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Rural Health
Resources by Topic: Culture and cultural competency

Acceptability of an Embodied Conversational Agent-Based Computer Application for Hispanic Women
Examines computer and technology use in adult Hispanic women living in rural areas. Evaluates the acceptability of using an embodied conversational agent (ECA) computer application as a possible method to assist providers and engage patients in health education. Includes a link to the relational agents video publicly available.
Author(s): Kristen J. Wells, Coralia Vázquez-Otero, Marissa Bredice, et al.
Citation: Hispanic Health Care International, 13(4), 179-185
Date: 2015
Type: Document
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The Social Determinants of Health of Type 2 Diabetes and Obesity: A Research Framework
Examines the social determinants of health related to childhood obesity and type 2 diabetes from a Native perspective, considering historical trauma, self-determination, and cultural factors. Looks at currently available information, identifies gaps, and provides a research framework to help build a better understanding of the causes of child obesity among Native Americans.
Date: 2015
Type: Document
Sponsoring organization: Notah Begay III Foundation
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Systematic Review of Interventions Focusing on Indigenous Adolescent Mental Health and Substance Use
Analyzes mental health and substance use interventions for American Indian and Alaska Native (AI/AN) adolescent populations to identify key intervention factors in reducing mental health disparities.
Author(s): Mapuana C. K. Antonio, Jane J. Chung-Do
Citation: American Indian and Alaska Native Mental Health Research, 22(3), 36-56
Date: 2015
Type: Document
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Predicting Attitudes Toward Seeking Professional Psychological Help among Alaska Natives
Gauges attitudes of Alaska Natives toward psychological help by examining current and previous experience, social and self stigma, and cultural identity. Identifies variables in mental health help-seeking attitudes to better inform methods for increasing service use among Alaska Natives.
Author(s): Brittany Freitas-Murrell, Joshua K. Swift
Citation: American Indian and Alaska Native Mental Health Research, 22(3), 21-35
Date: 2015
Type: Document
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A Community-Based, Culturally Relevant Intervention to Promote Healthy Eating and Physical Activity among Middle-Aged African American Women in Rural Alabama: Findings from a Group Randomized Controlled Trial
Examines a community-based, culturally relevant intervention to promote healthy eating and physical activity among African American women between the ages of 45-65 living in rural Alabama. Includes study participant demographic data at the starting baseline and a 24 month follow up. Covers healthy lifestyle data at the starting baseline, 12 month, and 24 month follow up for dietary and physical activity measures.
Author(s): Isabel C. Scarinci, Artisha Moore, Theresa Wynn, et al.
Citation: Preventive Medicine, 69, 13-20
Date: 12/2014
Type: Document
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Lessons Learned from 20 Years of Diabetes Self-Management Research with Mexican Americans in Starr County, Texas
Provides an overview of research on diabetes self-management education interventions focused on rural Mexican Americans along the Texas-Mexico border. Reports on lessons learned from pilot testing, focus group interviews, and randomized controlled trials. Addresses the impact of culture, behavioral change motivators, and more.
Author(s): Sharon A. Brown, Joseph H. Blades, Craig L. Hanis
Citation: Diabetes Educator, 40(4), 476-487
Date: 07/2014
Type: Document
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Effectiveness of Circle of Life, an HIV-Preventive Intervention for American Indian Middle School Youths: A Group Randomized Trial in a Northern Plains Tribe
Surveys a culturally appropriate HIV prevention program to measure Native American middle school student awareness in a Northern Plains tribe to determine at what age it is most effective to introduce prevention interventions. Includes data broken down by gender, age, and sexual activity.
Author(s): Carol E. Kaufman, Nancy Rumbaugh Whitesell, Ellen M. Keane, et al.
Citation: American Journal of Public Health, 104(6), 106-112
Date: 06/2014
Type: Document
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Shared and Unshared Barriers to Cancer Symptom Management Among Urban and Rural American Indians
Reports on a 5-year study measuring cancer symptom management in both rural and urban American Indian (AI) populations in the southwestern U.S. Separates findings into shared barriers, such as transportation and lack of support services, and unshared barriers, such as cultural beliefs about treatment and language differences, between rural and urban groups.
Author(s): Tracy Line Itty, Felicia Schanche Hodge, Fernando Martinez
Citation: Journal of Rural Health, 30(2), 206-213
Date: 04/2014
Type: Document
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Strategies for Behavioral Health Organizations to Promote New Health Insurance Opportunities: In American Indian and Alaska Native Communities
Provides examples of successful outreach and enrollment strategies for organizations to use when introducing health insurance options to American Indian and Alaska Native communities.
Date: 03/2014
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Developing Empirically Based, Culturally Grounded Drug Prevention Interventions for Indigenous Youth Populations
Describes the relevance of a culturally grounded approach when developing a drug prevention program for Indigenous youth. Includes implications for culturally grounded approaches in behavioral health services and a case example of a drug prevention program for rural Native Hawaiian youth.
Author(s): Scott K. Okamoto, Susana Helm, Suzanne Pel, et al.
Citation: Journal of Behavioral Health Services & Research, 41(1)
Date: 01/2014
Type: Document
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