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

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, Samantha Kropp and Nicole Turns Plenty
Additional contact information
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

IJERPH, 2024, vol. 21, issue 3, 1-21

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.

Keywords: United States; Indigenous; American Indians; chronic illness; community health; community-based participatory research; randomized controlled trial (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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