Indian Health Service Online Submission, Consultation, and Reporting (OSCAR) System for Evidence Based and Promising Practices, Local Efforts, Policies and Resources. (logo: A Circle of Healthy Initiatives for American Indians and Alaska Natives)

SouthEast Alaska Regional Health Consortium

Program Type: Promising Practice -Programs not formally evaluated (or formal evaluation is not yet complete) but identified by experts as programs with results suggesting efficacy and worthy of further study in broader pilot implementation efforts.

SEARHC has been working in partnership with the Jilkaat Kwann Cultural Heritage Center for the past year to support the tribe’s social and economic development plan and to improve chronic disease risks for all Klukwan residents. This pilot program supports a series of Traditional Knowledge Camps throughout the year. Camps include learning about and experiencing subsistence lifestyle skills and other traditional knowledge important to re-establishing links to the active Tlingit culture that have been lost in the last generation, due to cultural upheaval. Current camps include processing and storage of salmon, hooligan, and moose, and carving of totem poles, paddles, and a 35 foot canoe.
Participants in the camps and their families receive a physical exam, including tobacco use, weight, blood pressure, cholesterol, and glucose screening, on a yearly basis. Differences between baseline and each subsequent screen are calculated.
Preliminary data shown a decrease in risks among community members since the start of the camps:

  1. Blood Pressure
    1. The average drop in systolic blood pressure, of the residents who have two screenings at least one year apart is 2.34
    2. The average drop in diastolic blood pressure, of the residents who have two screenings at least one year apart is 2.15
  2. Weight
  3. The average drop in weight, of the residents who have two screenings at least one year apart is 2.73 pounds.
  4. Total Cholesterol
    1. The average drop in cholesterol, of the residents who have two screenings at least one year apart is 4.55.
  5. Tobacco Use
    1. 20% (2 of 10) tobacco users quit smoking during their WISEFAMILY encounter period.
    2. 60% (6 of 10) of tobacco users received tobacco cessation education;
    3. 33% of tobacco users who received counseling quit and have stayed quit.
  6. Education
    56% (49 of 88) participated in education offerings:
    1. 33 participated in physical activity education
    2. 24 participated in nutrition education/activities
    3. 40 participated in Traditional Knowledge Camps
    4. 6 received tobacco cessation support/education
      The Project’s Long-Term Objective: Improve nutrition, increase physical activity, reduce tobacco use and exposure, increase skills and traditional knowledge in subsistence, cultural, artistic, and linguistic activities, and contribute to the Chilkat Indian Village social and economic development strategic plan.

      Age Group(s):
      Adults, Elderly

      Site Type(s):
      Community, Clinic/Health Center

      Health Indicator(s):
      Cardiovascular Disease , Diabetes , Health Education , Tobacco Use , Nutrition

      Service Area:

      Health promotion and wellness


      Name: Nancy Knapp
      Site or Location Name: SouthEast Alaska Regional Health Consortium
      222 Tongass Dr
      Sitka, AK 99835
      Phone: 907-966-8746