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  • My Health My Choice

C-NACHE project contact (NAU)

Email:
Darold.Joseph​@nau.edu

C-NACHE project contact (UA)

Email:
jarmin​@arizona.edu

Our community partners

Turquoise colored logo for the Tucson Indian Center  

purple logo for the Hopi Cancer Support Services

My Health My Choice: Improving breast and cervical cancer screening for Native American women with intellectual and developmental disabilities

four people posing for a group photo at a summit event Dr. Darold Joseph and Dr. Julie Armin with Devine Holmes and Jessica Onsae at the American Indian Disability Summit in April 2024.

About the ‘My Health My Choice’ study

Led by Drs. Darold Joseph and Julie Armin, the My Health My Choice (MHMC) project focuses on social determinants of health related to education and social context. The project seeks to improve reproductive health knowledge among women with intellectual and developmental disabilities (IDD) and to understand how caregiver and institutional settings affect access to cancer screenings. It also examines policy and practice factors that influence screening interventions, testing the effectiveness of the program for Native American women with IDD and identifying factors that impact screening uptake through the Consolidated Framework for Implementation Research.

This study is conducted in partnership with the Tucson Indian Center and Hopi Cancer Support Services.

Project aims

The specific project aims are:

  • Aim 1: Conduct a wait list control trial of MHMC, examining increased cancer screening receipt among Native American women with IDD and their caregivers. 
  • Aim 2: Explore the dimensions of relationships between caregivers/supporters and women with IDD in preparation for an examination of the relationships’ effects on screening decision-making.
  • Aim 3: Identify multi-level factors relevant to the promotion of real-world uptake of the MHMC within disability- and native-serving agencies.

Our project team


Dr. Darold Joseph wearing an NAU t-shirt, dress coat, and turquoise necklace

Darold Joseph, PhD

Northern Arizona University

Associate Professor, Department of Educational Specialties

Director, Institute for Native-serving Educators

Contact

Email:
Darold.Joseph​@nau.edu

photo of julie armin wearing a black top and turquoise necklace

Julie Armin, PhD

University of Arizona

Assistant Professor, Department of Family & Community Medicine

Director, Health Disparities Curriculum – College of Medicine

Contact

Email:
jarmin​@arizona.edu

Photo of DeeDee James wearing glasses, a black top and abalone earrings

DeeDee James, MPH

Northern Arizona University

Research Coordinator

Contact

Email:
DeeDee.James​@nau.edu

Photo of Chris Segrin in a grey button up and multicolored tie

Chris Segrin, PhD

University of Arizona

Department Head, Steven W. & Nancy K. Lynn Endowed Professor of Communication

Regents Professor, Department of Communication

Contact

Email:
segrin​@arizona.edu

Photo of Tomas Nuno in a red polo

Tomás Nuño, PhD

University of Arizona

Engagement Core Faculty Lead, UA-Banner Health All of Us Research Program

Assistant Research Professor, MEZCOPH Department of Epidemiology & Biostatistics

Contact

Email:
tnuno​@arizona.edu

photo of Jessica Onsae wearing a black top with a pink cardigan and a silver necklace

Jessica Onsae

Northern Arizona University

Community Health Educator

Contact

Email:
jessica.onsae​@nau.edu

Headshot photo of the Dynnika Tso wearing a white and black long sleeve top and turquoise squash blossom with matching earrings

Dynnika Tso

Tucson Indian Center

Health Educator

Email:
dtso​@ticenter.org

Center for Native American Cancer Health Equity
Location
Building
Applied Research and Development
1395 Knoles Drive
Flagstaff, AZ 86011
Email
cnache@nau.edu
Phone
928-523-4292
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