{"doi":"10.3390/ijerph21030285","title":"The Báa nnilah Program: Results of a Chronic-Illness Self-Management Cluster Randomized Trial with the Apsáalooke Nation","abstract":"Indigenous people in Montana are disproportionately affected by chronic illness (CI), a legacy of settler colonialism. Existing programs addressing CI self-management are not appropriate because they are not consonant with Indigenous cultures in general and the Apsáalooke culture specifically. A research partnership between the Apsáalooke (Crow Nation) non-profit organization Messengers for Health and Montana State University co-developed, implemented, and evaluated a CI self-management program for community members. This article examines qualitative and quantitative program impacts using a pragmatic cluster randomized clinical trial design with intervention and waitlist control arms. The quantitative and qualitative data resulted in different stories on the impact of the Báa nnilah program. Neither of the quantitative hypotheses were supported with one exception. The qualitative data showed substantial positive outcomes across multiple areas. We examine why the data sets led to two very different stories, and provide study strengths and limitations, recommendations, and future directions.","journal":"International Journal of Environmental Research and Public Health","year":2024,"id":494753,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9598,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT03036189"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":390275,"name":"Feng Du","orcid":"0000-0003-0333-2687","position":1,"is_corresponding":false},{"id":315780,"name":"Alma Knows His Gun McCormick","orcid":null,"position":2,"is_corresponding":false},{"id":399177,"name":"Mark Schure","orcid":"0000-0002-9528-7600","position":3,"is_corresponding":false},{"id":974379,"name":"Lucille Other Medicine","orcid":null,"position":4,"is_corresponding":false},{"id":539304,"name":"John Hallett","orcid":"0000-0003-3345-9961","position":5,"is_corresponding":false},{"id":973974,"name":"Jillian Inouye","orcid":"0000-0003-1179-3192","position":6,"is_corresponding":false},{"id":973973,"name":"Sarah M. Allen","orcid":"0000-0003-1075-3500","position":7,"is_corresponding":false},{"id":974378,"name":"Shannon Holder","orcid":null,"position":8,"is_corresponding":false},{"id":1341379,"name":"Brianna Bull Shows","orcid":null,"position":9,"is_corresponding":false},{"id":1341380,"name":"Coleen Trottier","orcid":null,"position":10,"is_corresponding":false},{"id":1341381,"name":"Alexi Kyro","orcid":null,"position":11,"is_corresponding":false},{"id":1341382,"name":"Samantha Kropp","orcid":null,"position":12,"is_corresponding":false},{"id":1341383,"name":"Nicole Turns Plenty","orcid":null,"position":13,"is_corresponding":false},{"id":437937,"name":"Suzanne Held","orcid":"0000-0003-2114-2713","position":0,"is_corresponding":true}],"reference_count":51,"raw_metadata":null,"created_at":"2026-07-19T02:09:11.736910Z","pmid":"38541285","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}