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Diabetes Prevention Strategies for the Dine Cultural Learning to Implement Change A Qualitative Study.
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Diabetes Prevention Strategies for the Dine Cultural Learning to Implement Change A Qualitative Study.
자료유형  
 학위논문
Control Number  
0017162152
International Standard Book Number  
9798382774480
Dewey Decimal Classification Number  
306
Main Entry-Personal Name  
Vela, Jaime.
Publication, Distribution, etc. (Imprint  
[S.l.] : University of California, Los Angeles., 2024
Publication, Distribution, etc. (Imprint  
Ann Arbor : ProQuest Dissertations & Theses, 2024
Physical Description  
245 p.
General Note  
Source: Dissertations Abstracts International, Volume: 85-11, Section: B.
General Note  
Advisor: Thornton, Russell.
Dissertation Note  
Thesis (Ph.D.)--University of California, Los Angeles, 2024.
Summary, Etc.  
요약The purpose of this qualitative study was to explore Dine stories as a culturally appropriate educational method in the active implementation of diabetes prevention strategies among Native Americans. Native Americans are 2.3 times more likely than European Americans to be diagnosed with diabetes and die from this disease. In fact, Native people die at a rate that is 200% higher than the U.S. population (Indian Health Service, 2007; Office of Minority Health, 2011). As of 2020 Partners in Health (PIH) has reported that one in three Navajo individuals are diagnosed as diabetic or pre-diabetic. This high rate of disease warrants immediate intervention. A foundational assumption of this study is the critical importance of a culturally appropriate educational method which will inform decision-making about individual and communal health and well-being. This study will build on research about Indigenous education (Battiste, 2013; Brayboy, 2005; Reyhner, 2013; Ritskes & Sium, 2013) and public health (Grace, 2011; Lombard et al., 2012), which demonstrates the value of stories as an effective means of "transformative learning," with the potential to influence behavioral change. The focus of this qualitative study was on the stories of the Dine as a means for positive change in health outcomes for their community. The overarching focus of the study was what we would be able to learn from Dine participants' stories that show us ways in which they have been able to implement diabetes prevention strategies in their own lives. Using a method based on Seidman's (2013) phenomenological interview process, I have given voice to testimonies rooted in traditional Dine values and practices. I learned about the lived experiences of participants related to diabetes, and from their own diagnosis or that of a family member. I also engaged in a form of reciprocal interviewing, in which I shared with participant current effective prevention strategies, such as an improved diet, which is a proven factor in mediating the risk of diabetes (Center for Disease Control, 2011). I then developed narrative profiles for each participant (Seidman, 2013) which present their unique experiences. This approach constituted the first stage of data analysis and also allowed me to ultimately present the data in a form that is a true representation of each participant's stories.
Subject Added Entry-Topical Term  
Cultural anthropology.
Subject Added Entry-Topical Term  
Native American studies.
Subject Added Entry-Topical Term  
Nutrition.
Index Term-Uncontrolled  
Diabetes
Index Term-Uncontrolled  
Health
Index Term-Uncontrolled  
Navajo
Index Term-Uncontrolled  
Prevention
Index Term-Uncontrolled  
Storytelling
Added Entry-Corporate Name  
University of California, Los Angeles Anthropology 0063
Host Item Entry  
Dissertations Abstracts International. 85-11B.
Electronic Location and Access  
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Control Number  
joongbu:658622
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