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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Bibliographic Details
Published in:	Prevention science Vol. 21; no. Suppl 1; pp. 54 - 64
Main Authors:	Walters, Karina L., Johnson-Jennings, Michelle, Stroud, Sandra, Rasmus, Stacy, Charles, Billy, John, Simeon, Allen, James, Kaholokula, Joseph Keawe‘aimoku, Look, Mele A., de Silva, Māpuana, Lowe, John, Baldwin, Julie A., Lawrence, Gary, Brooks, Jada, Noonan, Curtis W., Belcourt, Annie, Quintana, Eugenia, Semmens, Erin O., Boulafentis, Johna
Format:	Journal Article
Language:	English
Published:	New York Springer US 01.01.2020 Springer Nature B.V
Subjects:	Alaska Natives American Indians Child and School Psychology College Science Colonialism Community based action research Community research Cultural Competency Departments Design Epistemology Female Health Behavior Health education Health Equity Health promotion Health Promotion - methods Health Psychology Humans Indians, North American Indigenous Knowledge Indigenous peoples Intervention Local knowledge Male Medicine Medicine & Public Health Native culture Native Hawaiian or Other Pacific Islander Native North Americans Nursing Research Participatory research Pharmacy Prevention Prevention programs Program Development - methods Program Implementation Public Health Researchers Transformation United States Well Being World Views Worldview United States Hawaii United States > US Alaska Culturally grounded American Indian, Alaska Native, Native Hawaiian, Indigenous Indigenist research Indigenous knowledge Decolonizing methodologies Health promotion programs
ISSN:	1389-4986, 1573-6695, 1573-6695
Online Access:	Get full text
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Summary:	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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ISSN:	1389-4986 1573-6695 1573-6695
DOI:	10.1007/s11121-018-0952-z