The goal of this study is to determine whether an intervention grounded in Blackfeet culture improves systemic inflammation and symptoms of arthritis in Blackfeet People with rheumatoid arthritis. The intervention is designed to increase conectedness of Blackfeet people to Blackfeet culture and community. The intervention will consist of one week of meetings in which Blackfeet Elders talk about Blackfeet historical trauma, culture, traditions and cerimonies. The second week of the intervention consists of visiting Blackfeet sacred sites, guided by Blackfeet Elders. Participants will complete surveys to determine their conectedness to Blackfeet Culture, level of stress, Adverse Childhood Experiences Score (ACES) and arthritis symptoms. Participants will also be evaluated for clinical severity of arthritis and biomarkers of systemic inflammation. Participants will be evaluated pre- and post-intervention as well as 6 months post-intervention.

开始日期2025-09-01

申办/合作机构

Blackfeet Community College

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2025-02-01·Sleep Health

Social connectedness and sleep in Blackfeet American Indian adults

Article

作者: Runner, George Heavy ; Carter, Jason R. ; Lafromboise, Mary Ellen ; Wood, Zachary J ; John-Henderson, Neha A. ; Salois, Emily M. ; Salois, Emily M ; Johnson, Lester ; Carter, Jason R ; Helm, Peter ; John-Henderson, Neha A ; Gilham, Skye ; Malatare, Melveena ; Henderson-Matthews, Betty ; Wood, Zachary J.

OBJECTIVES:

A growing body of work documents a link between indices of social connectedness and sleep health. Sleep is implicated in the chronic health conditions which disproportionately affect American Indian adults, however the relationship between social connectedness and sleep health is largely understudied in this population. The current project investigates relationships between multiple indices of social connectedness and sleep health in a sample of American Indian adults.

METHODS:

In a sample of 275 American Indian adults residing in the Blackfeet Nation in Montana, we investigated links between social networks, loneliness, existential isolation (i.e., feeling alone in one's experiences) and sleep health. We used one linear regression model controlling for demographics and symptoms of anxiety and depression to investigate the relationship between measures of social connectedness and sleep health.

RESULTS:

Existential isolation was the only statistically significant predictors of sleep health, with higher existential isolation relating to worse sleep health.

CONCLUSION:

Existential isolation may be a particularly important measure of social connectedness in American Indian adults. More research is needed to understand precursors of existential isolation and the mechanisms contributing to the relationship between existential isolation and sleep health in Blackfeet American Indian adults.

2022-01-01·Tribal college and university research journal

Culture as Medicine for the Blackfeet Community: A pilot intervention.

Article

作者: Gordon, Megan ; Henderson-Matthews, Betty ; Rynda-Apple, Agnieszka ; Mason, Sierra ; John-Henderson, Neha A

2020-01-24·Annals of behavioral medicine : a publication of the Society of Behavioral Medicine2区 · 心理学

Adverse Childhood Experiences and Immune System Inflammation in Adults Residing on the Blackfeet Reservation: The Moderating Role of Sense of Belonging to the Community

2区 · 心理学

Article

作者: Racine, Jerry ; John-Henderson, Neha A ; Reevis, Sequoia A ; Ollinger, Scott R ; Horn, Wil C ; Running Wolf, Jolynn A ; Henderson-Matthews, Betty ; Grant, Davida ; Gordon, Megan R ; Rynda-Apple, Agnieszka ; Higgins, Aidan A

Abstract:

Background:

Previous research documents an association between adverse childhood experiences (ACEs) and immune system inflammation. High chronic inflammation is believed to be one biological pathway through which childhood adversity may affect health into adulthood. The Blackfeet tribal community has high rates of childhood trauma and community members are disproportionately affected by inflammatory diseases.

Purpose:

To investigate whether belonging to the tribal community may moderate the relationship between childhood trauma and immune system inflammation in the Blackfeet tribal community.

Methods:

In a sample of 90 adults residing on the Blackfeet reservation, we measured ACEs belonging to the tribal community and two markers of immune system inflammation, interleukin-6 (IL-6) and C-reactive protein (CRP).

Results:

We found that independent of age, gender, annual income, body mass index, and depressive symptoms, belonging to the tribal community and ACEs interacted to predict levels of both IL-6 and CRP (B= −.37, t[81] = −3.82, p < .001, R2 change = .07 and B = −.29, t[81] = −2.75, p = .01, R2 change = .08, respectively). The association between ACEs and markers of immune system inflammation was statistically significant for community members who reported low levels of belonging to the community.

Conclusions:

The findings of this study have important implications for intervention research seeking to reduce risk for inflammatory diseases for at-risk populations. Fostering stronger connections to the larger tribal community may positively affect risk for inflammatory diseases. Future work should examine the behavioral and psychosocial pathways through which stronger connections to community may confer health benefits.

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