Format

Send to

Choose Destination
See comment in PubMed Commons below
Prev Med. 2003 Dec;37(6 Pt 2):S107-12.

Pathways: lessons learned and future directions for school-based interventions among American Indians.

Author information

  • 1Center for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205-2179, USA. jgittels@jhsph.edu

Abstract

BACKGROUND:

Pathways, a multicenter study to test the effect of a school-based program to prevent obesity in American Indian children, yielded many benefits and encountered many challenges. This paper explores what we have learned from this study and examines possible future directions.

METHODS:

Information presented in this paper is based on formative research, study results, and discussions with staff and investigators.

RESULTS:

Some of the lessons learned relate to having a strong relationship with the tribes, how best to engage the communities, the importance of formative research and achieving standardization in culturally diverse settings, how to incorporate cultural information into curricula, and the importance of family involvement. One of the strengths of the study was the collaborative process that teamed American Indian and non-American Indian investigators and staff. Researchers recognized that they must work in cooperation with research participants including their schools and communities to address challenges, to ensure accurate findings and analyses, and to share benefits.

CONCLUSIONS:

The lessons learned from Pathways offer valuable insights for researchers into successful approaches to the challenges inherent in research in American Indian communities, particularly in schools, and how to maximize the benefits of such a study.

PMID:
14636815
PMCID:
PMC4854572
[PubMed - indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science Icon for PubMed Central
    Loading ...
    Write to the Help Desk