Lessons on Resilient Research: Adapting the Tribal Turning Point Study to COVID-19

Tribal Turning Point (TTP) is a community-based randomized controlled trial of a lifestyle intervention to reduce risk factors for type 2 diabetes in Native youth. TTP began in 2018 and was interrupted by the COVID-19 pandemic in 2020. In this paper we aimed to understand 1) how the pandemic impacte...

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Bibliographic Details
Published in:	American Indian and Alaska native mental health research Vol. 29; no. 2; pp. 155 - 182
Main Authors:	Steinberg, Rachel I, Begay, Joel A, Begay, Paula M, Goldtooth, Deidra L, Nelson, Shawna T M, Yazzie, Debra A, Delamater, Alan M, Hockett, Christine W, Phimphasone-Brady, Phoutdavone, Powell, Jeffrey C, Sinha, Madhumita, Dabelea, Dana, Sauder, Katherine A
Format:	Journal Article
Language:	English
Published:	United States 2022
Subjects:	Adolescent COVID-19 Diabetes Mellitus, Type 2 - prevention & control Humans Indians, North American Life Style Pandemics - prevention & control
Online Access:	Get full text
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Summary:	Tribal Turning Point (TTP) is a community-based randomized controlled trial of a lifestyle intervention to reduce risk factors for type 2 diabetes in Native youth. TTP began in 2018 and was interrupted by the COVID-19 pandemic in 2020. In this paper we aimed to understand 1) how the pandemic impacted TTP's operations, and how the TTP team successfully adapted to these impacts; 2) how the effects of COVID-19 and our adaptations to them were similar or different across TTP's research sites; and 3) lessons learned from this experience that may help other Native health research teams be resilient in this and future crises. Using a collaborative mixed methods approach, this report explored five a priori domains of adaptation: intervention delivery, participant engagement, data collection, analytic strategies, and team operations. We derived three lessons learned: 1) ensure that support offered is flexible to differing needs and responsive to changes over time; 2) adapt collaboratively and iteratively while remaining rooted in community; and 3) recognize that relationships are the foundation of successful research.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3
ISSN:	0893-5394 1533-7731
DOI:	10.5820/aian.2902.2022.155