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Living With Diabetes in the 4-Fold World of the Coeur d' Alene Tribe

Tiedt, Jane A. PhD, RN, CDE

doi: 10.1097/FCH.0b013e31829d29eb
Original Articles

Despite national initiatives, diabetes disproportionately affects Native Americans. Although many studies have focused on the needs of Native Americans for culturally relevant diabetes programs, few have focused on Northwest tribes. This article presents the results of a phenomenological study exploring the experience of Coeur d'Alene tribal members living with type 2 diabetes. The main theme to emerge was perseverance while balancing tensions between burdens and strengths in 4 areas: valuing tribal traditions, being inattentively caring, struggling with disease burdens, and experiencing patient-provider tensions. This article provides new understanding about barriers and supports for diabetes self-management in one Native American tribe.

Department of Nursing, Gonzaga University, Spokane, Washington.

Correspondence: Jane A. Tiedt, PhD, RN, CDE, Department of Nursing, Gonzaga University, Spokane, WA 99258 (

The author discloses financial support for the research of this article from Indiana University School of Nursing Research Incentive Fellowship and William and Doris Rodie Dissertation scholarship; Sigma Theta Tau Delta Chi chapter-at-large Laura C. Dutsen research award; and Washington Association of Diabetes Educators research grant.

The author declares no conflicts of interest with respect to research, authorship, and/or publication of this article.

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins