Systematic Review of Physical Activity Interventions Implemented with American Indian and Alaska Native Populations in the United States and Canada

Abstract Racial health disparities in old age are well established, and new conceptualizations and methodologies continue to advance our understanding of health inequality across the life course. One group that is overlooked in many of these analyses, however, is the aging American Indian/Native Alaskan (AI/NA) population. While scholars have attended to the unique health inequities faced by the AI/NA population as a whole due to its discordant political history with the US government, little attention has been paid to unique patterns of disparity that might exist in old age. I propose to draw critical gerontology into the conversation in order to establish a framework through which we can uncover barriers to health, both from the political context of the AI/NA people as well as the political history of old age policy in the United States. Health disparities in old age are often described through a cumulative (dis)advantage framework that offers the benefit of appreciating that different groups enter old age with different resources and health statuses as a result of cumulative inequalities across the life course. Adding a framework of age relations, appreciating age as a system of inequality where people also gain or lose access to resources and status upon entering old age offers a path for understanding the intersection of race and old age. This paper will show how policy history for this group in particular as well as old age policy in the United States all create a unique and unequal circumstance for the aging AI/NA population.

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Envisioning health equity for American Indian/Alaska Natives: a unique HIT opportunity

Journal of the American Medical Informatics Association ◽

10.1093/jamia/ocz052 ◽

2019 ◽

Vol 26 (8-9) ◽

pp. 891-894 ◽

Cited By ~ 2

Author(s):

Theresa Cullen ◽

Jan Flowers ◽

Thomas D Sequist ◽

Howard Hays ◽

Paul Biondich ◽

...

Keyword(s):

United States ◽

American Indian ◽

Health Information ◽

Health Equity ◽

Alaska Native ◽

Management System ◽

Information Needs ◽

Patient Management ◽

The United States ◽

Core Mission

Abstract The Indian Health Service provides care to remote and under-resourced communities in the United States. American Indian/Alaska Native patients have some of the highest morbidity and mortality among any ethnic group in the United States. Starting in the 1980s, the IHS implemented the Resource and Patient Management System health information technology (HIT) platform to improve efficiency and quality to address these disparities. The IHS is currently assessing the Resource and Patient Management System to ensure that changing health information needs are met. HIT assessments have traditionally focused on cost, reimbursement opportunities, infrastructure, required or desired functionality, and the ability to meet provider needs. Little information exists on frameworks that assess HIT legacy systems to determine solutions for an integrated rural healthcare system whose end goal is health equity. This search for a next-generation HIT solution for a historically underserved population presents a unique opportunity to envision and redefine HIT that supports health equity as its core mission.

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Drawing from justice theories to support targets of online harassment

New Media & Society ◽

10.1177/1461444820913122 ◽

2020 ◽

pp. 146144482091312

Author(s):

Sarita Schoenebeck ◽

Oliver L Haimson ◽

Lisa Nakamura

Keyword(s):

United States ◽

Social Media ◽

Criminal Justice ◽

American Indian ◽

Alaska Native ◽

Online Survey ◽

The United States ◽

Online Harassment ◽

Justice Theories

Most content moderation approaches in the United States rely on criminal justice models that sanction offenders via content removal or user bans. However, these models write the online harassment targets out of the justice-seeking process. Via an online survey with US participants ( N = 573), this research draws from justice theories to investigate approaches for supporting targets of online harassment. We uncover preferences for banning offenders, removing content, and apologies, but aversion to mediation and adjusting targets’ audiences. Preferences vary by identities (e.g. transgender participants on average find more exposure to be undesirable; American Indian or Alaska Native participants on average find payment to be unfair) and by social media behaviors (e.g. Instagram users report payment as just and fair). Our results suggest that a one-size-fits-all approach will fail some users while privileging others. We propose a broader theoretical and empirical landscape for supporting online harassment targets.

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Behavior Change Techniques Used in Theory of Planned Behavior Physical Activity Interventions Among Older Adults: A Systematic Review

Journal of Aging and Physical Activity ◽

10.1123/japa.2018-0103 ◽

2019 ◽

Vol 27 (5) ◽

pp. 746-754 ◽

Cited By ~ 3

Author(s):

Valerie Senkowski ◽

Clara Gannon ◽

Paul Branscum

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Older Adults ◽

Theory Of Planned Behavior ◽

Behavior Change ◽

Planned Behavior ◽

Controlled Trial ◽

The United States ◽

Behavior Change Techniques ◽

Physical Activity Interventions

Physical activity interventions among older adults vary widely in the techniques used to elicit behavior change. The purpose of this systematic review was to determine what behavior change techniques (BCTs) are used in interventions to increase physical activity among older adults using the theory of planned behavior and to make suggestions for BCTs that appear to be more effective. A database search identified peer-reviewed articles documenting interventions based on the theory of planned behavior. Seven articles (three randomized controlled trial, three quasi-experimental, and onen-of-1) from four countries (the United States, the United Kingdom, Australia, and the Netherlands) were included for review. Researchers independently coded BCTs using a hierarchical taxonomy of 93 BCTs. The most frequently coded BCTs includedGoal Setting(n = 5 studies),Action Planning(n = 5 studies), andCredible Source(n = 5 studies). Of the 93 BCTs in the taxonomy, only 26 were used, indicating potential opportunities to implement and evaluate less commonly used techniques in future studies.

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Rural physical activity interventions in the United States: a systematic review and RE-AIM evaluation

International Journal of Behavioral Nutrition and Physical Activity ◽

10.1186/s12966-019-0903-5 ◽

2019 ◽

Vol 16 (1) ◽

Author(s):

Nishat Bhuiyan ◽

Pritika Singh ◽

Samantha M. Harden ◽

Scherezade K. Mama

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Rural Health ◽

Classification System ◽

External Validity ◽

The United States ◽

Population Census ◽

Physical Activity Interventions ◽

Internal And External Validity ◽

The U.S

Abstract Background Previous reviews of rural physical activity interventions were focused on intervention effectiveness and had reported overall mixed findings. The purpose of this systematic review was to apply the Reach, Efficacy, Adoption, Implementation and Maintenance (RE-AIM) framework to evaluate the extent to which rural physical activity interventions in the U.S. have reported on dimensions of internal and external validity and to offer suggestions for future physical activity interventions for rural U.S. populations. Methods Pubmed, PsychINFO, CINAHL, PAIS, and Web of Science were searched through February 2019 to identify physical activity intervention studies conducted in rural regions in the U.S. with adult populations. Titles, abstracts, and full texts of articles were reviewed against inclusion and exclusion criteria. Data extraction from included articles included a summary of study details, rural classification system used, and the presence or absence of a total 61 RE-AIM indicators, including reach (n = 13), efficacy/effectiveness (n = 10), adoption (n = 21), implementation (n = 9), and maintenance (n = 8). Results A total of 40 full-text articles representing 29 unique studies were included. Classifications of rurality included self-statements by authors (n = 19, 65.5%), population/census-based definitions (n = 3, 10.3%), Rural Urban Continuum Codes (n = 3, 10.3%), Rural Urban Commuting Area codes (n = 2, 6.9%), the 2014 Alabama Rural Health Association classification system (n = 1, 3.4%) and the U.S. Office of Management and Budget classification system (n = 1, 3.4%). Individual studies reported between 14.8 to 52.5% of total RE-AIM indicators. Studies reported 15.4 to 84.6% indicators for reach; 20.0 to 70.0% indicators for efficacy/effectiveness; 4.8 to 47.6% indicators for adoption; 11.1 to 88.9% indicators for implementation; and 0 to 25.0% indicators for maintenance. Conclusions We found an overall poor reporting of components related to external validity, which hinders the generalizability of intervention findings, and a lack of consistency in the definition of rurality. Future research should focus on balancing factors of internal and external validity, and should aim to develop a greater understanding of how rurality influences health and behavior to provide contextual knowledge needed to advance the translation of physical activity interventions into practice in rural communities and reduce rural health disparities. Trial registration The review protocol was registered with PROSPERO: CRD42019116308.

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A systematic review of physical activity levels in Native American populations in Canada and the United States in the last 50 years

Obesity Reviews ◽

10.1111/obr.12032 ◽

2013 ◽

Vol 14 (7) ◽

pp. 593-603 ◽

Cited By ~ 22

Author(s):

H. J. A. Foulds ◽

D. E. R. Warburton ◽

S. S. D. Bredin

Keyword(s):

Physical Activity ◽

United States ◽

Systematic Review ◽

Native American ◽

The United States ◽

Activity Levels ◽

Physical Activity Levels

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Resilience in American Indian and Alaska Native Public Health: An Underexplored Framework

American Journal of Health Promotion ◽

10.1177/0890117116664708 ◽

2016 ◽

Vol 32 (2) ◽

pp. 274-281 ◽

Cited By ~ 8

Author(s):

Nicolette I. Teufel-Shone ◽

Julie A. Tippens ◽

Hilary C. McCrary ◽

John E. Ehiri ◽

Priscilla R. Sanderson

Keyword(s):

United States ◽

Health Promotion ◽

American Indian ◽

Alaska Native ◽

Data Extraction ◽

Target Population ◽

The United States ◽

Original Research ◽

Data Synthesis ◽

Collective Resilience

Objective: To conduct a systematic literature review to assess the conceptualization, application, and measurement of resilience in American Indian and Alaska Native (AIAN) health promotion. Data Sources: We searched 9 literature databases to document how resilience is discussed, fostered, and evaluated in studies of AIAN health promotion in the United States. Study Inclusion and Exclusion Criteria: The article had to (1) be in English; (2) peer reviewed, published from January 1, 1980, to July 31, 2015; (3) identify the target population as predominantly AIANs in the United States; (4) describe a nonclinical intervention or original research that identified resilience as an outcome or resource; and (5) discuss resilience as related to cultural, social, and/or collective strengths. Data Extraction: Sixty full texts were retrieved and assessed for inclusion by 3 reviewers. Data were extracted by 2 reviewers and verified for relevance to inclusion criteria by the third reviewer. Data Synthesis: Attributes of resilience that appeared repeatedly in the literature were identified. Findings were categorized across the lifespan (age group of participants), divided by attributes, and further defined by specific domains within each attribute. Results: Nine articles (8 studies) met the criteria. Currently, resilience research in AIAN populations is limited to the identification of attributes and pilot interventions focused on individual resilience. Resilience models are not used to guide health promotion programming; collective resilience is not explored. Conclusion: Attributes of AIAN resilience should be considered in the development of health interventions. Attention to collective resilience is recommended to leverage existing assets in AIAN communities.

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