THE IMPACT OF CULTURALLY TAILORED DIABETES PREVENTION PROGRAMS ON GLYCEMIC CONTROL AND LIFESTYLE BEHAVIORS AMONG NATIVE AMERICAN INDIANS IN OKLAHOMA
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Authors
Palmer, Rae-Leigh
Department
Healthcare Administration
Issue Date
2025-12
Type
Thesis
Language
en_US
Keywords
Indians of North America--Health; Indians of North America--Health risk assessment--Oklahoma--Statistics; Diabetes--Diet therapy; Diabetes--Nutritional aspects; Diabetes--United States--Prevention
Alternative Title
Abstract
Native American Indians in the state of Oklahoma are at significant risk of developing diabetes compared to other populations of people. Native American Indians are more than two times as likely to be diagnosed with diabetes than other groups. The increased prevalence of the disease has raised important concerns about developing programs suited to fit Native American population needs. The development of culturally tailored diabetes prevention programs is necessary to address the unique cultural, social, economic, and environmental needs of the Native American Indian population. This paper explores the impact of the culturally tailored diabetes prevention programs on glycemic control and lifestyle behaviors of Native American Indians in the state of Oklahoma. The programs aim to provide education, materials, nutrition, and awareness to promote positive, healthy lifestyle behaviors and improve glycemic control to reduce the prevalence of diabetes. A mixed-method study approach was used to show the impact on hemoglobin A1c and the lifestyle behavior that is observed from Native American Indians participating in culturally tailored diabetes prevention programs. To further the research, community-based participatory research was used to understand compliance and adherence to the diabetes programs. The findings indicated a reduction in hemoglobin A1c laboratory values, resulting in improvements in glycemic control. Additionally, the results indicate that the unique approach of the culturally tailored diabetes programs has been able to lower the prevalence of diabetes in Native American Indians in Oklahoma by improving participation and adherence. Furthermore, the study exemplifies the importance of culturally tailored diabetes programs to improve and promote healthy lifestyles. Further studies include how telehealth could impact access, participation, adherence, and the management of diabetes and chronic diseases. Future recommendations also include using programs that promote cultural sensitivity to address other health disparities. The future of culturally tailored programs includes new medications and incorporating successful techniques while continuing collaboration with the Native American population.
Description
Fall 2025 Graduate Project/Thesis/Capstone in Healthcare Administration. Student ID redacted.
Citation
Publisher
License
A copyright review process in May 2026 has determined that this item is in copyright, held by the author, Rae-Leigh Palmer. The written permission of the copyright holder is required for distribution, reproduction, or other use that extends beyond what is authorized by fair use and other statutory exemptions. Responsibility for making an independent legal assessment of an item and securing any necessary permissions rests with person(s) desiring to use the item. http://rightsstatements.org/vocab/InC-EDU/1.0/