Using PRECEDE/PROCEED to Address Diabetes Within The Choctaw Nation Of Oklahoma    

Susan E. Keith, PhD;  
Eva I. Doyle, PhD, CHES  

Objective: To provide a theory-based framework to address NIDDM among American Indians of the Choctaw Nation. Methods: Rapid assessment procedures were used for interviews of Choctaw health professionals and tribal members (N=17). Observations in Choctaw health care facilities were also conducted. Tribal newspapers and documents were studied to further identify health needs. Results: PRECEDE/PROCEED description emerged of NIDDM and influencing factors within the Choctaw Nation. Also provided are a suggested program design, specific objectives, and evaluation procedures. Conclusion: By incorporating cultural values into health education programs for American Indians, the programs should have a better chance to succeed.

AmJHealthBehavl998;22(5):358- 367