https://library.icmglt.org/files/original/8ff446afea630537528915835b141758.pdf ace9522b62e921c38608146be13e28ad Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Multigenerational Legacies of Trauma of American Indians Electronic Resource View Source <a href="https://participatorymedicine.org/journal/evidence/research/2015/05/30/exploring-an-american-indian-participatory-medical-model/">https://participatorymedicine.org/journal/evidence/research/2015/05/30/exploring-an-american-indian-participatory-medical-model/</a> Document Type Journal article Author(s) Michelle Marie Jacob, Mary Jo Poole, Kelly Gonzales, Haver Jim, Glen E. Duncan, Spero Manson Volume Vol. 7 Publisher Society for Participatory Medicine Journal Name Journal of Participatory Medicine Publication Date 2015 ISBN 21527202 Region Yakama Nation, Washington State, United States Language English Access Open Access Abstract American Indians suffer disproportional disease burden from chronic conditions such as Type 2 diabetes (hereinafter “diabetes”). In response to this health crisis, the United States Congress implemented the Special Diabetes Program for Indians (SDPI), a community-based demonstration project to help patients prevent diabetes and reduce risk for cardiovascular disease. This paper describes how intervention case managers at one SDPI site, the Yakama Healthy Heart Program (YHHP), conceptualized culturally responsive intervention strategies, and patient, system, and cultural factors that impact participation in the SDPI intervention. Methods: Thematic analyses of qualitative data derived from focus groups comprised of three categories: retained participants, non-retained participants, and intervention case managers. Findings: Recommendations to inform an American Indian participatory medical model include: 1) reciprocity of individuals and systems must be implemented throughout all levels and for the duration of the intervention; 2) community champions need to serve as intervention leaders; and 3) institutional structures must promote relationship building between providers and patients within a community and cultural context. Our findings indicate that the unique structural qualities and community-engaged retention strategies of YHHP are critical to ensuring strong case manager-patient relationships, recruitment, and retention. Cataloger Haley Lesemann Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Exploring an American Indian Participatory Medical Model Subject The topic of the resource Indians of North America—Health and hygiene American Indians Cardiovascular Health Cultural Competency Diabetes Health promotion Healthcare Indigenous Health Interventions Qualitative Methods United States Washington State Yakama Nation