ArticleCurrent developments in nutrition2021
Facilitators and Barriers to Healthy Eating Among American Indian and Alaska Native Adults with Type 2 Diabetes: Stakeholder Perspectives.
Article in Current developments in nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 18 citations in OpenAlex.
- Diabetes Nutrition Education and A Food Security Resource for American Indian and Alaska Native Adults With Type 2 Diabetes: A Pilot and Feasibility Randomized Controlled Trial.Journal of nutrition education and behavior · 2026Trial
- "What Can I Eat?" Healthy Choices for American Indian and Alaska Native Adults With Type 2 Diabetes: Outcomes From a Randomized Waitlist-Controlled Trial of a Diabetes Nutrition Education Program.Journal of nutrition education and behavior · 2025Trial
- Nutritional Needs, Dietary Knowledge, and Culinary Skills in Individuals with Diabetes Mellitus: A Scoping Review.Advances in nutrition (Bethesda, Md.) · 2026Article
- Management of Type 2 Diabetes Mellitus in Native Americans and Alaska Natives: A Systematic Review.Journal of racial and ethnic health disparities · 2025Review
- Community-Engaged Development of a Nutrition Curriculum: The Go Healthy Indigenous-Supported Agriculture Study.Journal of nutrition education and behavior · 2025Article
- Fruit and vegetable intake, physical activity, and functional fitness among older adults in urban Alaska.International journal of circumpolar health · 2024Article
- Social Determinants Influencing Nutrition Behaviors and Cardiometabolic Health in Indigenous Populations: A Scoping Review of the Literature.Nutrients · 2024Article
- Exploring Healthy Eating Perceptions, Barriers, and Facilitators among Urban Indigenous Peoples in Saskatchewan.Nutrients · 2024Article
- Article
- Gaps and opportunities for measuring equity with the Translational Science Benefits Model: Recommendations from the Center for American Indian and Alaska Native Diabetes Translation Research.Journal of clinical and translational science · 2024Article
- "Take care of your families, take care of one another": Indigenist families and foodways.Family relations · 2023Article
- Adapting a cooking, food budgeting and nutrition intervention for a rural community of American Indians with type 2 diabetes in the North-Central United States.Health education research · 2023Article
- Personal Goals, Barriers to Self-Management and Desired mHealth Application Features to Improve Self-Care in Multi-Ethnic Asian Patients with Type 2 Diabetes: A Qualitative Study.International journal of environmental research and public health · 2022Article
- Introduction to the Proceedings of the Fourth Annual Conference on Native American Nutrition.Current developments in nutrition · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAmerican Indian and Alaska Native (AI/AN) adults have a higher prevalence of type 2 diabetes (T2D) and related complications than non-AI/AN adults. As healthy eating is a cornerstone of diabetes self-management, nutrition education plays an important role in diabetes self-management education.
objectiveTo understand stakeholder perspectives on facilitators and barriers to healthy eating for AI/AN adults with T2D in order to inform the cultural adaptation of an existing diabetes nutrition education curriculum.
methodsIndividual interviews were conducted with 9 national content experts in diabetes nutrition education (e.g. registered dietitians, diabetes educators, experts on AI/AN food insecurity) and 10 community-based key informants, including tribal health administrators, nutrition/diabetes educators, Native elders, and tribal leaders. Four focus groups were conducted with AI/AN adults with T2D (
resultsThree key themes emerged. First, a diabetes nutrition education program for AI/ANs should accommodate diversity across AI/AN communities. Second, it is important to build on AI/AN strengths and facilitators to healthy eating (e.g. strong community and family support systems, traditional foods, and food acquisition and preparation practices). Third, it is important to address barriers to healthy eating (e.g. food insecurity, challenges to preparation of home-cooked meals, excessive access to processed and fast food, competing priorities and stressors, loss of access to traditional foods, and traditional food-acquisition practices and preparation) and provide resources and strategies for mitigating these barriers.
conclusionsFindings were used to inform the cultural adaptation of a nutrition education program for AI/AN adults with T2D.
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Registered trials
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