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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Marylou Mylant


Better Choices/Better Health®, Better Choices/Better Health/Diabetes®, Native Americans, diabetes mellitus, type 2 diabetes, T2DM, self-management, self-efficacy, Internet, Internet-delivered disease self-management workshops, virtual delivery, telehealth, recruitment


Type 2 diabetes mellitus (T2DM) is a chronic disease that affects Native Americans (NAs) at a disproportionally greater rate than non-Hispanic whites and causes a significant increase in morbidity and mortality rates when compared to other ethnic and racial populations. Self-reported deficiencies in understanding nutritional guidelines, societal struggles related to dietary constraints, co-morbid health disorders, and lack of family support and understanding of T2DM creates a negative impact on management of diabetes. The health care system has increased its focus on patient self-efficacy in disease self-management. There has also been a rapid expansion of Internet-based patient self-management programs, including diabetes self-management workshops. Better Choices Better Health/Diabetes® (BCBH/D®) is a program developed at Stanford University based on their experience with the original Chronic Disease Self-Management and Diabetes Self-Management programs that are offered in person. This project describes the development of a recruitment plan for a BCBH/D® telehealth workshop between a Native American (NA) urban setting and two NA reservations. A community based participatory research (CBPR) approach was utilized to develop a culturally sensitive recruitment plan for NAs with T2DM to enroll in the BCBH/D® telehealth workshop.

Library of Congress Subject Headings

Non-insulin-dependent diabetes.
Indians of North America -- Diseases.
Self-care, Health.
Diabetes -- Treatment.
Medical telematics.
Health education.



Number of Pages



South Dakota State University


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