My Health My Choice: Improving breast and cervical cancer screening for Native American women with intellectual and developmental disabilities
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
Darold Joseph, PhD
Northern Arizona University
Associate Professor, Department of Educational Specialties
Director, Institute for Native-serving Educators
Contact
Julie Armin, PhD
University of Arizona
Assistant Professor, Department of Family & Community Medicine
Director, Health Disparities Curriculum – College of Medicine
Contact
Chris Segrin, PhD
University of Arizona
Department Head, Steven W. & Nancy K. Lynn Endowed Professor of Communication
Regents Professor, Department of Communication
Contact
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

