The Báa nnilah Program
Results of a Chronic-Illness Self-Management Cluster Randomized Trial with the Apsáalooke Nation
Bibliographic Data
Indigenous people in Montana are disproportionately affected by chronic illness (CI), a legacy of settler colonialism. Existing programs addressing CI self-management are not appropriate because they are not consonant with Indigenous cultures in general and the Apsáalooke culture specifically. A research partnership between the Apsáalooke (Crow Nation) non-profit organization Messengers for Health and Montana State University co-developed, implemented, and evaluated a CI self-management program for community members. This article examines qualitative and quantitative program impacts using a pragmatic cluster randomized clinical trial design with intervention and waitlist control arms. The quantitative and qualitative data resulted in different stories on the impact of the Báa nnilah program. Neither of the quantitative hypotheses were supported with one exception. The qualitative data showed substantial positive outcomes across multiple areas. We examine why the data sets led to two very different stories, and provide study strengths and limitations, recommendations, and future directions
Cluster (spacecraft · Cluster randomised controlled trial · Colonialism · General partnership · Indigenous · Intervention (counseling · Political science · Qualitative property · Qualitative research · Randomized controlled trial · Social science · Sociology · Computer Science · Diabetes Management and Education · Health Policy Implementation Science · Indigenous Health, Education, and Rights · Law · Medicine · Nursing · Psychology · Ecology · Gerontology
First steps in qualitative data analysis
American Indian and Alaska Native Mental Health
Cultural differences in responses to a likert scale
Development and Testing of a Short Form of the Patient Activation Measure
The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks
The PHQ-9
Clinical Epidemiology
Research with American Indian and Alaska Native populations
Measuring social health in the patient-reported outcomes measurement information system (PROMIS)
Assessing psychological well-being
Validation of the PROMIS® measures of self-efficacy for managing chronic conditions
Multidimensionality of the PROMIS self-efficacy measure for managing chronic conditions
Challenges in Applying Indigenous Evaluation Practices in Mainstream Grant Programs to Indigenous Communities
Community sharing
The Patient-Reported Outcomes Measurement Information System (PROMIS)
Evidence Suggesting That a Chronic Disease Self-Management Program Can Improve Health Status While Reducing Hospitalization
Improving chronic illness self-management with the Apsáalooke Nation
Developing an Indigenous Measure of Overall Health and Well-being
What Touched Your Heart? Collaborative Story Analysis Emerging From an Apsáalooke Cultural Context
Constraints and Opportunities with Interview Transcription
Measuring Social Well-Being in People with Chronic Illness
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| Highly cited | No |