3 research outputs found
Assessing the Need for a Culturally-Tailored, Technology-Enabled Intervention for Hypertension Management among Keetoowah Band of Cherokee Native American Adults
No full textBackground: Native American communities face a disproportionate burden of chronic diseases, with hypertension (HTN) being one of the most prevalent conditions. HTN significantly increases the risk of severe complications, including heart failure, stroke, kidney failure, and premature death. Additionally, healthcare services for managing HTN often fall short due to limited access to culturally competent care, particularly in rural or underserved areas where many Native American populations reside. Technology-enabled interventions for heart health have shown promise in increasing access to health management resources and enabling real-time data collection for personalized interventions. To date, Native American representation in studies involving such interventions remains insufficient. This study aims to assess the needs for a tailored, technology-enabled HTN self-management (SM) intervention targeting members of the Keetoowah Band of Cherokee Native American adults. We hypothesize that culturally tailored approaches will result in a digital tool for HTN-SM with increased utility, acceptability, and improved SM outcomes for the target population. Methods: This prospective study will employ a mixed-methods approach to collect data on the needs for a technology-enabled HTN-SM intervention. Qualitative data will be collected through focus group sessions to explore attitudes, perceptions, and preferences regarding digital health tools for health management, including features and elements that enhance acceptability and engagement. Quantitative data will include assessments of HTN knowledge, digital literacy, and other metrics related to feasibility and usability, adapted from validated digital technology self-efficacy, chronic disease self-efficacy, and eHealth literacy surveys. There are approximately 14,000 Keetoowah Band of Cherokee Native American adults in Oklahoma. The proportion of digital literacy within this population is unknown. Assuming that half of the population lacks digital literacy, this study aims to recruit 96 individuals to achieve a 95% confidence level with a 10% margin of error. Results: We anticipate identifying specific cultural, functional, and technological preferences that will inform the development of a tailored digital intervention. Based on our similar work targeting African American adults, we expect this study to reveal high levels of acceptability and feasibility for a culturally tailored HTN-SM tool and highlight significant gaps in existing health management resources within this community. Conclusion: This study will provide critical insights into the needs and perceptions of Keetoowah Band of Cherokee Native American adults regarding a tailored, technology-enabled HTN intervention designed to improve HTN-SM outcomes and address health disparities in Native American populations. The findings will also inform the development of a personalized, technology-enabled HTN-SM tool that would not only be accepted and feasible but sustainable, as it would be designed through the cultural lens of this vulnerable population
Ghayat al-amani and the life and times of al-Hadi Yahya b. al-Husayn: an introduction, newly edited text and translation with detailed annotation
No full textThe thesis is anchored upon a text extracted from an important 11th / 17th century Yemeni historical work. This text deals primarily with al-Hādī ilā 'I-Haqq, the founder of the Zaydī Imamate in the Yemen that lasted well over a thousand years. AI-Hādīs imamate, of considerable significance in itself, also coincides with one of the most turbulent periods of early Yemeni mediaeval history. The- edited Arabic text, with its accompanying apparatus criticus. Is to be found at the opposite end of this volume. The Introduction considers various aspects of Imam al-Hadī’s life, religious ideas and aspirations and matters directly connected with the edited text and the work of which it forms a part. Among the most important subjects discussed are the MSS used in the production of the edited text, the problem concerning the authorship of Ghāyat al-amānī and the relationship of the latter work to Anbā' al-zaman. A short biography of al-Hādī is provided, together with a treatment of the historical background to ai-Hādīs imamate. The introduction also describes the editorial method followed with regard to the text, and certain key personal names and toponyms are dealt with there. The method employed by the author of the Ghāyat is to record the events of any one year by Itself. I have translated one year at a time and then followed it by the annotations appertaining to it. It is hoped that by means of these annotations. (some of which through necessity are quite detailed ), the text will be better understood. The numerous personages, tribal names and toponyms are considered, as well as problems concerning points of chronology and various matters of historical and religious significance. Specific comment is made upon certain interesting terms or any unusual or striking vocabulary. The thesis concludes with maps, genealogical tables and a comprehensive bibliography
A reappraisal of attitudes to the 'People of the Book' in the Qur'an and hadith, with particular reference to Muslim fiscal policy and the covenant of 'Umar
No full textEThOS - Electronic Theses Online ServiceGBUnited Kingdo
