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Rural Health
Resources by Topic: Culture and cultural competency

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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Enhancing Diabetes Self-Care among Rural African Americans with Diabetes
Examines the feasibility of conducting a community-based study evaluating a culturally tailored diabetes self-management education program among rural African Americans living in Virginia. Covers outcomes data at baseline, 3-month, and 12-month follow-up, including hemoglobin A1C, blood pressure, diet, exercise, diabetes knowledge, medication adherence, and others.
Author(s): Ishan C. Williams, Sharon W. Utz, Ivora Hinton, et al.
Citation: Diabetes Educator, 40(2), 231-239
Date: 2014
Type: Document
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Risk, Reward, and the Double-Edged Sword: Perspectives on Pharmacogenetic Research and Clinical Testing Among Alaska Native People
Examines the relationship between native populations in rural Alaska and the use of ethnically specific research regarding prescription drug effectiveness. Provides responses from Alaskan Natives concerning the use of data collected and recommendations for the role of tribal leadership in the advancement of pharmacogenetics.
Author(s): Jennifer L. Shaw, Renee Robinson, Helene Starks, Wylie Burke, Denise A. Dillard
Citation: American Journal of Public Health, 103(12), 2220-2225
Date: 12/2013
Type: Document
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Research Ethics and Indigenous Communities
Discusses a model intertribal institutional review board (Intertribal IRB) in the Rocky Mountain/Great Plains area and their attention to the appreciation and respect of American Indian/Alaskan Native knowledge when conducting research studies. Includes questions to ask, steps to follow, and protocols to use when creating an Intertribal IRB.
Author(s): Allyson Kelley, Annie Belcourt-Dittloff, Cheryl Belcourt, Gordon Belcourt
Citation: American Journal of Public Health, 103(1), 19-27103(12), 2146-2152
Date: 12/2013
Type: Document
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Addressing Rural Health Disparities Through Policy Change in the Stroke Belt
Examines the feasibility and acceptability of 24 Common Community Measures for Obesity Prevention (COCOMO) strategies based on local culture, infrastructure, funding, and community support by surveying and interviewing residents from rural Lenoir County, North Carolina.
Author(s): Stephanie B. Jilcott Pitts, Tosha W. Smith, Linden Maya Thayer, et al.
Citation: Journal of Public Health Management and Practice, 19(6), 503-510
Date: 11/2013
Type: Document
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