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Taking Up culture in diabetes translation research

Taking Up culture in diabetes translation research. Insights Gleaned from an AI/AN Depression Treatment Research Agenda Tassy Parker, PhD, RN March 21, 2013. COMMUNITY-BASED METHODS & ORIENTATIONS. Methods: Photovoice Storytelling Orientation: CBPR Indigenous Planning.

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Taking Up culture in diabetes translation research

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  1. Taking Up culture in diabetes translation research Insights Gleaned from an AI/AN Depression Treatment Research Agenda Tassy Parker, PhD, RN March 21, 2013

  2. COMMUNITY-BASED METHODS & ORIENTATIONS Methods: Photovoice Storytelling Orientation: CBPR Indigenous Planning

  3. Translational Science: Developing Depression Treatment for AI/AN in Primary Care (Parker, v.2013) Proposed depression treatment – Bidirectional T4 • Contextualization of Knowledge: • Culture, Traditions, Resources, History • - Cultural core values • Beliefs, explanatory models, preferences • Resources (community, personal) • Historical perspectives • Clinical Practice • Providers’ resources, support, motivation Current depression treatment - Unidirectional Biopsychiatric Interventions T1 T2 T3 Primary Care Practice Culturally-centered, practice-based interventions AI/AN depression treatment model Global Knowledge evidence-based Quality Improvement (QI) Interventions T4 Translation & Application of Knowledge CBPR: Focus Group, Survey, In-Depth Interviews, Consensus Panel, Vignettes, Community Report Out, Process and Outcomes Evaluation

  4. Cultural Core Values (DAH): • women-decision makers, children-sacred.” • “…harness the power of these value systems” • Beliefs, Explanatory Models (VS): • fried foods • “the way American Indians cook” • Preferences (VG, DAH): • children, parents, community members – children’s health • barriers and enhancers to PA at elementary school • Weight management preferences of pregnant AI/AN women • Resources (community, personal) (DJ) • photovoice • identifying community needs • Historical Perspectives (RH) • “Why has Pathways not gone beyond study sites…”? • T3 pathway discovery

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