249900 From CHR to tribal gardener: How three CHRs used community-based evidence to change a diabetes program at an urban American Indian tribe

Wednesday, November 2, 2011: 10:50 AM

Sean Bruna-Lewis, MA, PhD(c) , Department of Anthropology, RWJF Center for Health Policy, University of New Mexico, Albuquerque, NM
Pending award of funding, a member of the CHR team at the Ysleta del Sur Pueblo, an urban American Indian tribe, will co-present this co-authored talk. Community Health Workers are an essential component of community health and wellness in tribal communities. CHRs are also familiar with “Evidence-based” and “translational research” requirements in American Indian diabetes prevention programs, and while several theories show how translational research should be implemented, few models provide room for inclusion of culturally congruent practices and local knowledge. Drawing from both Western and Indigenous theories, this paper explores evidence based and translational theories to show, if, where, and how they can engage with local practices and knowledge. Examples from the YDSP Diabetes Program, including a three-year running tribal garden, are presented to demonstrate how tribal members accepted, modified or rejected health theories to make room for their own evidence-based knowledge, and how CHRs adjusted to these “new” evidences by developing a tribal community garden.

Learning Areas:
Diversity and culture
Public health or related public policy
Public health or related research
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
This paper will explain evidence based and translational theories, compare these theories to local community-based knowledge, and demonstrate how CHR adjusted to new community based evidence.

Keywords: Diabetes, American Indians

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am a PhD candidate in Medical Anthropology and the lead UNM researcher in a research partnership for this dissertation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.