Health Care Provider’s Role in Obesity Prevention and Healthy Development of Young American Indian Children

Author:

Kracht Chelsea L.1,Sisson Susan B.1ORCID,Kerr Kelly1,Walker Devon1,Stephens Lancer12,Seward Julie3,Anderson Amber1,Weedn Ashley E.1,Cheney Marshall4,Copeland Kristen A.56,Tallbear Chris1,Jacob Audrey7,Key Michelle8,Dennison Michelle9,Horm Diane10,Salvatore Alicia L.1

Affiliation:

1. University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA

2. Oklahoma Shared Clinical and Translational Resources, Oklahoma City, OK, USA

3. Southern Plains Tribal Health Board, Oklahoma City, OK, USA

4. University of Oklahoma, Norman, OK, USA

5. Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

6. University of Cincinnati, Cincinnati, OH, USA

7. Choctaw Nation of Oklahoma, Talihina, OK, USA

8. Chickasaw Nation Department of Community Services, Ada, OK, USA

9. Oklahoma City Indian Clinic, Oklahoma City, OK, USA

10. University of Oklahoma, Tulsa, OK, USA

Abstract

Introduction: Health care providers (HCPs) serving American Indian (AI) populations are critical stakeholders in promoting healthy weight-related behaviors of young AI children. The purpose of this study is to develop an understanding of how HCP perceive their role in the healthy development of young AI children, and how they envision working with early care and education teachers and parents to enhance children’s health. Method: Twenty HCP that serve young AI children in Oklahoma participated in individual interviews. Thematic analysis was conducted on coded transcripts and three main themes, each with two to four subthemes were identified. Results: HCP had limited contact with teachers, felt family health was equal or more important than child health, and parental empowerment and gradual change was essential for success. Conclusion: Creating ways to involve HCP, early care and education teachers, and parents together in multilevel and multisector interventions has the potential to improve the health of young AI children.

Funder

Harold Hamm Diabetes Center

Presbyterian Health Foundation

National Institute of General Medical Sciences

Publisher

SAGE Publications

Subject

General Nursing

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