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Journal of Racial and Ethnic Health Disparities

, Volume 6, Issue 6, pp 1144–1156 | Cite as

Community Readiness Model for Prevention Planning: Addressing Childhood Obesity in American Indian Reservation Communities

  • Kari Jo HarrisEmail author
  • Blakely Brown
  • Lindsey Shankle
  • Michael Tryon
  • Maja Pedersen
  • Sofia Kehaulani Panarella
  • Gyda Swaney
Article
  • 43 Downloads

Abstract

Introduction

The community readiness model (CRM) is a stage-matched assessment protocol to assess community readiness to address a public health issue. To identify appropriate, culturally sensitive, and community-specific intervention strategies for preventing obesity in children, researchers, and community members formed a partnership to address childhood obesity within one American Indian Reservation.

Methods

The CRM guided 30 interviews in five communities to direct the team’s efforts in addressing obesity among children residing on the reservation. Interviews were scored across six dimensions on an anchored scale of one through nine; scores were then averaged to determine an overall readiness score for each community. A thematic analysis of interview responses aided in interpretation of the readiness scores and identified areas for prevention planning and intervention development.

Results

The overall community readiness score for the communities was 2.9 (SD = 0.5), which falls between 2 (denial/resistance) and 3 (vague awareness) on the anchored rating scale. The thematic analysis resulted in a hierarchal classification scheme with six broad themes that corresponded to the CRM dimensions and 13 sub-themes.

Discussion

The low readiness scores directed the team to implement corresponding strategies to increase awareness, while the thematic analysis suggested that action-based approaches might also be appropriate. The narrow range of scores suggest that community-wide assessments may be sufficient unless specific information is needed for each region of the community. The CRM may be an effective way to assess community readiness to address childhood obesity on an American Indian Reservation.

Keywords

Childhood obesity Community-based participatory research Community Readiness Model American Indian 

Notes

Acknowledgments

The authors of this manuscript thank members of the Communities at Play Advisory Board for their valuable contributions and review of this manuscript.

Funding

This study was funded by the Eunice Kennedy Shriver National Institute Child Health & Human Development of the National Institutes of Health under Award Number R13HD080904. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© W. Montague Cobb-NMA Health Institute 2019

Authors and Affiliations

  1. 1.School of Public and Community Health SciencesUniversity of MontanaMissoulaUSA
  2. 2.Oregon Rural Practice-Based Research NetworkOregon Health and Science UniversityPortlandUSA
  3. 3.Summit Medical Fitness CenterKalispellUSA
  4. 4.Brown UniversityProvidenceUSA
  5. 5.Department of PsychologyUniversity of MontanaMissoulaUSA

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