Carolee Dodge Francis

Carolee Dodge Francis

University of Nevada Las Vegas

Title: Prevention of type 2 diabetes in urban American Indian/Alaska natives communities: The Life in balance Pilot Study


Carolee Dodge Francis, is Executive Director of the American Indian Research and Education Center, and Associate Professor within the School of Community Health Sciences. She is an American Indian researcher, and nationally recognized for her research, program development and evaluation work in chronic disease within Tribal communities. She has over 20 years experience in community/public health, health education development and research with urban and rural American Indian communities nation-wide. Her funding awards include the National Institutes of Health, Center for Disease Control and Prevention, Nevada State and private foundations.


The Life in BALANCE (LIB) study was a pilot translational study modeling the Diabetes Prevention Program (DPP) intensive lifestyle coaching intervention among an underserved, high-risk population: American Indians/Alaska Natives (AI/ANs) living in a large urban setting (Las Vegas, Nevada). Research Design and Methods
The LIB qualitative component used semi-structured one-on-one interviews to understand the experiences of 11 of the program participants who completed the core curriculum (n = 11 out of 15). Subjects who agreed to participate in the qualitative component ranged in age from 23 to 55 years with a mean of 39 years and included 9 women and 2 men. Interviews were transcribed and then coded and analyzed using Atlas.ti Qualitative Data Analysis software. Results
Eight thematic categories (motivation, limited health knowledge, lifestyle change options, etc.) emerged as the most relevant to the aims of the qualitative component. Conclusions
The qualitative data from the interviews reflects the Social Cognitive Theory (SCT), where key components of SCT are the interplay of personal, behavioral and environmental influences. The LIB intervention recognized that barrier/impediments in the built environment of the participants impacted or reduced positive health behaviors.