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The Diabetes Educator

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Health Promotion Practice
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Steps to a Healthier Anishinaabe, Michigan

Strategies for Implementing Health Promotion Programs in Multiple American Indian Communities

Catherine Carmel Edgerly, MS

Inter-Tribal Council of Michigan, Inc., in Sault Ste. Marie, Michigan, cedgerly{at}itcmi.org

Shannon S. Laing, BS

Center for Healthcare Excellence at the Michigan Public Health Institute in Okemos, Michigan

Anya-Victoria G. Day, MPH

Center for Healthcare Excellence at the Michigan Public Health Institute in Okemos, Michigan

Paulina M. Blackinton, BA

Center for Healthcare Excellence at the Michigan Public Health Institute in Okemos, Michigan

Noel L. Pingatore, BS, CPH

Inter-Tribal Council of Michigan, Inc., in Sault Ste. Marie, Michigan

Richard T. Haverkate, MPH

Inter-Tribal Council of Michigan, Inc., in Sault Ste. Marie, Michigan

Julia F. Heany, PhD

Center for Healthcare Excellence at the Michigan Public Institute in Okemos, Michigan

American Indians experience significant health disparities compared to the general U.S. population. The Steps to a Healthier Anishinaabe program adopted a unique framework to implement health promotion intervention activities in multiple American Indian communities in Michigan. By enabling each community to tailor interventions to their specific culture and health priorities, the program is characterized by a culturally competent and community-driven approach to decrease the impact of chronic diseases on the health of Michigan's American Indians. This article describes the community-based framework and argues that multisite, community-tailored health promotion programs are a promising approach to reducing health disparities in minority populations.

Key Words: American Indian • chronic disease prevention • community-based • health intervention • cultural competence • health promotion • Steps to a Healthier Anishinaabe

Health Promotion Practice, Vol. 10, No. 2 Suppl, 109S-117S (2009)
DOI: 10.1177/1524839908331270
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