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Diabetes Projects
Native Diabetes Wellness Program (NDWP)
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Resources and Activities
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 About the Native Diabetes Wellness Program
The Native Diabetes
Wellness Program is part of the
Centers for Disease Control and Prevention’s (CDC)
Division of Diabetes Translation. Formerly the National Diabetes
Prevention Center, the program was established in 1998 with funding from the
Balanced Budget Act (BBA) of 1997, Public Law 105-33, and with additional
funding from the
Indian Health Service (IHS) Division of Diabetes Treatment and Prevention,
also authorized under the BBA. In 2004, we established the Native Diabetes
Wellness Program. We collaborate with many partners, including American
Indian and Alaska Native communities (rural and urban), the Tribal Leaders
Diabetes Committee,
IHS’ Division of Diabetes Treatment and Prevention and
Head Start Program, the
National Institutes of Diabetes and Digestive and Kidney Diseases (NIDDK),
National Institutes of Health, CDC’s
Tribal Consultation
Advisory Committee, tribal
colleges and universities, and other universities. Internally, we work with
CDC divisions, centers, and our own
Division of Diabetes Translation to develop programs designed to improve
the health status of American Indians and Alaska Natives.
Vision
Indian Country free of the devastation of diabetes.
Mission
The mission of the Native Diabetes Wellness Program is to work with a
growing circle of partners to address the health inequities so starkly
revealed by diabetes in Indian Country. With social justice and respect for
Native and Western science as grounding principles, we strive to support
community efforts to promote health and prevent diabetes.
Goals
The goals of the Native Diabetes Wellness Program are to—
- Support sustainable, evaluable ecological approaches to promote the
use of traditional foods, physical activity, social support, and health
policy change in communities
- Share messages, including stories and art, about survival and
traditional ways of health that are remembered, retold, and talked about
in homes, schools, and communities
- Share and evaluate Native and Western programs, including community
outreach, talking circles, community-based interventions, and diabetes
education in schools
- Support meaningful tribal consultation at the state and federal
levels.
Resources and Activities
The Eagle Books are inspired by the wisdom of traditional ways of health in tribal communities,
www.cdc.gov/diabetes/pubs/eagle.htm. The stories of a wise eagle, grateful rabbit, clever coyote and four young friends are introduced in the four-book series written by Georgia Perez, a community health representative for 19 years in Nambe Pueblo, New Mexico and illustrated by Patrick Rolo (Bad River Band of Ojibwe, Wisconsin) and Lisa A. Fifield (Oneida Tribe of Wisconsin, Black Bear Clan). The books embrace the joy of being physically active, eating healthy foods, learning from elders about health, and preventing type 2 diabetes in Indian Country. An accompanying guide called
Eagle Books Series: A Guide for Educators and Communities provides age-specific activities.
The original artwork featured in the books was exhibited at the Smithsonian’s National Museum of the American Indian in Washington, DC, and New York, NY, in 2008, and is traveling to Native and non-Native museums through 2012.
For more information about the traveling exhibition of the original artwork, visit
http://www.cdc.gov/gcc/exhibit/cdc_traveling_exhibitions.htm and refer to the “tour itinerary” in the traveling exhibition prospectus.
The Eagle Books are included in the Office of Indian Education’s
Digital Teacher Workshops for teachers of Native American students and are featured in the
Diabetes Education in Tribal Schools curriculum.
The animated version of the Eagle Books as a full-feature DVD includes English, Chickasaw, Paiute, Shoshone, and Spanish languages, as well as closed captioning (English language only). Author Georgia Perez narrates the stories and children and adults from the Standing Rock Sioux Tribe provide the voices for the characters. The DVD also includes activities on eating healthy and being active.
http://www.cdc.gov/Features/VideoBooks/EagleBooks.html
Eagle Books Ordering Information
Eagle Books Community Outreach Campaign
 The Native Diabetes Wellness Program is conducting an
Eagle Books Community Outreach Campaign through 2012.
Several sites per year throughout Indian Country will host events celebrating the Eagle Books and their culturally-relevant messages about physical activity and healthy eating. Programming includes large panels of images of the Eagle Books pages, storytelling, talking circles, art workshops, the animated Eagle Books on DVD, and seasonal events that coincide with local activities.
 For communities who want to host their own Eagle Books outreach events campaign materials that promote health messages are available electronically.
Diabetes Talking Circles and Eagle Books Talking Circles for Children
 Since 2005, the Native Diabetes Wellness Program, in partnership with the Seva Foundation, has supported Diabetes Talking Circles throughout Indian Country, conducted by Lorelei DeCora, RN, BSN (Ho-Chunk/Winnebago Nation, Nebraska). For more information, visit:
http://www.seva.org/site/PageServer?pagename=Diabetes_Tutorial*
Inspired by the power of talking circles and the Eagle Books messages and characters, the Native Diabetes Wellness Program is developing
Eagle Books Talking Circles for Children. Animal and child characters share the Eagle Books’ messages.
New Eagle Books for Middle School Children
Based on the popularity of the original Eagle Books and the need for health messages for middle school children, the Native Diabetes Wellness Program is developing Eagle Books for middle school youth. In the new books, the original characters, now older, engage new friends in their adventures.
Diabetes Education in Tribal Schools: Health is Life in Balance
 Led by the National Institutes of Health and developed in collaboration with eight Tribal Colleges and Universities, the CDC’s Native Diabetes Wellness Program, and the IHS’
Division of Diabetes Treatment and Prevention, the
Diabetes Education in Tribal Schools K-12 Curriculum (DETS) offers culturally- relevant and scientifically sound lessons that promote awareness about diabetes and lifestyle adaptations that can help prevent type 2 diabetes. The lessons encourage Native students’ understanding of health, diabetes, science, community knowledge, life in balance, and health professions.
The K-4 DETS lessons include a set of the Eagle Books and animated DVD.
The curriculum can be ordered by teachers for American Indian and Alaska Native students from IHS
at
http://www.ihs.gov/MedicalPrograms/Diabetes/RESOURCES/Catalog/rde/index.cfm?module=catalog&opt=22 and can be downloaded from the National Institutes of Health:
http://www3.niddk.nih.gov/fund/other/dets.
Using Traditional Foods and Sustainable Ecological Approaches for Health Promotion and Type 2 Diabetes Prevention in American Indian and Alaska Native Communities
 Cooperative agreements between the CDC’s Native Diabetes Wellness Program and 17 tribes, consortiums, and tribal organizations have been established.
The purpose of the 5-year collaboration is to—
- Support community use of traditional foods and sustainable ecological approaches to type 2 diabetes prevention and health promotion and
- Engage communities to identify and share the stories of healthy traditional ways of eating, being active, and communicating health information and support for diabetes prevention and wellness.
Grantees:
- Aleutian Pribilof Islands Association, Inc., Alaska
- Catawba Cultural Preservation Project, South Carolina
- Cherokee Nation, Oklahoma
- Confederated Tribes of Siletz Indians, Oregon
- Eastern Band of Cherokee Indians, North Carolina
- Indian Health Care Resource Center of Tulsa, Oklahoma
- Nooksack Indian Tribe, Washington
- Prairie Band Potawatomi Nation, Kansas
- Ramah Navajo School Board, New Mexico
- Red Lake Band of Chippewa Indians, Minnesota
- Salish Kootenai College, Montana
- Santee Sioux Nation, Nebraska
- Sault Ste. Marie Tribe of Chippewa Indians, Michigan
- Southeast Alaska Regional Health Care Consortium, Alaska
- Standing Rock Sioux Tribe, North/South Dakota
- Tohono O’odham Nation, Arizona
- United Indian Health Services, Inc., California
Environmental Community Indicators for Diabetes Prevention and Health Promotion in American Indian and Alaska Native Communities
 The purpose of the
3-year (2005–2008) cooperative agreements between CDC’s Native Diabetes Wellness Program and 8 communities and tribal organizations was to strengthen local community capacity to implement practical community environmental interventions for health promotion and diabetes prevention..
Grantees:
- Ho-Chunk Nation (Winnebago), Nebraska
- Salish Kootenai Tribal College, Montana
- Stockbridge Munsee Nation, Wisconsin
- Lummi Nation, Washington
- Indian Health Care Resource Center of Tulsa, Oklahoma
- American Indian Involvement, Inc., California
- Hopi Nation, Arizona
- Southern Ute Nation, Colorado
Traditions of Gratitude Poster Seriess
   The Traditions of Gratitude poster series includes three colorful posters that honor the significant contributions of American Indians and Alaska Natives in diabetes science, diabetes talking circles, and the role of community health representatives.
Anishinabe artist (Turtle Mountain and Red Lake Nations) Sam English created the three poster images in collaboration with the Native Diabetes Wellness Program:
- Standing Tall: Honoring Community Health Representatives 1968-2009
- They Changed the World! A Tribute to Tribal Participants of the Diabetes Prevention Program and Other Diabetes Studies
- Around the Fire: Talking Circles for Diabetes Care and Prevention
Visit http://wwwn.cdc.gov/pubs/diabetes.aspx to order single copies of the posters. Bulk order requests for posters can be made by tribal programs at
cdcinfo@cdc.gov (1-800-CDC-INFO or 800-232-4636, TDY: 1-888-232-6348).
The In-Between People—Community Health Representatives
 Community Health Representatives (CHRs) are uniquely skilled to serve as bridges between the health care system and the communities they serve. Described by some as the “in-between people,” CHRs are caring, knowledgeable community members as well as valuable members of the health care team.
This 21-minute DVD was developed by the Native Diabetes Wellness Program to document the critical role of CHRs and other community health workers. Narrated by the president of the IHS Aberdeen Area CHR Association, the film highlights three American Indian communities—the Round Valley Indian Reservation in Covelo, California, the Cheyenne-Arapaho tribe in Concho, Oklahoma, and the American Indian community in New York, New York—and two Latino communities—migrant workers in Owatonna, Minnesota and recent immigrants in Brownsville, Texas.
CDCynergy American Indian/Alaska Native Diabetes Edition
CDCynergy American Indian/Alaska Native Diabetes Edition is a step-by-step tutorial developed by the Native Diabetes Wellness Program for health communication program planning and evaluation in American Indian and Alaska Native communities.
Tribal/State Relationships Technical Assistance, the CDC Tribal Consultation Policy, and the American Indian and Alaska Native Culture Card
The Native Diabetes Wellness Program provides technical assistance on state/tribal partnerships and diabetes care and prevention to
State Diabetes Prevention and Control Programs through the Division of Diabetes Translation state consultation teams.
Federal law confirms the inalienable and inherent right of tribes to self-governance. The
CDC Tribal Consultation Policy was established in 2005 and is committed to—
- Recognizing and honoring tribal sovereignty.
- Maintaining government-to-government relationships.
- Upholding and supporting the federal trust responsibility.
- Supporting tribal consultation at federal and state levels.
Culture Card: A Guide to Build Cultural Awareness, American Indian and Alaska Natives
 Originally developed by the Substance Abuse and Mental Health Services Administration (SAMSHA) in collaboration with communities and representatives from federal agencies (CDC, IHS, and Centers for Medicare and Medicaid Services), SAMHSA and CDC’s Native Diabetes Wellness Program partnered to make the card available for widespread distribution.
The Culture Card is downloadable or can be ordered from SAMHSA’s Health Information Network at
www.SAMHSA.gov/shin or by phone: 1-877-726-4727. Reference the following publication: DHHS Publication No. (SMA) 08-4354.
Publications
- Acton KJ, Burrows NR, Wang J, Geiss LS.
Diabetes prevalence among American Indian and Alaska Native children, adolescents, and young adults, 1994-2004.
MMWR 2006;55(44):1201-1203.
- Brownstein JN, Chowdhury FM, Norris SL, Horsley T, Jack, Jr., L, Zhang X, Satterfield DW.
Effectiveness of community health workers in the care of adults with hypertension: a systematic review.
Am J Prev Med. 2007;32(5):433-437.
- Bryan R, Schefer RM, DeBruyn LM, Stier D. Public health legal preparedness
in Indian Country. Am J Pub Hlth Supplement 1. 99(S3): 1-8. 2009.
- Chino M, DeBruyn LM.
Building true capacity: indigenous models for indigenous communities.
American Journal of Public Health. 2006:96(4):596-599.
- Chino M, Dodge-Francis C, DeBruyn L, Short L, Satterfield D (2007). The convergence of science and culture: Developing a framework for diabetes education in tribal communities.
Journal of Health Disparities Research and Practice. 2007;1(3); 75-87.
http://chdr.unlv.edu/JHDRP.htm.
- Hosey G., Llorens-Chen S.A., Qeadan F., Crawford D., Wilson C., & Yang W. Assessing
behavioral health risks, health conditions, and preventive health practices among American Indians/Alaska Natives in Nevada.
Journal of Health Disparities Research and Practice. 2007;1(3)29-44.
http://chdr.unlv.edu/JHDRP.htm.
- Hosey G, Aitaoto N, Satterfield D, Kelly J, Apaisam CJ, Belyeu-Camacho T, et al.
The culture, community, and science of type 2 diabetes prevention in the US Associated Pacific Islands. Prev Chronic Dis
2009;6(3).
- Jack L, Satterfield D, Rodriguez B, Liburd L, Rivera M, Lester A, Burley L, Shane-McWhorter L, Kriska A.
American Association of Diabetes Educators (AADE)
position statement: cultural sensitivity and diabetes education: recommendations for
diabetes educators.
Diabetes Educator. 2007;33:41-44.
- Norris SL, Chowdhury FM, Van Le K, Armour T, Brownstein JN, Zhang X, Jack L, Satterfield DW. Effectiveness of community health workers in the care of adults with diabetes: a systematic review.
Diabetic Medicine 2006; 23:544-566.
- Satterfield D, Eagle Shield J, Buckley J, Taken Alive S. So that the people may live (Hecel Lena Oyate Ki Nipi Kte): Lakota and Dakota elder women as reservoirs of life and keepers of knowledge about health protection and diabetes prevention.
Journal of Health Disparities Research and Practice 2007;1(2):1-28.
http://chdr.unlv.edu/JHDRP.htm*.
- Satterfield DW, Lofton T, May JE, Bowman BA, Alfaro-Correa A, Benjamin C, Stankus M.
Learning from listening: common concerns and perceptions about diabetes prevention among diverse American populations.
J Public Health Manag Pract 2003;Suppl:S56-63.
- Satterfield DW, Murphy D, Essien JDK, Hosey G, Stankus M, Hoffman P, Beartusk K, Mitchell PL, Alfaro-Correa A.
Using the essential public health services as strategic leverage to strengthen the public health response to diabetes.
Public Health Reports 2004;119(3):311-21.
- Satterfield DW, Thompson-Reid P. We make the road by walking, with the people.
Diabetes Spectrum 2003;16;(3):213-15.
- Satterfield D, Burd C, Valdez L, Hosey G, Eagle Shield J. The "In-between people": participation of community health representatives in diabetes prevention and care in American Indian and Alaska Native communities. Health Promotion Practice 2002;3(2):166-175.
- Satterfield DW, DeBruyn LM. The malignment of metaphor: Silos revisited – repositories and sanctuaries for these times.
Am J Prev Med 2005;29(3): 240-41.
- Satterfield DW, Volansky M, Caspersen CJ, Engelgau MM, Bowman BA, Gregg EW, Geiss LS, Hosey GM, May J, Vinicor F.
Community-based lifestyle interventions to prevent type 2 diabetes.
Diabetes Care. 2003 Sep;26(9):2643-52.
- Wilson KE, Satterfield DW.
Where are we to be in these times? The place of chronic disease prevention in health promotion.
Preventing Chronic Disease: Public health research, practice, and policy. 2007;4(3).
Related Links
Data for Reservations and other American Indian and Alaska Native Areas, US Census
Diabetes Education in Tribal Schools Curriculum, National Institutes of
Health
Division of Diabetes Treatment and Prevention, Indian Health Service
National Diabetes Education Program.
National Institutes of Health and Centers for Disease Control and Prevention
For more information, call 1-800-CDC-INFO or 1-888-232-6348 TTY.
* Links to non-Federal organizations are provided solely as a service to our users. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at this link.
Page last reviewed: October 7, 2009
Page last modified: October 7, 2009
Content Source: National Center for Chronic Disease Prevention and Health Promotion
Division of Diabetes Translation
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Diabetes & Me