 43 unique activities between the Diné and San Juan River. There were significant reductions in the total number, frequency, and duration of livelihood, dietary, recreational, cultural/spiritual and arts and craft activities. On average, Diné activities with the San Juan River following the GKMS decreased by 56.2%. The significant reduction in activities following the GKMS may lead to long-term trauma, impacting the ability of the Diné to pass down teachings to their children affecting future generations to come. The 43 distinct activities between the Diné and the San Juan River highlight the importance for scientists and disaster responders to consider cultural and spiritual impacts when responding to environmental disasters and conducting risk assessments among Indigenous communities. |
2014 |
Teufel-Shone, Nicolette; Gamber, Michelle; Watahomigie, Helen; Siyuja, Jr T J; Crozier, Laurie; Irwin, Sandra L Preventing Chronic Disease, 11 (E166), 2014. @article{Teufel-Shone2014, title = {Using a participatory research approach in a school-based physical activity intervention to prevent diabetes in the Hualapai Indian community, Arizona, 2002-2006}, author = {Nicolette Teufel-Shone and Michelle Gamber and Helen Watahomigie and Jr T. J. Siyuja and Laurie Crozier and Sandra L Irwin}, url = {https://www.ncbi.nlm.nih.gov/pubmed/25254984}, doi = {10.5888/pcd11.130397}, year = {2014}, date = {2014-09-25}, journal = {Preventing Chronic Disease}, volume = {11}, number = {E166}, abstract = {INTRODUCTION: In the United States, type 2 diabetes has reached epidemic proportions among indigenous people. Community-based participatory research offers American Indian communities and university partners an opportunity to integrate skills in community action and systematic inquiry to develop locally acceptable primary prevention interventions to combat diabetes risk factors. The Hualapai Tribe and the University of Arizona designed, implemented, and assessed a school-based physical activity intervention to reduce diabetes risk factors among youth. METHODS: During a 2-year period, trained community members led in-school physical activity classes 2 times per week among students in grades 3 through 8. Body mass index (BMI), fitness measures, and fasting blood glucose level were measured on 6 occasions. Descriptive statistics and t tests were used to assess change in outcome measures. RESULTS: Of the more than 100 youth who took part in the physical activity classes for 2 years, 71 youth (38 male, 33 female) participated in 3 or more data collection sessions. Over time, the percentage of youth with a high fasting blood glucose level of more than 125 mg/dL decreased concurrently with significant improvements in fitness measures. However, BMI increased in both male and female participants. The high number of youth who missed more than 3 data collection sessions was attributed to poor school attendance and tardiness. CONCLUSION: Classes led by lay physical activity leaders can affect diabetes risk factors in youth. Incongruous health and fitness outcomes suggest that one indicator does not adequately define the risk profile; BMI alone may not be sufficient as a measure of diabetes risk in youth.}, keywords = {}, pubstate = {published}, tppubtype = {article} } INTRODUCTION: In the United States, type 2 diabetes has reached epidemic proportions among indigenous people. Community-based participatory research offers American Indian communities and university partners an opportunity to integrate skills in community action and systematic inquiry to develop locally acceptable primary prevention interventions to combat diabetes risk factors. The Hualapai Tribe and the University of Arizona designed, implemented, and assessed a school-based physical activity intervention to reduce diabetes risk factors among youth. METHODS: During a 2-year period, trained community members led in-school physical activity classes 2 times per week among students in grades 3 through 8. Body mass index (BMI), fitness measures, and fasting blood glucose level were measured on 6 occasions. Descriptive statistics and t tests were used to assess change in outcome measures. RESULTS: Of the more than 100 youth who took part in the physical activity classes for 2 years, 71 youth (38 male, 33 female) participated in 3 or more data collection sessions. Over time, the percentage of youth with a high fasting blood glucose level of more than 125 mg/dL decreased concurrently with significant improvements in fitness measures. However, BMI increased in both male and female participants. The high number of youth who missed more than 3 data collection sessions was attributed to poor school attendance and tardiness. CONCLUSION: Classes led by lay physical activity leaders can affect diabetes risk factors in youth. Incongruous health and fitness outcomes suggest that one indicator does not adequately define the risk profile; BMI alone may not be sufficient as a measure of diabetes risk in youth. |
2009 |
Teufel-Shone, Nicolette; Fitzgerald, Carrie; Teufel-Shone, Louis; Gamber, Michelle American Journal of Public health, 23 (6), pp. S8-S32, 2009. @article{Teufel-Shone2009, title = {Systematic review of physical activity interventions implemented with American Indian and Alaska Native populations in the United States and Canada}, author = {Nicolette Teufel-Shone and Carrie Fitzgerald and Louis Teufel-Shone and Michelle Gamber}, url = {https://www.ncbi.nlm.nih.gov/pubmed/19601485}, doi = {10.4278/ajhp.07053151}, year = {2009}, date = {2009-08-01}, journal = {American Journal of Public health}, volume = {23}, number = {6}, pages = {S8-S32}, abstract = {OBJECTIVE: To describe physical activity (PA) interventions implemented in American Indian/Alaska Native (AI/AN) populations in the United States and Canada. DATA SOURCES: MEDLINE, PubMed, ERIC, and Sociological Abstracts were used to identify peer-reviewed journal articles. Dissertation abstracts, Web sites, and conference proceedings were searched to identify descriptions within the gray literature from 1986 to 2006. STUDY INCLUSION AND EXCLUSION CRITERIA: The target population had to be described as AI/ AN, aboriginal, native Hawaiian, and/or native U.S. Samoan. PA interventions among indigenous populations of Latin America were not included. DATA EXTRACTION: Descriptions of 64 different AI/AN PA interventions (28 peer-reviewed journal articles and 36 in the gray literature) were identified. DATA SYNTHESIS: Data were synthesized by geographic region, intervention strategy, target audience, activities, and sustainability. RESULTS: Most interventions were conducted in the southwest United States (35.4%), in reservation communities (72%), and among participants 18 years and younger (57.8%). Forty-one percent of the 27 interventions with evaluation components reported significant changes in health, behavior, or knowledge. CONCLUSIONS: Effective AI/AN PA interventions demonstrated impact on individual health and community resources. Program sustainability was linked to locally trained personnel, local leadership, and stable funding. Culturally acceptable and scientifically sound evaluation methods that can be implemented by local personnel are needed to assess the health and social impact of many long-running AI/AN PA interventions.}, keywords = {}, pubstate = {published}, tppubtype = {article} } OBJECTIVE: To describe physical activity (PA) interventions implemented in American Indian/Alaska Native (AI/AN) populations in the United States and Canada. DATA SOURCES: MEDLINE, PubMed, ERIC, and Sociological Abstracts were used to identify peer-reviewed journal articles. Dissertation abstracts, Web sites, and conference proceedings were searched to identify descriptions within the gray literature from 1986 to 2006. STUDY INCLUSION AND EXCLUSION CRITERIA: The target population had to be described as AI/ AN, aboriginal, native Hawaiian, and/or native U.S. Samoan. PA interventions among indigenous populations of Latin America were not included. DATA EXTRACTION: Descriptions of 64 different AI/AN PA interventions (28 peer-reviewed journal articles and 36 in the gray literature) were identified. DATA SYNTHESIS: Data were synthesized by geographic region, intervention strategy, target audience, activities, and sustainability. RESULTS: Most interventions were conducted in the southwest United States (35.4%), in reservation communities (72%), and among participants 18 years and younger (57.8%). Forty-one percent of the 27 interventions with evaluation components reported significant changes in health, behavior, or knowledge. CONCLUSIONS: Effective AI/AN PA interventions demonstrated impact on individual health and community resources. Program sustainability was linked to locally trained personnel, local leadership, and stable funding. Culturally acceptable and scientifically sound evaluation methods that can be implemented by local personnel are needed to assess the health and social impact of many long-running AI/AN PA interventions. |