SPTHB GHWIC 3.0 Program - The SPTHB Good Health and Wellness in Indian Country program will collaborate with tribes and tribal servicing organizations in rural and urban areas of Oklahoma, Texas, and Kansas. Using a culture-first approach, the SPTHB will provide the leadership, stewardship, technical assistance, training, and resources necessary to assist in improving the health of AI/AN people by reducing rates of death and disability across the lifespan from chronic diseases and the prevalence of commercial tobacco use, prediabetes and diabetes, high blood pressure, and cholesterol, and other chronic disease risk factors and conditions. At least seven sub-awards will be determined using two methods at three funding levels. This project will provide assistance through awarded and competitive sub-awards to tribal partners to carry out Component 1 strategies and activities and establish PSE changes that promote health and prevent chronic diseases and their risk factors using a culture-first approach. Competitive sub-awards will be prioritized through scoring criteria developed by the GHWIC advisory committee in Year One. Again, the focus will be placed on areas where need and potential impact are greatest according to the grant objectives, using a culture-first approach. The three levels of funding will be $145,000 (3), $75,000 (2), and $20,000 (2). This will allow tribes of multiple capacities to develop or enhance programs using a culture-first approach to chronic disease prevention, management, and control. The intended outcome of this program is to award at least seven (7) sub-awards using at least 50% of the annual award to focus on implementing evidence-informed and culturally adapted strategies to improve the health of tribal community members and to prevent chronic diseases and risk factors. Our strategies are to prevent obesity and prevent and control commercial tobacco use and exposure. Our community-clinical linkage strategies are to prevent type 2 diabetes, heart disease, and stroke. Additionally, the SPTHB will provide training, technical assistance, and evaluation support to all tribes, tribal serving organizations, and urban Indian organizations in the southern plains area with remaining award funds. This project aims to increase a sense of belonging and physical, emotional, and mental well-being within AI/AN communities with a renewed and deeper focus on using cultural practices to prevent, manage, and control chronic disease. Additionally, this project aims to increase PSE changes within tribal communities based on the needs and interests of the Tribes. The CDC’s GHWIC Implementation Guide will be used for evidence-based PSE change efforts to support the C1 strategies, including tobacco and smoke-free policies, workplace health promotion, nutrition, and physical activity. Data will be collected on an ongoing basis, analyzed, and findings will be shared with stakeholders through the SPTHB quarterly. This allows stakeholders to use the evaluation findings to inform and improve the program consistently and continually throughout the program's life cycle. Keeping with the CDC Framework, the evaluation plan is a living document, subject to corrections and improvement throughout the program's life. Program outcomes and process outcomes will be determined with data collection and specific questions to establish boundaries for the evaluation by defining the program's aspects. Overall, the evaluation and performance measurements will 1) help demonstrate achievement of program outcomes; 2) build a stronger evidence base for specific program interventions, including the Component 1 awardee(s) and the SPTHB sub-awardees; 3) clarify the applicability of the evidence base to different populations, settings, and contexts such as the nuances of the SPTHB area tribal nations and health services; and 4) drive continuous program improvement.
