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The Báa nnilah Program: Results of a Chronic-Illness Self-Management Cluster Randomized Trial with the Apsáalooke Nation

Author

Listed:
  • Suzanne Held

    (Department of Human Development & Community Health, Montana State University, Bozeman, MT 59717, USA)

  • Du Feng

    (Department of Nursing, University of Nevada, Las Vegas, NV 89154, USA)

  • Alma McCormick

    (Messengers for Health, Crow Agency, MT 59022, USA)

  • Mark Schure

    (Department of Human Development & Community Health, Montana State University, Bozeman, MT 59717, USA)

  • Lucille Other Medicine

    (Messengers for Health, Crow Agency, MT 59022, USA)

  • John Hallett

    (Petaluma Health Center, Petaluma, CA 94954, USA)

  • Jillian Inouye

    (Manoa School of Nursing, University of Hawaii, Honolulu, HI 96822, USA)

  • Sarah Allen

    (Department of Family Life & Human Development, Southern Utah University, Cedar City, UT 84720, USA)

  • Shannon Holder

    (Department of Human Development & Community Health, Montana State University, Bozeman, MT 59717, USA)

  • Brianna Bull Shows

    (Department of Human Development & Community Health, Montana State University, Bozeman, MT 59717, USA)

  • Coleen Trottier

    (Department of Human Development & Community Health, Montana State University, Bozeman, MT 59717, USA)

  • Alexi Kyro

    (Department of Human Development & Community Health, Montana State University, Bozeman, MT 59717, USA)

  • Samantha Kropp

    (Department of Human Development & Community Health, Montana State University, Bozeman, MT 59717, USA)

  • Nicole Turns Plenty

    (OneHealth Bighorn, Hardin, MT 59034, USA)

Abstract

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.

Suggested Citation

  • Suzanne Held & Du Feng & Alma McCormick & Mark Schure & Lucille Other Medicine & John Hallett & Jillian Inouye & Sarah Allen & Shannon Holder & Brianna Bull Shows & Coleen Trottier & Alexi Kyro & Sama, 2024. "The Báa nnilah Program: Results of a Chronic-Illness Self-Management Cluster Randomized Trial with the Apsáalooke Nation," IJERPH, MDPI, vol. 21(3), pages 1-21, February.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:3:p:285-:d:1348900
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    References listed on IDEAS

    as
    1. Saima May Sidik, 2022. "Weaving Indigenous knowledge into the scientific method," Nature, Nature, vol. 601(7892), pages 285-287, January.
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