17 results on '"Tamela K Cannady"'
Search Results
2. Using financial incentives to promote physical activity in American Indian adolescents: A randomized controlled trial.
- Author
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Kevin R Short, Jennifer Q Chadwick, Tamela K Cannady, Dannielle E Branam, David F Wharton, Mary A Tullier, David M Thompson, and Kenneth C Copeland
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Medicine ,Science - Abstract
American Indians (AI) have high prevalence of diabetes in youth and may benefit from increasing physical activity as a strategy to improve metabolic health. We tested whether financial incentives would elicit greater frequency and/or duration of exercise in AI youth at high risk for developing diabetes. Overweight/obese AI boys and girls, 11-20 years old, were instructed to exercise on 3 days/week for 48 weeks at a tribal wellness center. The program was divided into three, 16-week-long phases to test different financial incentive strategies. Within each phase participants were randomly assigned to one of two groups that received different payments for exercise. Phase 1 was designed to test whether the size of the incentive would affect exercise frequency. In Phase 1, the number of exercise sessions did not differ between the group receiving a modest fixed-value payment per exercise session and the group receiving enhanced incentives to exercise more frequently (26 ± 3 versus 28 ± 2 sessions, respectively, p = 0.568). In Phase 2, the provision of an enhanced financial incentive to increase exercise duration resulted longer sessions, as the incentivized and standard payment groups exercised 38 ± 2 versus 29 ± 1 minutes per session (p = 0.002), respectively. In Phase 3, the effect of reducing the incentives on maintenance of exercise behaviors was inconclusive due to high participant withdrawal. Aerobic fitness increased 10% during Phase 1 but was unchanged thereafter. Insulin sensitivity and body composition were unchanged during the study. In conclusion, enhanced financial incentives increased the duration of exercise sessions, but had minimal effects on exercise participation. These results indicate that financial incentives hold promise in motivating previously sedentary, overweight/obese adolescents to exercise longer, but motivating them to sustain an exercise program remains the major challenge.Trial registrationClinicalTrials.gov NCT01848353.
- Published
- 2018
- Full Text
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3. Method of Developing a Culturally Tailored Diabetes Intervention for American Indians
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Lisa Scarton, Heather Cobas, Ilse Velazquez, Mariah McClaren, Anatolia Legaspi, Samvit Iyer, Annette Choate, Tamela K. Cannady, and Diana J. Wilkie
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Health (social science) ,Sociology and Political Science ,General Medicine ,Education - Published
- 2023
4. Conducting Community‐based Participatory Research with Minority Communities to Reduce Health Disparities
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Tvli Jacob, Rina Das, Andrea Williams Stubbs, Melanie Sabado-Liwag, Sora Park Tanjasiri, Abigail Ortiz, Kent Woo, Uchenna J. Ndulue, Valarie Blue Bird Jernigan, Tung T. Nguyen, Tamela K. Cannady, Nina Wallerstein, Latrice C. Pichon, Linda Sprague Martinez, and Jane Pang
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Economic growth ,Community-based participatory research ,Sociology ,Health equity - Published
- 2021
5. Diabetes and Obesity Associated with Poor Food Environments in American Indian Communities: the Tribal Health and Resilience in Vulnerable Environments (THRIVE) Study
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Charlotte Love, Tvli Jacob, Carolyn Noonan, Joy Standridge, Tamela K. Cannady, Marianna S. Wetherill, Mary B. Williams, Alicia L. Salvatore, Tori E Taniguchi, Jennifer Spiegel, and Valarie Blue Bird Jernigan
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obesity ,food access ,Ethnic group ,Psychological intervention ,Prevalence ,Medicine (miscellaneous) ,Community-based participatory research ,030209 endocrinology & metabolism ,Type 2 diabetes ,Reference Daily Intake ,03 medical and health sciences ,0302 clinical medicine ,Native Americans ,Environmental health ,Medicine ,030212 general & internal medicine ,health care economics and organizations ,community-based participatory research ,2. Zero hunger ,Nutrition and Dietetics ,diabetes ,business.industry ,American Indians ,1. No poverty ,Supplements & Symposia ,medicine.disease ,Obesity ,Health equity ,3. Good health ,perceived food environment ,Proceedings of the First and Second Annual Conferences on Native American Nutrition ,business ,Food Science - Abstract
Background American Indians (AIs) have significantly higher rates of diet-related chronic diseases than other racial/ethnic groups, and many live in environments with limited access to healthy food. Objective As part of the Tribal Resilience in Vulnerable Environments (THRIVE) study, we examined the relations between the perceived food environment, utilization of food retailers, fruit and vegetable intake, and chronic diseases, including obesity, hypertension, and type 2 diabetes among AI adults. Methods Through a community-based participatory research partnership, we surveyed a cross-sectional sample of 513 AIs living within the Chickasaw Nation and the Choctaw Nation of Oklahoma. Results Only 57% of participants reported that it was easy to purchase fruits and vegetables in their town, and fewer (35%) reported that available fruits and vegetables were of high quality. Additionally, over half (56%) reported traveling ≥20 miles round trip to shop for food. Few participants met the recommended daily intake for fruit (44%) or vegetables (25%). Obesity (55%), hypertension (49%), and diabetes (25%) were commonly reported. Obesity was significantly higher among participants who reported that the price of fruits and vegetables were cost-prohibitive (prevalence proportion ratio (PPR): 1.24; 95% CI: 1.02, 1.50) and those who shopped frequently for food at nontraditional food retailers, such as Dollar Stores (PPR: 1.35; 95% CI: 1.08, 1.69) and small markets (PPR: 1.38; 95% CI: 1.02, 1.86). Diabetes was significantly higher among participants who frequently shopped at convenience stores/gas stations (PPR: 2.26; 95% CI: 1.22, 4.19). Conclusions Our study found that the use of nontraditional food retailers, including convenience stores, gas stations, and Dollar Stores, as a regular source of food was associated with obesity and diabetes. These results underscore the importance of interventions to improve rural Tribal food environments. Healthy retail interventions in nontraditional retail settings, such as those implemented through the THRIVE study, may contribute to reducing AI health disparities.
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- 2019
6. Social Support and Physical Activity Among American Indians in Oklahoma: Results From a Community-based Participatory Research Study
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Carolyn Noonan, Mary B. Williams, Joy Standridge, Tvli Jacob, AnDina Wiley, Marianna S. Wetherill, Tamela K. Cannady, Mandy Grammar, Valarie Blue Bird Jernigan, Alicia L. Salvatore, Jill Fox, and Jennifer Spiegel
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030505 public health ,business.industry ,Incidence (epidemiology) ,Public Health, Environmental and Occupational Health ,Ethnic group ,Psychological intervention ,Participatory action research ,Community-based participatory research ,03 medical and health sciences ,Social support ,symbols.namesake ,0302 clinical medicine ,symbols ,Medicine ,030212 general & internal medicine ,Poisson regression ,Rural area ,0305 other medical science ,business ,Demography - Abstract
PURPOSE: Little is known about the contribution of social support to physical activity (PA) behavior among American Indians (AIs). This community‐based participatory research study examined the prevalence of and associations between different types of PA social support and PA among AIs in rural Oklahoma. METHODS: Our tribal‐academic partnership surveyed AI adults (N = 513) living within the tribal jurisdictional areas of 2 tribal nations. We used the Physical Activity Social Support (PASS) scale to assess 3 types of PA social support and Poisson regression to investigate associations between PASS types and self‐reported PA behavior. FINDINGS: Over a third of participants perceived high levels of PA social support from friends (37%), family (35%), and overall (34%), yet only 29% reported regular PA (ie, 150 minutes or more weekly). Participants who exercised with pets/other were significantly more likely to achieve regular PA than those who exercised alone (PR 2.0, 95% CI: 1.4‐2.9). Although not significant, compared with those reporting no/low support, participants with high friend PASS (PR 1.2, 95%: CI 0.9‐1.6), medium family PASS (PR 1.2, 95% CI: 0.9‐1.7), and overall PASS (PR 1.1, 95% CI: 0.8‐1.6) were more likely to report regular PA. CONCLUSIONS: The majority of participants did not meet current recommendations for PA behavior, which underscores the ongoing need for PA effective interventions among AIs living in rural areas. Results suggest that exercising with pets/other could be an important factor for future intervention. Further research is needed to elucidate determinants of PA and test interventions to increase PA among AIs.
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- 2018
7. Corrected analysis of ‘Using financial incentives to promote physical activity in American Indian adolescents: A randomized controlled trial’ confirms conclusions
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Kenneth C. Copeland, Mary A. Tullier, Tamela K. Cannady, Jennifer Q Chadwick, Kevin R. Short, Dannielle E. Branam, David M. Thompson, and David F. Wharton
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Male ,Economics ,Physical fitness ,Social Sciences ,Overweight ,Adolescents ,Geographical locations ,law.invention ,Families ,0302 clinical medicine ,Randomized controlled trial ,Sociology ,law ,Medicine and Health Sciences ,Medicine ,Public and Occupational Health ,030212 general & internal medicine ,Young adult ,Payment ,Child ,Children ,Multidisciplinary ,Schools ,Phase I clinical investigation ,Commerce ,Sports Science ,Test (assessment) ,Exercise Therapy ,Incentive ,Cluster Trials ,Female ,medicine.symptom ,Research Article ,Adult ,medicine.medical_specialty ,Drug Research and Development ,Adolescent ,Science ,Health Promotion ,Research and Analysis Methods ,Formal Comment ,Education ,03 medical and health sciences ,Young Adult ,Health Economics ,Reward ,030225 pediatrics ,Aerobic exercise ,Financial Support ,Humans ,Clinical Trials ,Obesity ,Sports and Exercise Medicine ,Exercise ,Pharmacology ,Behavior ,Motivation ,business.industry ,Biology and Life Sciences ,Correction ,Oklahoma ,Physical Activity ,medicine.disease ,Randomized Controlled Trials ,United States ,Health Care ,Physical Fitness ,Age Groups ,People and Places ,North America ,Physical therapy ,Indians, North American ,Population Groupings ,Clinical Medicine ,business ,Finance - Abstract
American Indians (AI) have high prevalence of diabetes in youth and may benefit from increasing physical activity as a strategy to improve metabolic health. We tested whether financial incentives would elicit greater frequency and/or duration of exercise in AI youth at high risk for developing diabetes. Overweight/obese AI boys and girls, 11-20 years old, were instructed to exercise on 3 days/week for 48 weeks at a tribal wellness center. The program was divided into three, 16-week-long phases to test different financial incentive strategies. Within each phase participants were randomly assigned to one of two groups that received different payments for exercise. Phase 1 was designed to test whether the size of the incentive would affect exercise frequency. In Phase 1, the number of exercise sessions did not differ between the group receiving a modest fixed-value payment per exercise session and the group receiving enhanced incentives to exercise more frequently (26 ± 3 versus 28 ± 2 sessions, respectively, p = 0.568). In Phase 2, the provision of an enhanced financial incentive to increase exercise duration resulted longer sessions, as the incentivized and standard payment groups exercised 38 ± 2 versus 29 ± 1 minutes per session (p = 0.002), respectively. In Phase 3, the effect of reducing the incentives on maintenance of exercise behaviors was inconclusive due to high participant withdrawal. Aerobic fitness increased 10% during Phase 1 but was unchanged thereafter. Insulin sensitivity and body composition were unchanged during the study. In conclusion, enhanced financial incentives increased the duration of exercise sessions, but had minimal effects on exercise participation. These results indicate that financial incentives hold promise in motivating previously sedentary, overweight/obese adolescents to exercise longer, but motivating them to sustain an exercise program remains the major challenge.Trial registrationClinicalTrials.gov NCT01848353.
- Published
- 2020
8. Using community-based participatory research to develop healthy retail strategies in Native American-owned convenience stores: The THRIVE study
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Ashley E. Weedn, JoAnna Tingle, Joy Standridge, AnDina Wiley, Tamela K. Cannady, Mandy Grammar, Tori Taniguchi, Mary B. Williams, Marianna S. Wetherill, Jennifer Spiegel, Carolyn Noonan, Valarie Blue Bird Jernigan, Jill Fox, Alicia L. Salvatore, Mary Riley, Charlotte Love, and Tvli Jacob
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media_common.quotation_subject ,Communitybased participatory research ,Community-based participatory research ,Participatory action research ,Healthy retail ,lcsh:Medicine ,Health Informatics ,03 medical and health sciences ,0302 clinical medicine ,Promotion (rank) ,parasitic diseases ,030212 general & internal medicine ,Obesity ,Marketing ,health care economics and organizations ,media_common ,Government ,030505 public health ,Native American ,lcsh:R ,Public Health, Environmental and Occupational Health ,Regular Article ,Vegetable and fruit intake ,Purchasing ,Intervention (law) ,General partnership ,American Indian ,Psychological resilience ,Business ,0305 other medical science - Abstract
In rural Native American communities, access to healthy foods is limited and diet-related disparities are significant. Tribally owned and operated convenience stores, small food stores that sell ready-to-eat foods and snacks primarily high in fat and sugar, serve as the primary and, in some areas, the only food stores. The Tribal Health and Resilience in Vulnerable Environments or “THRIVE” study, implemented between 2013 and 2018, is the first healthy retail intervention study implemented in tribally owned and operated convenience stores. THRIVE aims to increase vegetable and fruit intake among Native Americans living within the Chickasaw and Choctaw Nation of Oklahoma. The study comprises three phases: 1) formative research assessing tribal community food environments and associated health outcomes; 2) intervention development to assess convenience stores and tailor healthy retail product, pricing, promotion, and placement strategies; and 3) intervention implementation and evaluation. In this paper we share the participatory research process employed by our tribal-university partnership to develop this healthy retail intervention within the unique contexts of tribal convenience stores. We summarize our methods to engage tribal leaders across diverse health, government, and commerce sectors and adapt and localize intervention strategies that test the ability of tribal nations to increase fruit and vegetable purchasing and consumption among tribal members. Study processes will assist in developing a literature base for policy and environmental strategies that intervene broadly to improve Native community food environments and eliminate diet-related disparities among Native Americans., Highlights • The process of designing and implementing the first healthy retail study in tribal convenience stores is described. • Community-based participatory research engaged diverse tribal leaders across health, government, and commerce sectors. • Findings will elucidate relationships between Native community food environments and disease.
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- 2018
9. Food choice considerations among American Indians living in rural Oklahoma: The THRIVE study
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Micah Hartwell, Mary B. Williams, Marianna S. Wetherill, Alicia L. Salvatore, Jennifer Spiegel, Valarie Blue Bird Jernigan, Joy Standridge, Jill Fox, Tamela K. Cannady, Tvli Jacob, and Natia Anderson
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Adult ,Male ,Rural Population ,0301 basic medicine ,Cross-sectional study ,Population ,Disease cluster ,Article ,Eating ,Food Preferences ,03 medical and health sciences ,0302 clinical medicine ,Multivariate analysis of variance ,Surveys and Questionnaires ,Environmental health ,Food choice ,Humans ,030212 general & internal medicine ,education ,health care economics and organizations ,General Psychology ,Consumer behaviour ,education.field_of_study ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Oklahoma ,Consumer Behavior ,Middle Aged ,Confirmatory factor analysis ,Health equity ,Cross-Sectional Studies ,Indians, North American ,Female ,Factor Analysis, Statistical ,Psychology - Abstract
In rural American Indian (AI) communities, access to affordable, healthy foods is often limited. Understanding AI food choice considerations when selecting foods, such as sensory appeal, cost, or health, is an important yet understudied topic for eliminating persistent AI health disparities. In partnership with the Chickasaw Nation and Choctaw Nation of Oklahoma, we administered a modified version of the Food Choice Values (FCV) Questionnaire to a cross-sectional sample of 83 AI patrons shopping at tribally-owned convenience stores ≥3 times per week. The FCV Questionnaire uses 25 items to assess eight FCV subscales related to buying and eating food, including sensory appeal; safety; accessibility; convenience; health/ weight control; organic; tradition; and comfort. We compared mean scores for each FCV subscale by demographic groups using t-tests and ANOVA. We used confirmatory factor analysis (CFA) to examine how well the data from this population fit FCV subscale constructs. We then used cluster analysis, MANOVA, and discriminant analysis to characterize distinct segments of the population based on patterns of FCV endorsement. Appeal, safety, and access FCVs were most strongly endorsed across the sample. Prioritization of FCVs varied by age, gender, income, and education. Our cluster analysis identified four groups, or segments, each with distinct patterns of FCV endorsement: limited endorsement of any FCVs (23.3%); safety and sensory appeal (32.9%); health/weight control (17.8%); and broad endorsement of FCVs (26.0%). These groups varied by age and employment status. Findings from this analysis informed the design and implementation of a healthy retail intervention comprised of new healthful foods and beverages, product placement and marketing strategies within four tribally-owned and operated convenience stores. Public health interventions aimed at reducing nutrition-related disparities in rural AI populations may benefit from assessing food choice considerations.
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- 2018
10. Perceived Environments and Physical Activity Among American Indian Adults Living in Oklahoma: The THRIVE Study
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Joy Standridge, Jill Fox, Tvli Jacob, Tamela K. Cannady, Jennifer Spiegel, Tyler Crain, Charlie Love, Mandy Grammar, Valarie Blue Bird Jernigan, Alyson Haslam, and Tori Taniguchi
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Gerontology ,Health (social science) ,Sociology and Political Science ,Physical activity ,General Medicine ,Psychology ,Education - Published
- 2021
11. Choctaw Nation Youth Sun Exposure Survey
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Tamela K. Cannady, Ardis L. Olson, Mark P. Doescher, Justin D. Dvorak, Barbara L. Norton, Kai Ding, Martina Hawkins, Dannielle Branam, and Dorothy A. Rhoades
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Adolescent ,Short Communication ,AI, American Indian ,lcsh:Medicine ,Sunburn ,NHW, Non-Hispanic White ,Health Informatics ,UVL, Ultraviolet Light ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,visual_art.visual_artist ,Sunbathing ,030225 pediatrics ,Ultraviolet light ,medicine ,Suntan ,integumentary system ,Indoor Tanning ,business.industry ,Incidence (epidemiology) ,lcsh:R ,Significant difference ,Public Health, Environmental and Occupational Health ,medicine.disease ,visual_art ,Indians, North American ,Racial differences ,Sun exposure ,Skin cancer ,business ,Demography - Abstract
The incidence of skin cancer is rising among American Indians (AI) but the prevalence of harmful ultraviolet light (UVL) exposures among AI youth is unknown. In 2013, UVL exposures, protective behaviors, and attitudes toward tanning were assessed among 129 AI and Non-Hispanic (NHW) students in grades 8–12 in Southeastern Oklahoma. Sunburn was reported by more than half the AI students and most of the NHW students. One-third of AI students reported never using sunscreen, compared to less than one-fifth of NHW students, but racial differences were mitigated by propensity to burn. Less than 10% of students never covered their shoulders when outside. Girls, regardless of race, wore hats much less often than boys. Regardless of race or sex, more than one-fourth of students never stayed in the shade, and more than one-tenth never wore sunglasses. The prevalence of outdoor tanning did not differ by race, but more than three-fourths of girls engaged in this activity compared to less than half the boys. Indoor tanning was reported by 45% of the girls, compared to 20% of girls nationwide, with no difference by race. Nearly 10% of boys tanned indoors. Among girls, 18% reported more than ten indoor tanning sessions. Over one-quarter of participants agreed that tanning makes people look more attractive, with no significant difference by race or sex. Investigations of UVL exposures should include AI youth, who have not been represented in previous studies but whose harmful UVL exposures, including indoor tanning, may place them at risk of skin cancer.
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- 2017
12. Collaborative implementation of a community-based exercise intervention with a partnering rural American Indian community
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Charlotte Coleman, David F. Wharton, Dannielle E. Branam, Kevin R. Short, Tamela K. Cannady, Lisa Wolbert, Kenneth C. Copeland, Mary A. Tullier, and Jennifer Q Chadwick
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Gerontology ,Male ,Rural Population ,Community-Based Participatory Research ,Pediatric Obesity ,Adolescent ,030309 nutrition & dietetics ,Health Promotion ,Childhood obesity ,Article ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Risk Factors ,Diabetes mellitus ,medicine ,Humans ,030212 general & internal medicine ,Obesity ,Child ,Socioeconomic status ,Exercise ,Pharmacology ,Community based ,0303 health sciences ,Community based research ,Exercise intervention ,business.industry ,Oklahoma ,General Medicine ,Overweight ,medicine.disease ,Diabetes Mellitus, Type 2 ,Research Design ,Indians, North American ,Female ,business - Abstract
Background The prevalence and socioeconomic burden of childhood obesity and diabetes has increased rapidly in the United States in the last 30 years. American Indians have the highest prevalence of type 2 diabetes among newly diagnosed youth in the country. Contributing factors include environmental, behavioral, and genetic components. Some American Indian tribal communities have explored innovative ways to combat this epidemic including collaborations with academic centers on community-based research. Method From 2012 to 2017, the University of Oklahoma Health Science Center and the Choctaw Nation of Oklahoma partnered on a National Institutes of Health–funded project to determine if financial incentives would elicit an increase in physical activity in Native youth. This was a community-based behavioral intervention for overweight or obese American Indian youth ages 11–20 living in a rural community at risk for developing diabetes. Results Tribal leaders and staff identified culturally appropriate strategies to aid implementation of the trial in their community. Their identified implementation strategies helped standardize the study in order to maintain study integrity. The mutually agreed strategies included co-review of the study by tribal and University research review boards (but designation of the Choctaw Nation review board as the “Board of Record”), training of community-based staff on research ethics and literacy, standardization of the informed consent process by videotaping all study information, creation of a viable and culturally appropriate timeline for study implementation, adapting tribal wellness center operations to accommodate youth, and development of effective two-way communication through training sessions, on-site coordination, and bi-monthly conference calls. Conclusion In an effort to partner collectively on a randomized clinical research trial to combat childhood diabetes, tribal leaders and staff implemented strategies that resulted in a culturally appropriate and organized community-based behavioral intervention research project.
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- 2019
13. Process Evaluation Tool Development and Fidelity of Healthy Retail Interventions in American Indian Tribally Owned Convenience Stores: the Tribal Health Resilience in Vulnerable Environments (THRIVE) Study
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Jennifer Spiegel, Valarie Blue Bird Jernigan, Joy Standridge, AnDina Wiley, Tamela K Cannady, Mary B. Williams, Alicia L. Salvatore, Carolyn Noonan, Jill Fox, Tori E Taniguchi, Charlotte Love, JoAnna Tingle Owens, and Mandy Grammar
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obesity ,media_common.quotation_subject ,Psychological intervention ,Medicine (miscellaneous) ,Fidelity ,Proceedings of the Third Annual Conference on Native American Nutrition ,03 medical and health sciences ,0302 clinical medicine ,Promotion (rank) ,PROMOTIONAL MATERIALS ,Environmental health ,Intervention (counseling) ,030212 general & internal medicine ,food environment ,media_common ,2. Zero hunger ,030505 public health ,Nutrition and Dietetics ,Intervention fidelity ,American Indians ,Supplements & Symposia ,process evaluation ,healthy retail intervention ,Psychological resilience ,Business ,Process evaluation ,0305 other medical science ,tribal convenience store ,Food Science - Abstract
Background The Tribal Health Resilience in Vulnerable Environments (THRIVE) study aimed to increase healthy food access in 2 rural American Indian communities. The intervention sought to increase fruit and vegetable availability, variety, and convenience through placement, promotion, and pricing of healthy foods and beverages in tribal convenience stores. Objective The aim of this study was to describe the development and implementation of the study process evaluation tool to assess intervention fidelity as part of this cluster-controlled trial. Methods Eight stores (2 intervention and 2 control stores per Nation) participated in the study, implemented from May 2016 to May 2017. A web-based survey tailored to store layouts and intervention components assessed how often intervention items were available, approximate quantity available, and whether placement of healthier food items and promotional materials were implemented as designed. After pilot testing the survey, tribal staff members implemented it to collect process evaluation data in the 8 stores during a period of 9–12 mo, assessing study implementation and potential changes in control stores. Results Promotional materials were available ≥75% of the time for most intervention locations. Fruit availability was similar in Nation A and Nation B intervention stores (79–100% compared with 70–100%), whereas fresh vegetable availability was higher in Nation B compared with Nation A (95–96% compared with 55–75%). Both control stores in Nation A and 1 control store in Nation B had moderate fruit and vegetable availability, ranging from 45% to 52%. No control stores in either Nation used intervention promotional materials. Conclusions Process evaluation data indicate that the study was implemented with moderate to high fidelity. The development and implementation of the tool can inform future healthy retail interventions that aim to improve rural and tribal food environments.
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- 2018
14. A Healthy Retail Intervention in Native American Convenience Stores: The THRIVE Community-Based Participatory Research Study
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Marianna S. Wetherill, Mary B. Williams, Jill Fox, Travis Teague, Jennifer Spiegel, Valarie Blue Bird Jernigan, Alicia L. Salvatore, Carolyn Noonan, Charlotte Love, Tvli Jacob, Joy Standridge, JoAnna Tingle Owens, Tamela K. Cannady, Tori Taniguchi, and Mandy Grammar
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Community-Based Participatory Research ,AJPH Open-Themed Research ,Psychological intervention ,Community-based participatory research ,Context (language use) ,Health Promotion ,Food Supply ,03 medical and health sciences ,Intervention (counseling) ,Environmental health ,parasitic diseases ,Vegetables ,Medicine ,Humans ,Obesity ,Consumer behaviour ,health care economics and organizations ,030505 public health ,business.industry ,Native american ,Public Health, Environmental and Occupational Health ,technology, industry, and agriculture ,Commerce ,Oklahoma ,social sciences ,Consumer Behavior ,Purchasing ,Fruit ,Cohort ,Indians, North American ,population characteristics ,0305 other medical science ,business - Abstract
Objectives. To assess a healthy retail intervention in Tribal convenience stores in Oklahoma. Methods. We adapted healthy retail strategies to the context of 8 Tribally owned stores. We assessed individual- and store-level outcomes in a cluster-controlled intervention trial (April 2016–June 2017). We measured fruit and vegetable intake, store environment perceptions, and purchases before and after the intervention among a cohort of 1637 Native American shoppers. We used mixed-effects linear regression to estimate pre- to postintervention changes in and between groups. Results. We followed 74% of participants (n = 1204) 9 to 12 months. Intervention and control participants perceived healthier stores after intervention. Higher shopping frequency was related to purchases of fruits, vegetables, and healthy items. Conclusions. Intervention exposure was associated with healthy purchasing but not fruit and vegetable intake. Research is needed to further assess impacts of environmental interventions on intake. Public Health Implications. As the first healthy retail intervention in Tribally owned stores, our results contribute evidence for environmental and policy interventions to address obesity in Tribal Nations. Multicomponent interventions, led by Tribal leaders from diverse sectors, are needed to create healthy environments and sustainable improvements in Native American health.
- Published
- 2018
15. A Nutrition Environment Measure to Assess Tribal Convenience Stores: The THRIVE Study
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Tvli Jacob, Alicia L. Salvatore, Joy Standridge, Mary B. Williams, Marianna S. Wetherill, Tori Taniguchi, Jill Fox, Tamela K. Cannady, Valarie Blue Bird Jernigan, Mandy Grammar, and Jennifer Spiegel
- Subjects
Nursing (miscellaneous) ,Intraclass correlation ,Community-based participatory research ,Nutritional Status ,Sample (statistics) ,Article ,Food Supply ,03 medical and health sciences ,0302 clinical medicine ,Cohen's kappa ,Environmental health ,Humans ,030212 general & internal medicine ,030505 public health ,Rural health ,digestive, oral, and skin physiology ,fungi ,Public Health, Environmental and Occupational Health ,Commerce ,Reproducibility of Results ,Oklahoma ,Health equity ,Inter-rater reliability ,Geography ,General partnership ,0305 other medical science - Abstract
In rural American Indian (AI) communities, where supermarkets are rare, tribally owned and operated convenience stores are an important food source. Food environment measures for these settings are needed to understand and address the significant diet-related disparities among AIs. Through a tribal-university partnership that included tribal health and commerce representatives from two Native Nations in rural southeastern Oklahoma, we developed the Nutrition Environment Measures Survey for Tribal Convenience Stores (NEMS-TCS) to inform the development and evaluation of a healthy food retail intervention. The NEMS-TCS assessed four scored domains of the rural convenience store food environment—food availability, pricing, quality, and placement—and included 11 food categories that emphasized ready-to-eat food items. Trained raters administered the NEMS-TCS using a sample of 18 rural convenience stores (primarily ranging between 2,400 and 3,600 square feet). We assessed interrater reliability with kappa statistics for dichotomized variables and intraclass correlation coefficients (ICC) for continuous variables. NEMS-TCS demonstrated high inter-rater reliability for all food categories (>85% agreement), subscores (ICC = 0.73-1.00), and the total score (ICC = 0.99). The NEMS-TCS responds to recent calls for reliable measures for rural food environments and may be valuable for studying food environments of large convenience stores in other Native Nations as well as other rural settings.
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- 2018
16. Cardiovascular Disease Risk Factors and Health Outcomes Among American Indians in Oklahoma: the THRIVE Study
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Marianna S. Wetherill, Dedra Buchwald, Mandy Grammar, Tvli Jacob, Joy Standridge, An Dina Wiley, Jennifer Spiegel, Valarie Blue Bird Jernigan, Alicia L. Salvatore, Tamela K. Cannady, Carolyn Noonan, Jill Fox, and Jordan B Hearod
- Subjects
Gerontology ,Adult ,Male ,medicine.medical_specialty ,Health (social science) ,Sociology and Political Science ,Adolescent ,Ethnic group ,Community-based participatory research ,Disease ,Health outcomes ,Article ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Risk Factors ,Diabetes mellitus ,Epidemiology ,Prevalence ,Medicine ,Humans ,030212 general & internal medicine ,Obesity ,Aged ,030505 public health ,business.industry ,Health Policy ,Native American ,Diabetes ,Public Health, Environmental and Occupational Health ,Oklahoma ,Health Status Disparities ,Middle Aged ,medicine.disease ,Cardiovascular disease ,Vegetable and fruit intake ,Health Surveys ,Cross-Sectional Studies ,Cardiovascular Diseases ,Anthropology ,American Indian ,Disease risk ,Indians, North American ,Female ,0305 other medical science ,business - Abstract
Introduction Limited available data document higher prevalences of cardiovascular disease (CVD) risk factors and health outcomes among American Indians (AIs) compared to other racial/ethnic groups. Methods As part of a randomized control trial to improve tribal food and physical activity environments, our tribal-academic partnership surveyed a cross-sectional sample of American Indian adults (n = 513) to assess the prevalence of type 2 diabetes, obesity, hypertension, tobacco use, physical activity, and vegetable and fruit intake. Surveys were collected from April through May 2015. We used logistic regression to examine the association between CVD-related risk factors and health outcomes. Results The prevalence of CVD-related outcomes was high, ranging from 25% for diabetes to 75% for low vegetable intake. The prevalence of diabetes, obesity, and hypertension tended to be higher among participants with any tobacco use compared to no tobacco use, but findings were not statistically significant. The prevalence of diabetes (prevalence ratio 2.1, 95% CI 1.4–3.2) and obesity (prevalence ratio 1.5, 95% CI 1.2–1.8) was higher among participants with low physical activity levels compared to recommended physical activity levels. Conclusions CVD risk factors and health outcomes persist among American Indians even as some risks (e.g., smoking) appear to be stabilizing or even declining in the general US population. Efforts to include American Indians in national health surveys, implement broad reaching environmental and policy interventions, and address the social determinants of health are critical to the elimination of these disparities.
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17. Choctaw Nation Youth Sun Exposure Survey
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Dorothy A. Rhoades, Martina Hawkins, Barbara Norton, Dannielle Branam, Tamela K. Cannady, Justin Dvorak, Kai Ding, Ardis L. Olson, and Mark P. Doescher
- Subjects
Indians, North American ,Suntan ,Sunburn ,Sunbathing ,Indoor Tanning ,Adolescent ,Medicine - Abstract
The incidence of skin cancer is rising among American Indians (AI) but the prevalence of harmful ultraviolet light (UVL) exposures among AI youth is unknown. In 2013, UVL exposures, protective behaviors, and attitudes toward tanning were assessed among 129 AI and Non-Hispanic (NHW) students in grades 8–12 in Southeastern Oklahoma. Sunburn was reported by more than half the AI students and most of the NHW students. One-third of AI students reported never using sunscreen, compared to less than one-fifth of NHW students, but racial differences were mitigated by propensity to burn. Less than 10% of students never covered their shoulders when outside. Girls, regardless of race, wore hats much less often than boys. Regardless of race or sex, more than one-fourth of students never stayed in the shade, and more than one-tenth never wore sunglasses. The prevalence of outdoor tanning did not differ by race, but more than three-fourths of girls engaged in this activity compared to less than half the boys. Indoor tanning was reported by 45% of the girls, compared to 20% of girls nationwide, with no difference by race. Nearly 10% of boys tanned indoors. Among girls, 18% reported more than ten indoor tanning sessions. Over one-quarter of participants agreed that tanning makes people look more attractive, with no significant difference by race or sex. Investigations of UVL exposures should include AI youth, who have not been represented in previous studies but whose harmful UVL exposures, including indoor tanning, may place them at risk of skin cancer.
- Published
- 2017
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