Health & Human Development

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The Department of Health and Human Development is a group of dedicated faculty and staff whose interests, while diverse, center on one central theme: human beings. HHD works to help individuals from early childhood to mature adults though teaching, research, and service programs in both the public and private sectors.

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    Recruitment, retention, and intervention adherence for a chronic illness self-management intervention with the Apsáalooke Nation
    (Frontiers Media, 2022-06) Fimbel, Laurel; Pitts, Mikayla; Schure, Mark B.; McCormick, Alma Knows His Gun; Held, Suzanne
    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. Reasons for participant adherence and retention were tracked and recorded over time. A post-intervention survey assessed barriers and facilitators to intervention adherence. Overall, recruitment, retention, and adherence methods were successful in enrolling and maintaining participation. Using a CBPR approach and culturally consonant strategies may assist in meeting recruitment goals and improving sustained participation of community members, thus impacting health disparities among Indigenous communities.
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    Genetic Diversity in Nutritious Leafy Green Vegetable-Chaya (Cnidoscolus aconitifolius)
    (2019) Ebel, Roland; de Jesus Mendez Aguilar, Maria; Ariel Castillo Cocom, Juan; Kissman, Susanne
    Chaya (Cnidoscolus aconitifolius ssp. aconitifolius Breckon) is a fast-growing, semi-perennial, and semi-woody Mesoamerican euphorbiaceous. It is used as a leafy green vegetable and prevailingly cropped in tropical savanna climate. However, cropping of chaya is possible in both dryer and more humid climates. Although the crop has its origin in the Maya region of Southeast Mexico, Guatemala, and Belize, chaya is popular throughout Mesoamerica. Due to its high nutritional value, cooked chaya leaves are an essential ingredient of the diet of Maya communities, especially in Southeast Mexico. Chaya is also used as an ornamental plant, for forage, and in traditional Maya medicine, where it is used to cure a wide range of diseases such as diabetes, kidney problems, arteriosclerosis, gallstones, and high cholesterol. Chaya can be called a semi-domesticated plant: Apart from wild chaya, there are four chaya varieties, whose grade of domestication varies from cropped almost wild phenotypes to entirely domesticated: ‘Chayamansa,’ ‘Redonda,’ ‘Estrella,’ and ‘Picuda.’
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