Growing from Our Roots: Strategies for Developing Culturally Grounded Health Promotion Interventions in American Indian, Alaska Native, and Native Hawaiian Communities
Given the paucity of empirically based health promotion interventions designed by and for American Indian, Alaska Native, and Native Hawaiian (i.e., Native) communities, researchers and partnering communities have had to rely on the adaptation of evidence-based interventions (EBIs) designed for non-...
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| Veröffentlicht in: | Prevention science Jg. 21; H. Suppl 1; S. 54 - 64 |
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| Hauptverfasser: | , , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
New York
Springer US
01.01.2020
Springer Nature B.V |
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| ISSN: | 1389-4986, 1573-6695, 1573-6695 |
| Online-Zugang: | Volltext |
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| Abstract | Given the paucity of empirically based health promotion interventions designed by and for American Indian, Alaska Native, and Native Hawaiian (i.e., Native) communities, researchers and partnering communities have had to rely on the adaptation of evidence-based interventions (EBIs) designed for non-Native populations, a decidedly sub-optimal approach. Native communities have called for development of Indigenous health promotion programs in which their cultural worldviews and protocols are prioritized in the design, development, testing, and implementation. There is limited information regarding how Native communities and scholars have successfully collaborated to design and implement culturally based prevention efforts “from the ground up.” Drawing on five diverse community-based Native health intervention studies, we describe strategies for designing and implementing culturally grounded models of health promotion developed in partnership with Native communities. Additionally, we highlight indigenist worldviews and protocols that undergird Native health interventions with an emphasis on the incorporation of (1) original instructions, (2) relational restoration, (3) narrative-[em]bodied transformation, and (4) indigenist community-based participatory research (ICBPR) processes. Finally, we demonstrate how culturally grounded interventions can improve population health when they prioritize local Indigenous knowledge and health-positive messages for individual to multi-level community interventions. |
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| AbstractList | Given the paucity of empirically based health-promotion interventions designed by and for American Indian, Alaska Native, and Native Hawaiian (i.e., Native) communities, researchers and partnering communities have had to rely on the adaptation of evidence-based interventions (EBIs) designed for Non-Native populations, a decidedly sub-optimal approach. Native communities have called for development of Indigenous health-promotion programs in which their cultural worldviews and protocols are prioritized in the design, development, testing, and implementation. There is limited information regarding how Native communities and scholars have successfully collaborated to design and implement culturally based prevention efforts “from the ground up.” Drawing on five diverse community-based Native health-intervention studies, we describe strategies for designing and implementing culturally grounded models of health promotion developed in partnership with Native communities. Additionally, we highlight indigenist worldviews and protocols that undergird Native health interventions with an emphasis on the incorporation of: (1) Original Instructions, (2) relational restoration, (3) narrative- [em]bodied transformation, and (4) Indigenist community-based participatory research (ICBPR) processes. Finally, we demonstrate how culturally grounded interventions can improve population health when they prioritize local Indigenous knowledges and health-positive messages for individual to multi-level community interventions. Given the paucity of empirically based health promotion interventions designed by and for American Indian, Alaska Native, and Native Hawaiian (i.e., Native) communities, researchers and partnering communities have had to rely on the adaptation of evidence-based interventions (EBIs) designed for non-Native populations, a decidedly sub-optimal approach. Native communities have called for development of Indigenous health promotion programs in which their cultural worldviews and protocols are prioritized in the design, development, testing, and implementation. There is limited information regarding how Native communities and scholars have successfully collaborated to design and implement culturally based prevention efforts “from the ground up.” Drawing on five diverse community-based Native health intervention studies, we describe strategies for designing and implementing culturally grounded models of health promotion developed in partnership with Native communities. Additionally, we highlight indigenist worldviews and protocols that undergird Native health interventions with an emphasis on the incorporation of (1) original instructions, (2) relational restoration, (3) narrative-[em]bodied transformation, and (4) indigenist community-based participatory research (ICBPR) processes. Finally, we demonstrate how culturally grounded interventions can improve population health when they prioritize local Indigenous knowledge and health-positive messages for individual to multi-level community interventions. Given the paucity of empirically based health promotion interventions designed by and for American Indian, Alaska Native, and Native Hawaiian (i.e., Native) communities, researchers and partnering communities have had to rely on the adaptation of evidence-based interventions (EBIs) designed for non-Native populations, a decidedly sub-optimal approach. Native communities have called for development of Indigenous health promotion programs in which their cultural worldviews and protocols are prioritized in the design, development, testing, and implementation. There is limited information regarding how Native communities and scholars have successfully collaborated to design and implement culturally based prevention efforts "from the ground up." Drawing on five diverse community-based Native health intervention studies, we describe strategies for designing and implementing culturally grounded models of health promotion developed in partnership with Native communities. Additionally, we highlight indigenist worldviews and protocols that undergird Native health interventions with an emphasis on the incorporation of (1) original instructions, (2) relational restoration, (3) narrative-[em]bodied transformation, and (4) indigenist community-based participatory research (ICBPR) processes. Finally, we demonstrate how culturally grounded interventions can improve population health when they prioritize local Indigenous knowledge and health-positive messages for individual to multi-level community interventions.Given the paucity of empirically based health promotion interventions designed by and for American Indian, Alaska Native, and Native Hawaiian (i.e., Native) communities, researchers and partnering communities have had to rely on the adaptation of evidence-based interventions (EBIs) designed for non-Native populations, a decidedly sub-optimal approach. Native communities have called for development of Indigenous health promotion programs in which their cultural worldviews and protocols are prioritized in the design, development, testing, and implementation. There is limited information regarding how Native communities and scholars have successfully collaborated to design and implement culturally based prevention efforts "from the ground up." Drawing on five diverse community-based Native health intervention studies, we describe strategies for designing and implementing culturally grounded models of health promotion developed in partnership with Native communities. Additionally, we highlight indigenist worldviews and protocols that undergird Native health interventions with an emphasis on the incorporation of (1) original instructions, (2) relational restoration, (3) narrative-[em]bodied transformation, and (4) indigenist community-based participatory research (ICBPR) processes. Finally, we demonstrate how culturally grounded interventions can improve population health when they prioritize local Indigenous knowledge and health-positive messages for individual to multi-level community interventions. |
| Author | Johnson-Jennings, Michelle Look, Mele A. de Silva, Māpuana Baldwin, Julie A. Allen, James Lowe, John Semmens, Erin O. Kaholokula, Joseph Keawe‘aimoku Charles, Billy Walters, Karina L. Brooks, Jada Quintana, Eugenia Stroud, Sandra John, Simeon Rasmus, Stacy Noonan, Curtis W. Belcourt, Annie Lawrence, Gary Boulafentis, Johna |
| AuthorAffiliation | 4 Institute of Arctic Biology, University of Alaska Fairbanks, AK 9 Center for Health Equity Research (CHER), Northern Arizona University 11 School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC 15 Nez Perce Tribe Environmental Restoration and Waste Management, Lapwai, ID 6 Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai’i at Mānoa, Honolulu, Hawai’i 10 Choctaw Nation Health Services Authority, Choctaw Nation of Oklahoma, Talihina, OK 13 Skaggs School of Pharmacy, University of Montana, Missoula, Montana 14 Navajo Nation Environmental Protection Agency, Window Rock, AZ 2 Research for Indigenous Community Health (RICH) Center, College of Pharmacy, University of Minnesota, Duluth/Minneapolis, MN 3 Yappalli Project, Department of Behavioral Health, Choctaw Nation Health Services, Choctaw Nation of Oklahoma, OK 5 Memory Keepers Medical Discovery Team-Health Equity, Department of Family Medicine and Biobehavioral Sciences, Univ |
| AuthorAffiliation_xml | – name: 7 Hālau Mōhala ‘Ilima, Ka’ōhao, Hawai’i – name: 8 Center for Indigenous Nursing Research for Health Equity (INRHE), Florida State University – name: 2 Research for Indigenous Community Health (RICH) Center, College of Pharmacy, University of Minnesota, Duluth/Minneapolis, MN – name: 9 Center for Health Equity Research (CHER), Northern Arizona University – name: 6 Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai’i at Mānoa, Honolulu, Hawai’i – name: 14 Navajo Nation Environmental Protection Agency, Window Rock, AZ – name: 12 School of Public and Community Health Sciences, University of Montana, Missoula, MT – name: 11 School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC – name: 13 Skaggs School of Pharmacy, University of Montana, Missoula, Montana – name: 10 Choctaw Nation Health Services Authority, Choctaw Nation of Oklahoma, Talihina, OK – name: 3 Yappalli Project, Department of Behavioral Health, Choctaw Nation Health Services, Choctaw Nation of Oklahoma, OK – name: 5 Memory Keepers Medical Discovery Team-Health Equity, Department of Family Medicine and Biobehavioral Sciences, University of Minnesota Medical School, Duluth campus, Duluth, MN – name: 1 Indigenous Wellness Research Institute (IWRI), School of Social Work, University of Washington, Seattle, WA – name: 4 Institute of Arctic Biology, University of Alaska Fairbanks, AK – name: 15 Nez Perce Tribe Environmental Restoration and Waste Management, Lapwai, ID |
| Author_xml | – sequence: 1 givenname: Karina L. surname: Walters fullname: Walters, Karina L. email: kw5@uw.edu organization: Indigenous Wellness Research Institute (IWRI), School of Social Work, University of Washington – sequence: 2 givenname: Michelle surname: Johnson-Jennings fullname: Johnson-Jennings, Michelle organization: Research for Indigenous Community Health (RICH) Center, College of Pharmacy, University of Minnesota – sequence: 3 givenname: Sandra surname: Stroud fullname: Stroud, Sandra organization: Yappalli Project, Department of Behavioral Health, Choctaw Nation Health Services, Choctaw Nation of Oklahoma – sequence: 4 givenname: Stacy surname: Rasmus fullname: Rasmus, Stacy organization: Institute of Arctic Biology, University of Alaska Fairbanks – sequence: 5 givenname: Billy surname: Charles fullname: Charles, Billy organization: Institute of Arctic Biology, University of Alaska Fairbanks – sequence: 6 givenname: Simeon surname: John fullname: John, Simeon organization: Institute of Arctic Biology, University of Alaska Fairbanks – sequence: 7 givenname: James surname: Allen fullname: Allen, James organization: Memory Keepers Medical Discovery Team-Health Equity, Department of Family Medicine and Biobehavioral Sciences, University of Minnesota Medical School, Duluth Campus – sequence: 8 givenname: Joseph Keawe‘aimoku surname: Kaholokula fullname: Kaholokula, Joseph Keawe‘aimoku organization: Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai’i at Mānoa – sequence: 9 givenname: Mele A. surname: Look fullname: Look, Mele A. organization: Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai’i at Mānoa, Hālau Mōhala ‘Ilima – sequence: 10 givenname: Māpuana surname: de Silva fullname: de Silva, Māpuana organization: Hālau Mōhala ‘Ilima – sequence: 11 givenname: John surname: Lowe fullname: Lowe, John organization: Center for Indigenous Nursing Research for Health Equity (INRHE), Florida State University – sequence: 12 givenname: Julie A. surname: Baldwin fullname: Baldwin, Julie A. organization: Center for Health Equity Research (CHER), Northern Arizona University – sequence: 13 givenname: Gary surname: Lawrence fullname: Lawrence, Gary organization: Choctaw Nation Health Services Authority, Choctaw Nation of Oklahoma – sequence: 14 givenname: Jada surname: Brooks fullname: Brooks, Jada organization: School of Nursing, The University of North Carolina at Chapel Hill – sequence: 15 givenname: Curtis W. surname: Noonan fullname: Noonan, Curtis W. organization: School of Public and Community Health Sciences, University of Montana, Skaggs School of Pharmacy, University of Montana – sequence: 16 givenname: Annie surname: Belcourt fullname: Belcourt, Annie organization: School of Public and Community Health Sciences, University of Montana, Skaggs School of Pharmacy, University of Montana – sequence: 17 givenname: Eugenia surname: Quintana fullname: Quintana, Eugenia organization: Navajo Nation Environmental Protection Agency – sequence: 18 givenname: Erin O. surname: Semmens fullname: Semmens, Erin O. organization: School of Public and Community Health Sciences, University of Montana – sequence: 19 givenname: Johna surname: Boulafentis fullname: Boulafentis, Johna organization: Nez Perce Tribe Environmental Restoration and Waste Management |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30397737$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | Society for Prevention Research 2018 Prevention Science is a copyright of Springer, (2018). All Rights Reserved. |
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| Keywords | Culturally grounded American Indian, Alaska Native, Native Hawaiian, Indigenous Indigenist research Indigenous knowledge Decolonizing methodologies Health promotion programs |
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| PublicationSubtitle | Official Journal of the Society for Prevention Research |
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| References | Patchell, Robbins, Hoke, Lowe (CR20) 2012; 16 Kaholokula, Culbertson, Agee, Makasiale (CR12) 2007 Moreton-Robinson (CR16) 2000 Bassett, Tsosie, Nannuck (CR6) 2012; 16 Nelson (CR17) 2008 Rasmus, Charles, Mohatt (CR22) 2014; 54 Greenfield, Venner (CR10) 2012; 38 Barnhardt, Kawagley (CR5) 2005; 36 Lucero (CR14) 2016; 43 Smith (CR25) 1999 CR13 Wilson (CR32) 2001 CR11 Walters, Mohammed, Evans-Campbell, Beltrán, Chae, Duran (CR30) 2011; 8 Allen, Rasmus, Fok, Henry (CR3) 2017; 19 Vizenor (CR27) 2008 Rowan, Poole, Shea, Gone, Mykota, Farag (CR23) 2014; 9 Paikuli-Stride, Enos, Minton, Nelson (CR19) 2008 Allen, Mohatt, Beehler, Rowe (CR2) 2014; 54 Ayunerak, Ahlstrom, Moses, Charlie, Rasmus (CR4) 2014; 54 Osborn, Amico, Fisher, Egede, Fisher (CR18) 2010; 15 Pierotti, Wildcat (CR21) 2000; 10 CR8 CR29 Martin, Mirraboopa (CR15) 2003; 27 CR9 West, Stewart, Foster, Usher (CR31) 2012; 22 Alarcón, Nelson (CR1) 2008 Brown, Lilford (CR7) 2006; 6 Schultz, Walters, Beltran, Stroud, Johnson-Jennings (CR24) 2016; 40 Smith (CR26) 2005; 36 Wallerstein, Duran, Oetzel, Minkler (CR28) 2018 (952_CR27) 2008 JK Kaholokula (952_CR12) 2007 E Lucero (952_CR14) 2016; 43 952_CR29 (952_CR28) 2018 FX Alarcón (952_CR1) 2008 L Smith (952_CR25) 1999 KL Martin (952_CR15) 2003; 27 J Allen (952_CR2) 2014; 54 M Paikuli-Stride (952_CR19) 2008 CA Brown (952_CR7) 2006; 6 CY Osborn (952_CR18) 2010; 15 R West (952_CR31) 2012; 22 952_CR8 952_CR9 952_CR11 952_CR13 R Barnhardt (952_CR5) 2005; 36 K Schultz (952_CR24) 2016; 40 SM Rasmus (952_CR22) 2014; 54 S Wilson (952_CR32) 2001 A Moreton-Robinson (952_CR16) 2000 KL Walters (952_CR30) 2011; 8 P Ayunerak (952_CR4) 2014; 54 LT Smith (952_CR26) 2005; 36 D Bassett (952_CR6) 2012; 16 MK Nelson (952_CR17) 2008 B Patchell (952_CR20) 2012; 16 BL Greenfield (952_CR10) 2012; 38 R Pierotti (952_CR21) 2000; 10 M Rowan (952_CR23) 2014; 9 J Allen (952_CR3) 2017; 19 |
| References_xml | – volume: 16 start-page: 45 year: 2012 end-page: 51 ident: CR20 article-title: Circular model of cultural tailoring: An intervention adaption publication-title: Journal of Theory Construction and Testing – volume: 40 start-page: 21 year: 2016 end-page: 28 ident: CR24 article-title: “I'm stronger than I thought”: Native women reconnecting to body, health, and place publication-title: Health & Place doi: 10.1016/j.healthplace.2016.05.001 – volume: 54 start-page: 140 year: 2014 end-page: 152 ident: CR22 article-title: Creating Qungasvik (a Yup’ik intervention “toolbox”): Case examples from a community-developed and culturally-driven intervention publication-title: American Journal of Community Psychology doi: 10.1007/s10464-014-9651-5 – volume: 36 start-page: 93 year: 2005 end-page: 95 ident: CR26 article-title: Building a research agenda for indigenous epistemologies and education publication-title: Anthropology & Education Quarterly doi: 10.1525/aeq.2005.36.1.093 – year: 2008 ident: CR27 publication-title: Survivance: Narratives of Native presence – volume: 22 start-page: 1582 year: 2012 end-page: 1590 ident: CR31 article-title: Through a critical lens: Indigenist research and the Dadirri method publication-title: Qualitative Health Research doi: 10.1177/1049732312457596 – volume: 36 start-page: 8 year: 2005 end-page: 23 ident: CR5 article-title: Indigenous knowledge systems and Alaska Native ways of knowing publication-title: Anthropology and Education Quarterly doi: 10.1525/aeq.2005.36.1.008 – volume: 6 start-page: 1 year: 2006 end-page: 9 ident: CR7 article-title: The stepped wedge trial design: a systematic review publication-title: BMC Medical Research Methodology doi: 10.1186/1471-2288-6-54 – year: 2008 ident: CR17 publication-title: Original instructions: Indigenous teachings for a sustainable future – volume: 16 start-page: 19 year: 2012 end-page: 27 ident: CR6 article-title: “Our culture is medicine”: Perspectives of Native healers on posttrauma recovery among American Indian and Alaska Native patients publication-title: The Permanente Journal doi: 10.7812/TPP/11-123 – ident: CR29 – year: 2000 ident: CR16 publication-title: Talkin’ up to the white women – ident: CR8 – volume: 43 start-page: 319 year: 2016 end-page: 324 ident: CR14 article-title: From tradition to evidence: Decolonization of the evidence-based practice system publication-title: Journal of Psychoactive Drugs doi: 10.1080/02791072.2011.628925 – volume: 27 start-page: 203 year: 2003 end-page: 214 ident: CR15 article-title: Ways of knowing, being and doing: A theoretical framework and methods for Indigenous and indigenist re-search publication-title: Journal of Australian Studies doi: 10.1080/14443050309387838 – volume: 54 start-page: 91 year: 2014 end-page: 99 ident: CR4 article-title: Yup’ik culture and context in Southwest Alaska: Community member perspectives of tradition, social change, and prevention publication-title: American Journal of Community Psychology doi: 10.1007/s10464-014-9652-4 – volume: 15 start-page: 1210 year: 2010 end-page: 1213 ident: CR18 article-title: Information-motivation-behavior skills (IMB) analysis of diet and exercise behavior in Puerto Ricans with diabetes publication-title: Journal of Health Psychology doi: 10.1177/1359105310364173 – year: 1999 ident: CR25 publication-title: Decolonizing methodologies: Research and Indigenous peoples – volume: 10 start-page: 1333 year: 2000 end-page: 1340 ident: CR21 article-title: Traditional ecological knowledge: The third alternative publication-title: Ecological Applications doi: 10.1890/1051-0761(2000)010[1333:TEKTTA]2.0.CO;2 – volume: 9 start-page: 34 year: 2014 ident: CR23 article-title: Cultural interventions to treat addictions in Indigenous populations: Findings from a scoping study publication-title: Substance Abuse Treatment, Prevention, and Policy doi: 10.1186/1747-597X-9-34 – start-page: 304 year: 2008 end-page: 317 ident: CR19 article-title: Taro roots run deep: Hawaiian restoration of sacred foods and communities publication-title: Original instructions: Indigenous teachings for a sustainable future – year: 2018 ident: CR28 publication-title: Community-based participatory research for health: Advancing social and health equity – volume: 38 start-page: 483 year: 2012 end-page: 492 ident: CR10 article-title: Review of substance use disorder treatment research in Indian country: future directions to strive toward health equity publication-title: American Journal of Drug and Alcohol Abuse doi: 10.3109/00952990.2012.702170 – start-page: 265 year: 2008 end-page: 287 ident: CR1 article-title: El poder de la palabra/The power of the word: Toward a Nahuatl/Mestizo consciousness publication-title: Original instructions: Indigenous teachings for a sustainable future – volume: 19 start-page: 174 year: 2017 end-page: 185 ident: CR3 article-title: Multi-level cultural intervention for the prevention of suicide and alcohol use risk with Alaska Native youth: A non-randomized comparison of treatment intensity publication-title: Prevention Science doi: 10.1007/s11121-017-0798-9 – ident: CR13 – volume: 8 start-page: 179 year: 2011 end-page: 189 ident: CR30 article-title: Bodies don’t just tell stories, they tell histories: Embodiment of historical trauma among American Indians and Alaska Natives publication-title: Dubois Review – ident: CR11 – ident: CR9 – volume: 54 start-page: 100 year: 2014 end-page: 111 ident: CR2 article-title: People awakening: collaborative research with Alaska Native rural communities to address alcohol use disorders and suicide health disparities publication-title: American Journal of Community Psychology. doi: 10.1007/s10464-014-9647-1 – year: 2001 ident: CR32 publication-title: Research is ceremony – start-page: 180 year: 2007 end-page: 195 ident: CR12 article-title: Colonialism, acculturation, and depression among Kānaka Maoli of Hawai’i publication-title: Penina Uliuli: Confronting challenges in mental health for Pacific Peoples – volume: 54 start-page: 91 year: 2014 ident: 952_CR4 publication-title: American Journal of Community Psychology doi: 10.1007/s10464-014-9652-4 – volume: 36 start-page: 93 year: 2005 ident: 952_CR26 publication-title: Anthropology & Education Quarterly doi: 10.1525/aeq.2005.36.1.093 – ident: 952_CR29 doi: 10.1093/acprof:oso/9780195325522.003.0008 – ident: 952_CR13 – volume: 40 start-page: 21 year: 2016 ident: 952_CR24 publication-title: Health & Place doi: 10.1016/j.healthplace.2016.05.001 – ident: 952_CR11 – volume: 43 start-page: 319 year: 2016 ident: 952_CR14 publication-title: Journal of Psychoactive Drugs doi: 10.1080/02791072.2011.628925 – volume-title: Decolonizing methodologies: Research and Indigenous peoples year: 1999 ident: 952_CR25 – volume: 54 start-page: 100 year: 2014 ident: 952_CR2 publication-title: American Journal of Community Psychology. doi: 10.1007/s10464-014-9647-1 – start-page: 180 volume-title: Penina Uliuli: Confronting 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