Document is current

Article History

Received: 22 May 2024

Accepted: 25 March 2025

First Online: 25 April 2025

Declarations

:

: The authors declare that they have no financial or non-financial competing interests.

: The UNM Health Sciences Center’s Human Research Review Committee (HRRC # 18-636) and the Southwest Tribal Institutional Review Board (SWT-2018-005) approved all aspects of the research protocol.

: All participants receive a consent letter and are informed about the research objectives and they voluntarily choose to participate. Further, they are informed that there is a very small risk of loss of privacy/confidentiality. Participants provide verbal consent to participate. Since the research poses no more than minimal risk of harm, the UNM Health Sciences Center’s Human Research Review Committee and the Southwest Tribal Institutional Review Board approved verbal consent for participation.

: Per the policies of the Tribe participating in the project, the Tribal leadership or its designees and the Tribal Institutional Review Board must consent for publication. In this instance, the Tribal and Healthcare leadership alongside the Southwestern Tribal Institutional Review Board have agreed to publication of the manuscript.