Empowering Native Adolescents: Responsibility for Their Health Behaviors

Author:

Chambers Rachel A.1,Hautala Dane2,Kenney Anne3,Rosenstock Summer4,Begay Marissa5,Neault Nicole6,Nelson Leonela6,Reid Raymond7,Richards Jennifer8,Goklish Novalene9,Van De Mheen Dike10,Barlow Allison11,Walls Melissa12

Affiliation:

1. Rachel Chambers, Senior Research Associate, Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States;, Email: rstrom3@jhu.edu

2. Dane Hautala, Assistant Scientist, Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Duluth, MN, United States

3. Anne Kenney, Senior Research Associate Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States

4. Summer Rosenstock, Assistant Scientist, Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States

5. Marissa Begay, Research Program Assistant, Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Chinle, AZ, United States

6. Nicole Neault, Senior Research Associate, Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Albuquerque, NM, United States

7. Raymond Reid, Senior Research Associate, Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Shiprock, NM, United States

8. Jennifer Richards, Assistant Scientist, Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Tuba City, AZ, United States

9. Novalene Goklish, Research Associate Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Whiteriver, AZ, United States

10. Van De Mheen, Professor, Tilburg University, Scientific Centre for Care and Welfare (Tranzo), Tilburg, The Netherlands

11. Allison Barlow, Director, Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States

12. Melissa Walls, Director of Great Lakes Hub, Johns Hopkins Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Duluth, MN, United States

Abstract

Objectives: In this study, we assess the impact of a home-based diabetes prevention program, Together on Diabetes (TOD), on adolescent responsibility-taking for tasks related to diabetes risk. Methods: Participants were Native American youth ages 10-19 with or at risk of type 2 diabetes who participated in a 12-session, 6-month diabetes prevention program with an adult caretaker. Assessments completed at baseline, 6-month, and 12-month follow-up include demographics and the Diabetes and Obesity Task Sharing (DOTS) Questionnaire. We used latent class analysis (LCA) at baseline to examine heterogeneity in DOTS responses. We identified 3 classes (adolescent, shared, caretaker). We used latent transition analysis to examine stability and change in latent status at baseline, 6- and 12-month follow-up. Results: At baseline, the mean age of participants was 13.6 years and 55.9% were boys. From baseline to 6-month follow-up, the adolescent class was most stable, whereas the shared and caretaker classes were less stable. For participants who transition from the adolescent class, most transition to shared class compared to caretaker class. Conclusions: TOD helps to empower Native American adolescents to take responsibility for their health and engage with their caregivers in these decisions.

Publisher

JCFCorp SG PTE LTD

Subject

Public Health, Environmental and Occupational Health,Social Psychology,Health(social science)

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