142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Engaging in Community-Based Participatory Policy Work with Native American Tribal Communities to Address Obesity: The THRIVE Study

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 1:30 PM - 1:45 PM

Valarie Blue Bird Jernigan, DrPH, MPH , College of Public Health, University of Oklahoma Health Sciences Center, Tulsa, OK
Michael Peercy, MPH , Research and Population Health, Department of Health, Chickasaw Nation of Oklahoma, Ada, OK
Bobby Saunkeah, RN, CDE, CIP , Research and Population Health, Department of Health, Chickasaw Nation of Oklahoma, Ada, OK
Dannielle Branam , Choctaw Nation of Oklahoma Institutional Review Board, Choctaw Nation of Oklahoma, Durant, OK
David Wharton
Joy Standridge
Tamela Cannady
AnDina Wiley
Mandy Grammar
Jennifer Spiegel
Background:  Poor access to healthy foods increases the risk for chronic diseases, which are highly prevalent among American Indian people in Oklahoma, whose burdens of obesity (42%), diabetes (15%), and hypertension (38%) exceed those of the general U.S. population. Although many tribes have implemented individual-level efforts to prevent and control obesity, few studies have assessed the environmental correlates of obesity in tribal communities, and none have developed interventions to improve the food environments of Oklahoma tribal nations.

Methods/Results: The THRIVE study – Tribal Health and Resilience in Vulnerable Environments – is a community based participatory research study, employing community based participatory policy work (CBPPW) methodologies, with the Chickasaw and Choctaw Nations of Oklahoma.  The study is implementing healthy "makeovers" within tribally owned and operated convenience stores to increase fruit and vegetable consumption among tribal members. The first phase of THRIVE – community assessment and intervention planning -- is currently underway. This presentation will detail these processes, including the engagement of diverse health, business, and policy leader stakeholders -- and the analysis of critical factors such as community culture, leadership, financial support, and sustainability, in preparing for these interventions, which lie at the intersection of public health and tribal economic sustainability.

Conclusions: This study is creating a "roadmap" for engaging in CBPPW to implement evidence-based obesity prevention policies in tribal communities and beyond. Discussion of this process and initial assessment findings will assist other communities in fighting obesity with rigorous methods and community involvement.

Learning Areas:

Advocacy for health and health education
Planning of health education strategies, interventions, and programs
Public health or related public policy

Learning Objectives:
Define and describe community-based participatory policy work Identify steps communities can take to identify and prioritize appropriate obesity prevention policy strategies

Keyword(s): Community-Based Partnership & Collaboration, Community Health Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal or co-principal of multiple federally funded grants focusing on the epidemiology of obesity, diabetes, and cardiovascular disease. I am the senior epidemiologist for the Chickasaw Nation of Oklahoma and an Administrator for the Institutional Review Board of the Chickasaw Nation.
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.