Assessing knowledge and attitudes of diabetes in Zuni Indians using a culture-centered approach.

The Zuni Pueblo, in collaboration with the University of New Mexico, have formed the Zuni Health Initiative (ZHI) engaged in community-based participatory research to plan and implement educational interventions to reduce health disparities. We conducted the first phase of ZHI study and identified b...

Full description

Bibliographic Details
Main Authors: Sara Newman, Terri Cheng, Donica M Ghahate, Jeanette Bobelu, Phillip Sandy, Thomas Faber, Vallabh O Shah
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4053347?pdf=render
_version_ 1818925028474880000
author Sara Newman
Terri Cheng
Donica M Ghahate
Jeanette Bobelu
Phillip Sandy
Thomas Faber
Vallabh O Shah
author_facet Sara Newman
Terri Cheng
Donica M Ghahate
Jeanette Bobelu
Phillip Sandy
Thomas Faber
Vallabh O Shah
author_sort Sara Newman
collection DOAJ
description The Zuni Pueblo, in collaboration with the University of New Mexico, have formed the Zuni Health Initiative (ZHI) engaged in community-based participatory research to plan and implement educational interventions to reduce health disparities. We conducted the first phase of ZHI study and identified barriers to healthcare. We concluded that the burden presented by these barriers ultimately translates into a lack of patient activation and engagement in their health care including for diabetes, effectively hindering adoption of healthy behaviors.Community health representatives (CHRs) led 10 one-hour focus group sessions to elicit information on diabetes knowledge and self-management strategies at which a total of 84 people participated. Audiotapes were translated and transcribed by bilingual ZHI staff. We reduced the text to thematic categories, constructed a coding dictionary and inserted the text into NVivo 9 program.The focus groups revealed that despite extensive personal or family experiences with diabetes or complications, participants identified knowledge gaps in the disease progression and disease management. However, we gained insight into how many Zunis conceptualize the etiology of diabetes, risk factors associated with diabetes, sources of knowledge and self-management practices.We concluded that many of the Zuni diabetics experience significant impacts on their life when they were diagnosed with diabetes and suffered the plight of stigmatization. We further concluded that developing Zuni culture specific diabetes care should focus on family involvement with continued education.
first_indexed 2024-12-20T02:34:43Z
format Article
id doaj.art-f175c9ede3864863a09f95096084037c
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-20T02:34:43Z
publishDate 2014-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-f175c9ede3864863a09f95096084037c2022-12-21T19:56:28ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0196e9961410.1371/journal.pone.0099614Assessing knowledge and attitudes of diabetes in Zuni Indians using a culture-centered approach.Sara NewmanTerri ChengDonica M GhahateJeanette BobeluPhillip SandyThomas FaberVallabh O ShahThe Zuni Pueblo, in collaboration with the University of New Mexico, have formed the Zuni Health Initiative (ZHI) engaged in community-based participatory research to plan and implement educational interventions to reduce health disparities. We conducted the first phase of ZHI study and identified barriers to healthcare. We concluded that the burden presented by these barriers ultimately translates into a lack of patient activation and engagement in their health care including for diabetes, effectively hindering adoption of healthy behaviors.Community health representatives (CHRs) led 10 one-hour focus group sessions to elicit information on diabetes knowledge and self-management strategies at which a total of 84 people participated. Audiotapes were translated and transcribed by bilingual ZHI staff. We reduced the text to thematic categories, constructed a coding dictionary and inserted the text into NVivo 9 program.The focus groups revealed that despite extensive personal or family experiences with diabetes or complications, participants identified knowledge gaps in the disease progression and disease management. However, we gained insight into how many Zunis conceptualize the etiology of diabetes, risk factors associated with diabetes, sources of knowledge and self-management practices.We concluded that many of the Zuni diabetics experience significant impacts on their life when they were diagnosed with diabetes and suffered the plight of stigmatization. We further concluded that developing Zuni culture specific diabetes care should focus on family involvement with continued education.http://europepmc.org/articles/PMC4053347?pdf=render
spellingShingle Sara Newman
Terri Cheng
Donica M Ghahate
Jeanette Bobelu
Phillip Sandy
Thomas Faber
Vallabh O Shah
Assessing knowledge and attitudes of diabetes in Zuni Indians using a culture-centered approach.
PLoS ONE
title Assessing knowledge and attitudes of diabetes in Zuni Indians using a culture-centered approach.
title_full Assessing knowledge and attitudes of diabetes in Zuni Indians using a culture-centered approach.
title_fullStr Assessing knowledge and attitudes of diabetes in Zuni Indians using a culture-centered approach.
title_full_unstemmed Assessing knowledge and attitudes of diabetes in Zuni Indians using a culture-centered approach.
title_short Assessing knowledge and attitudes of diabetes in Zuni Indians using a culture-centered approach.
title_sort assessing knowledge and attitudes of diabetes in zuni indians using a culture centered approach
url http://europepmc.org/articles/PMC4053347?pdf=render
work_keys_str_mv AT saranewman assessingknowledgeandattitudesofdiabetesinzuniindiansusingaculturecenteredapproach
AT terricheng assessingknowledgeandattitudesofdiabetesinzuniindiansusingaculturecenteredapproach
AT donicamghahate assessingknowledgeandattitudesofdiabetesinzuniindiansusingaculturecenteredapproach
AT jeanettebobelu assessingknowledgeandattitudesofdiabetesinzuniindiansusingaculturecenteredapproach
AT phillipsandy assessingknowledgeandattitudesofdiabetesinzuniindiansusingaculturecenteredapproach
AT thomasfaber assessingknowledgeandattitudesofdiabetesinzuniindiansusingaculturecenteredapproach
AT vallabhoshah assessingknowledgeandattitudesofdiabetesinzuniindiansusingaculturecenteredapproach