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

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.

Recruitment, retention, and intervention adherence for a chronic illness self-management intervention with the Apsáalooke Nation.

Recruitment, retention, and adherence within health intervention research have been understudied in Indigenous communities, where well-known health disparities exist. The purpose of this paper is to describe planned versus actual recruitment, retention, and adherence strategies and the evaluation of retention and adherence strategies for a community-based research study of a Chronic Illness (CI) self-management intervention within an Indigenous community. A Community-Based Participatory Research (CBPR) approach was used to develop and implement Báa nnilah, a culturally consonant educational intervention to improve CI self-management.

Improving Chronic Illness Self-Management with the Apsáalooke Nation: The Báa nnilah Project, a cluster randomized trial protocol.

Chronic illness (CI) is a major cause of morbidity and mortality for Indigenous people. In Montana, Indigenous communities disproportionately experience CI, a legacy of settler colonialism. For over two decades, Messengers for Health, an Apsáalooke (Crow Indian) non-profit, and Montana State University have partnered to improve community health using a community-based participatory research (CBPR) approach.

Early childbearing, family support, and staying in school in a Northern Plains American Indian reservation.

American Indian youth experience teen birth and school dropout at higher rates than other racial and ethnic groups in the United States. Early childbearing is associated with adverse health and socioeconomic outcomes, including attenuated education. However, kinship childrearing norms among Northern Plains tribes can support positive experiences of early childbearing.

Community sharing: Contextualizing Western research notions of contamination within an Indigenous research paradigm.

Báa nnilah is a chronic illness self-management program designed by and for the Apsáalooke (Crow) community. Arising from a collaboration between an Indigenous nonprofit organization and a university-based research team, Báa nnilah's development, implementation, and evaluation have been influenced by both Indigenous and Western research paradigms (WRPs). Báa nnilah was evaluated using a randomized wait-list control group design.

A comparison of 2 micron inner diameter open tubular column liquid chromatography with pressure-driven isocratic, slip-flow, and electrochromatographic modes of operation: a theoretical study.

Modifications to the flow profile used in open tube capillary liquid chromatography (OT-CLC) include using slip-flow walls and using electroosmosis as a fluid pump as practiced in electrochromatography. These modifications are implemented experimentally by changing the capillary surface and solvent conditions which results in the change of boundary conditions at the capillary wall. In this paper we employ a theory-based study and compare the zone broadening of simple solutes using parabolic flow from a liquid pump, slip-flow from a highly hydrophobic inner surface with water eluent, and electroosmosis for the conditions of pure water and dilute salt utilizing 2 µm inner diameter OT capillaries.

Daasachchuchik: A Trauma-Informed Approach to Developing a Chronic Illness Self-Management Program for the Apsáalooke People.

In Montana, American Indians with chronic illnesses (CIs) die 20 years earlier than their White counterparts highlighting an urgent need to develop culturally consonant CI self-management programs. Historical and current trauma places Indigenous peoples at increased health risk relative to others, and negatively influences CI self-management. The Apsáalooke Nation and Montana State University worked together to develop and implement a trauma-informed CI self-management program to improve the Apsáalooke community's health.

Food Insecurity in US Military Veterans.

Background: Food insecurity (FI) is an important public health issue for US veterans. For many veterans, civilian life is fraught with service-incurred health issues and socioeconomic challenges, each risk factors for FI. The FI literature on veterans is limited due to insufficient coverage of the topic's complexity and the methods used to study it in this population.

Correction: Twelve-Month Follow-Up to a Fully Automated Internet-Based Cognitive Behavior Therapy Intervention for Rural Adults With Depression Symptoms: Single-Arm Longitudinal Study.

[This corrects the article DOI: 10.2196/21336.].

Twelve-Month Follow-Up to a Fully Automated Internet-Based Cognitive Behavior Therapy Intervention for Rural Adults With Depression Symptoms: Single-Arm Longitudinal Study.

Background: Internet-based cognitive behavior therapy (iCBT) interventions have the potential to help individuals with depression, regardless of time and location. Yet, limited information exists on the longer-term (>6 months) effects of iCBT and adherence to these interventions.

Objective: The primary aim of this study was to evaluate the longitudinal (12 months) effectiveness of a fully automated, self-guided iCBT intervention called Thrive, designed to enhance engagement with a rural population of adults with depression symptoms.

Estimation of low-level components lost through chromatographic separations with finite detection limits.

The search for biomarkers allowing the assessment of disease by early diagnosis is facilitated by liquid chromatography. However, it is not clear how many components are lost due to being present in concentrations below the detection limit and/or being obscured by chromatographic peak overlap. First, we extend the study of missing components undertaken by Enke and Nagels, who employed the log-normal probability density function (pdf) for the distribution of signal intensities (and concentrations) of three mixtures.

Putting Self-Management in the Context of Community-Dwelling American Indians Living With Type 2 Diabetes.

Purpose: The purpose of this qualitative descriptive study was to examine the National Standards for Diabetes Self-Management Education and Support (DSMES) defined diabetes self-care behaviors (healthy eating, being active, taking medication, monitoring, problem solving, reducing risk, and healthy coping) in the context of older community-dwelling American Indians (AIs).

Methods: Secondary theme analysis of transcribed semistructured qualitative interview data from 28 participants in the Native Elder Care Study aged >60 years identified factors that influence the DSMES self-care behaviors in the context of community-dwelling AIs.

Results: Four themes that characterized barriers, facilitators, and opportunities for DSMES to support self-care behaviors included community food security, care partners in self-care, community opportunities for diabetes support, and blending of both health worlds.

Use of a Fully Automated Internet-Based Cognitive Behavior Therapy Intervention in a Community Population of Adults With Depression Symptoms: Randomized Controlled Trial.

Background: Although internet-based cognitive behavior therapy (iCBT) interventions can reduce depression symptoms, large differences in their effectiveness exist.

Objective: The aim of this study was to evaluate the effectiveness of an iCBT intervention called Thrive, which was designed to enhance engagement when delivered as a fully automated, stand-alone intervention to a rural community population of adults with depression symptoms.

Methods: Using no diagnostic or treatment exclusions, 343 adults with depression symptoms were recruited from communities using an open-access website and randomized 1:1 to the Thrive intervention group or the control group.

Improving chronic illness self-management with the Apsáalooke Nation: Development of the Báa nnilah program.

Rationale: Since 1996, members of the Apsáalooke (Crow) Nation and faculty and students at Montana State University have worked in a successful community-based participatory research (CBPR) partnership, leading to increased trust and improvements in health awareness, knowledge, and behaviors. As major barriers to health and healthy behaviors have caused inequities in morbidity and mortality rates for multiple chronic diseases among the Apsáalooke people, community members chose to focus the next phase of research on improving chronic illness management.

Objective: Existing chronic illness self-management programs include aspects inconsonant with Apsáalooke culture and neglect local factors seen as vital to community members managing their health conditions.

Frailty in Older American Indians: The Native Elder Care Study.

Frailty is often described as a reduction in energy reserves, especially with respect to physical ability and endurance, and it has not been examined in American Indians. The goals of this study were to estimate the prevalence of frailty and identify its correlates in a sample of American Indians. We examined data from 411 community-dwelling American Indians aged ≥55 years.

Measuring porosities of chromatographic columns utilizing a mass-based total pore-blocking method: Superficially porous particles and pore-blocking critical pressure mechanism.

Experimentally determined total, interstitial and intraparticle porosity values are necessary to equate theory, simulation and experimental column performance. This paper reports a study of a mass-based technique for determining total, interstitial and intraparticle porosity measurements based on the total pore-blocking (TPB) method. Commercially available superficially porous particle (SPP) columns, in a variety of small-pore and wide-pore materials, with both hydrophobic and hydrophilic surfaces, are utilized as samples.

Column selection for comprehensive two-dimensional liquid chromatography using the hydrophobic subtraction model.

Two-dimensional (2D) liquid chromatography (2DLC) methods have grown in popularity due to their enhanced peak capacity that allows for resolving complex samples. Given the large number of commercially available column types, one of the major challenges in implementing 2DLC methods is the selection of suitable column pairs. Column selection is typically informed by chemical intuition with subsequent experimental optimization.

Exploring Perceptions of a Computerized Cognitive Behavior Therapy Program in a U.S. Rural Western State.

Computerized mental health interventions have the potential to address existing mental health care disparities in rural communities. The aim of this study was to conduct an exploratory examination on the acceptability of an interactive computerized cognitive behavior therapy program to reduce depressive symptoms for adults in a rural Western state. Partnering with the land-grant university Extension system and a state non-profit organization, we identified and interviewed 18 key informants and conducted 19 focus groups in 15 rural communities to ascertain attitudes and perspectives about the program.

Simulation and theory of open-tube dispersion in short and long capillaries with slip boundaries and retention.

Using random walk techniques, high resolution simulations of zone shape are conducted in open capillary tubes for short and long tube conditions. Finite size solutes are used as tracers in this treatment. Slip flow boundary conditions and wall retention are utilized as needed.

Transport properties and size exclusion effects in wide-pore superficially porous particles.

The effects of hydrodynamic radius on the transport of solute molecules in packed beds of wide-pore superficially porous particles (SPP) are studied using pore-scale simulation. The free molecular diffusion rate varies with radius through the Stokes-Einstein relation. Lattice Boltzmann and Langevin methods are used to model fluid motion and the transport of an ensemble of solute molecules in the fluid, providing statistics on solute concentration, flux, molecule age and residence time, as a function of depth in the SPP.

Dietary Beliefs and Management of Older American Indians With Type 2 Diabetes.

Objectives: This qualitative study examined dietary-related beliefs and self-management among older American Indians with type 2 diabetes mellitus (T2DM).

Design: Semistructured in-person interviews were conducted and digitally recorded.

Setting: Southeastern American Indian tribal community.

Ellipsoidal particles for liquid chromatography: Fluid mechanics, efficiency and wall effects.

Ellipsoidal particles are investigated as packing media for liquid chromatography using high resolution fluid mechanics and Brownian dynamics simulations. The simulations are conducted with packed capillary columns, as well as beds with periodic boundary conditions (PBCs) to study transport in the absence of wall effects. The performance of ellipsoidal particles is evaluated over a range of aspect ratios.

Using molecular simulations to probe pore structures and polymer partitioning in size exclusion chromatography.

Molecular simulations have been extensively utilized to understand and predict the polymer partitioning in size-exclusion chromatography (SEC). However, idealized pore models (e.g.

Type 2 diabetes management among older American Indians: beliefs, attitudes, and practices.

The purpose of this study was to examine beliefs, attitudes, and practices of older American Indians regarding their type 2 diabetes mellitus (T2DM) management. T2DM is one of the leading causes of morbidity and mortality among American Indians. American Indians are more than twice as likely to have T2DM and have over three times a T2DM mortality rate as Whites.