Cultural adaptation of the Be Under Your Own Influence media campaign for middle-school American Indian youth

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Authors: Linda R. Stanley, Kathleen J. Kelly, Randall C. Swaim, Danielle Jackman

Publication Year: 2018

Last Updated:

Journal: Journal of Health Communication

Keywords: Cultural Sensitivity and Appropriateness; Health Disparities; Mental and Behavioral Health; Social Determinants of Health; Substance Use; Youth

 

Short Abstract: American Indian (AI) adolescents living on reservations report much higher substance use rates compared to other youth yet there are few effective prevention interventions developed for them. This paper presents findings from formative research undertaken to guide adaptation for AI youth of a prevention intervention, Be Under Your Own Influence (BUYOI), previously found to be effective in reducing substance use among middle-school youth.

 

Abstract: American Indian (AI) adolescents living on reservations report much higher substance use rates compared to other youth yet there are few effective prevention interventions developed for them. This paper presents findings from formative research undertaken to guide adaptation for AI youth of a prevention intervention, Be Under Your Own Influence (BUYOI), previously found to be effective in reducing substance use among middle-school youth. We conducted focus groups with 7th graders, the primary target audience, and photovoice with 11th graders, the role models who would help deliver the campaign, to inform surface and deep structure adaptation. Both age groups noted the pervasiveness of substance use on the reservation and indicated that this posed a major challenge to being drug and alcohol free. Students also described aspects of their community that tied to signs of social disorganization. However, these youth have much in common with other youth, including high future aspirations, involvement in activities and hobbies, and influence from family and friends. At the same time, there were important differences in the experiences, environment, and values of these AI youth, including an emphasis on different types of activities, a more collectivist cultural orientation, tribal identity and pride, and the importance of extended families. Note: Urban AI youths were not the primary demographic collaborating on this research. Further cultural adaptation of the program for urban AI/AN youth may be needed.

 

Source: Link to Original Article.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362830/

Type of Resource: Peer-reviewed scientific article

American Indian Historical Trauma: Anti-Colonial Prescriptions for Healing, Resilience, and Survivance

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Authors: William E. Hartmann et al.

Publication Year: 2019

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Journal: American Psychologist

Keywords: Ethnicity; Minority Groups; Psychology; Historical Trauma; Colonization; Wellness; Indigeneity

 

Short Abstract: The American Indian historical trauma (HT) concept is an important precursor to racial trauma (RT) theory that reflects the distinct interests of sovereign Indigenous nations but shares much of the same promise and challenge. Here, that promise and challenge is explored by tracing HT’s theoretical development in terms of its anti-colonial ambitions and organizing ideas.

 

Abstract: The American Indian historical trauma (HT) concept is an important precursor to racial trauma (RT) theory that reflects the distinct interests of sovereign Indigenous nations but shares much of the same promise and challenge. Here, that promise and challenge is explored by tracing HT’s theoretical development in terms of its anti-colonial ambitions and organizing ideas. Three predominant modes of engaging HT were distilled form the literature (HT as a clinical condition, life stressor, and critical discourse), each informing a research program pursuing a different anti-colonial ambition (healing trauma, promoting resilience, practicing survivance) organized by distinct ideas about colonization, wellness, and Indigeneity. Through critical reflection on these different ambitions and dialogue of their organizing ideas, conflict between research programs can be mitigated and a more productive anti-colonialism realized in psychology and related health fields. Key recommendations emphasized clarifying clinical concepts (e.g., clinical syndrome vs. idiom of distress), disentangling clinical narratives of individual pathology (e.g., trauma) from social narratives of population adversity (e.g., survivance stories), attending to features of settler-colonialism not easily captured by heath indices (e.g., structural violence), and encouraging alignment of anti-colonial efforts with constructive critiques establishing conceptual bridges to disciplines that can help to advance psychological understandings of colonization and Indigenous wellness (e.g., postcolonial studies). This conceptual framework was applied to the RT literature to elaborate similar recommendations for advancing RT theory and the interests of ethnic/racial minority populations through engagement with psychology and related health fields.

 

Source: Link to Original Article.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338218/

Type of Resource: Peer-reviewed scientific article

Health effects of Indigenous language use and revitalization: a realist review

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Authors: D.H. Whalen et al.

Publication Year: 2022

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Journal: International Journal for Equity in Health

Keywords: Cultural Sensitivity and Appropriateness; Health Disparities; Language Use; Language Revitalization; Realist Review

 

Short Abstract: Background: Indigenous populations across the world are more likely to suffer from poor health outcomes when compared to other racial and ethnic groups. Although these disparities have many sources, one protective factor that has become increasingly apparent is the continued use and/or revitalization of traditional Indigenous lifeways: Indigenous language in particular. This realist review is aimed at bringing together the literature that addresses effects of language use and revitalization on mental and physical health.

 

Abstract: Background: Indigenous populations across the world are more likely to suffer from poor health outcomes when compared to other racial and ethnic groups. Although these disparities have many sources, one protective factor that has become increasingly apparent is the continued use and/or revitalization of traditional Indigenous lifeways: Indigenous language in particular. This realist review is aimed at bringing together the literature that addresses effects of language use and revitalization on mental and physical health. Methods: Purposive bibliographic searches on Scopus were conducted to identify relevant publications, further augmented by forward citation chaining. Included publications (qualitative and quantitative) described health outcomes for groups of Indigenous people who either did or did not learn and/or use their ancestral language. The geographical area studied was restricted to the Americas, Australia or New Zealand. Publications that were not written in English, Spanish, French, Portuguese or German were excluded. A realist approach was followed to identify positive, neutral or negative effects of language use and/or acquisition on health, with both qualitative and quantitative measures considered. Results: The bibliographic search yielded a total of 3508 possible publications of which 130 publications were included in the realist analysis. The largest proportion of the outcomes addressed in the studies (62.1%) reported positive effects. Neutral outcomes accounted for 16.6% of the reported effects. Negative effects (21.4%) were often qualified by such issues as possible cultural use of tobacco, testing educational outcomes in a student’s second language, and correlation with socioeconomic status (SES), health access, or social determinants of health; it is of note that the positive correlations with language use just as frequently occurred with these issues as the negative correlations did. Conclusions: Language use and revitalization emerge as protective factors in the health of Indigenous populations. Benefits of language programs in tribal and other settings should be considered a cost-effective way of improving outcomes in multiple domains.

 

Source: Link to Original Article.

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Source: https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-022-01782-6

Type of Resource: Peer-reviewed scientific article

Growing From Our Roots: Strategies for Developing Culturally Grounded Health Promotion Interventions in American Indian, Alaska Native, and Native Hawaiian Communities

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Authors: Karina L. Walters, Michelle Johnson-Jennings, Sandra Stroud, et al.

Publication Year: 2020

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Journal: Prevention Science

Keywords: Cultural Sensitivity and Appropriateness; Data Collection; Development Programmatic Initiatives

 

Short 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.

 

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.

 

Source: Link to Original Article.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502697/

Type of Resource: Peer-reviewed scientific article

A Community-Based Evaluation of a Culturally Grounded, American Indian After-School Prevention Program: The Value of Practitioner-Researcher Collaboration

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Authors: Brooke de Heer, Jade K. Heffern, Julianna S. Cheney, et al.

Publication Year: 2020

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Journal:

Keywords: Cultural Sensitivity and Appropriateness; Data Collection; Health Disparities; Mental and Behavioral Health; Suicide and Suicide Prevention

 

Short Abstract: Programs serving American Indian (AI) youth are an important component of maintaining cultural identity and healthy lifestyles. The current research took a community-engaged approach to evaluate an urban AI youth after-school program that has transitioned into a culturally grounded prevention program.

 

Abstract: Programs serving American Indian (AI) youth are an important component of maintaining cultural identity and healthy lifestyles. The current research took a community-engaged approach to evaluate an urban AI youth after-school program that has transitioned into a culturally grounded prevention program. Ways to create a successful research collaboration between AI communities and academics is discussed as well as implications for understanding the importance of culturally-grounded programs for AI youth who reside in urban areas. Overall, the cultural and health components that are integrated into the after-school program were highlighted as primary strengths because they help foster a healthy lifestyle and deeper connection to the heritage/culture for the youth who participated.

 

Source: Link to Original Article.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7521773/

Type of Resource: Other

Traditions and Connections for Urban Native Americans (TACUNA): Utilizing community-based input to develop an opioid prevention intervention for urban American Indian/Alaska Native emerging adults

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Authors: Daniel L. Dickerson, Elizabeth J. D'Amico, Alina Palimaru, et al.

Publication Year: 2022

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Journal: Journal of Substance Abuse Treatment

Keywords: Cultural Sensitivity and Appropriateness; Data Collection

 

Short Abstract: Introduction: Although approximately 70% of American Indian/Alaska Native (AI/AN) people reside in urban areas, very few opioid prevention interventions exist for urban AI/AN emerging adults. The study team conducted this study to develop Traditions and Connections for Urban Native Americans (TACUNA), a new opioid prevention intervention for urban AI/AN emerging adults ages 18–25. TACUNA comprises three 2-hour virtual workshops.

 

Abstract: Introduction: Although approximately 70% of American Indian/Alaska Native (AI/AN) people reside in urban areas, very few opioid prevention interventions exist for urban AI/AN emerging adults. The study team conducted this study to develop Traditions and Connections for Urban Native Americans (TACUNA), a new opioid prevention intervention for urban AI/AN emerging adults ages 18–25. TACUNA comprises three 2-hour virtual workshops. Methods: We conducted thirteen focus groups in three urban communities in northern, central, and southern California (six with urban AI/AN emerging adults ages 18–25 [n = 32], four with parents [n = 26], and three with providers [n = 33]) to identify relevant intervention domains. We then incorporated the results of a rapid analysis of the focus groups to develop intervention workshops followed by a pilot test (n = 15) to further refine the intervention and assess feasibility. Results: Four major domains emerged from focus groups: 1) historical trauma/cultural identity, 2) AI/AN traditional practices, 3) social networks, and 4) substance use. We incorporated all feedback relating to each theme to enhance content of the TACUNA intervention. Pilot test participants felt that TACUNA content was interesting, addressed their issues and concerns as urban AI/AN emerging adults, and believed that the program could help them to establish cultural and social connections to live healthier lives. Conclusions: Research activities demonstrate how a community-informed and culturally grounded opioid prevention intervention can be developed for urban AI/AN emerging adults. Addressing issues and challenges with culturally and developmentally relevant intervention content can help to build resilience and hopefully decrease opioid use among this underserved population.

 

Source: Link to Original Article.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9187599/

Type of Resource: Peer-reviewed scientific article

U.S. National Institutes of Health 2019 Traditional Medicine Summit Report: Maintaining and Protecting Culture Through Healing

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Authors: National Institutes of Health (NIH) Tribal Health Research Office

Publication Year: 2019

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Journal:

Keywords: Cultural Sensitivity and Appropriateness; Data Collection; Federal Health Care

 

Short Abstract: In November 2019, the U.S. National Institutes of Health (NIH) Tribal Health Research Office (THRO)—with the NIH National Center for Complementary and Integrative Health (NCCIH) and the U.S. Centers for Disease Control and Prevention (CDC) Office of Tribal Affairs and Strategic Alliances (OTASA)—brought the biomedical research and traditional medicine communities together in a first-of-its-kind meeting: The 2019 Traditional Medicine Summit: Maintaining and Protecting Culture Through Healing.

 

Abstract: In November 2019, the U.S. National Institutes of Health (NIH) Tribal Health Research Office (THRO)—with the NIH National Center for Complementary and Integrative Health (NCCIH) and the U.S. Centers for Disease Control and Prevention (CDC) Office of Tribal Affairs and Strategic Alliances (OTASA)—brought the biomedical research and traditional medicine communities together in a first-of-its-kind meeting: The 2019 Traditional Medicine Summit: Maintaining and Protecting Culture Through Healing. The Summit was a positive, supportive forum for 40 traditional medicine and Native health care practitioners, medicine men and women, and American Indian and Alaska Native (AI/AN) researchers to discuss traditional healing practices and health services, and how biomedical research can support Native communities around these sacred methods. The 2.5-day event consisted of public sessions with presentations from NIH- and CDC funded researchers, a closed session for traditional medicine practitioners and invited guests, and a joint public session. Participants took turns talking and listening to identify approaches for respectful collaboration between traditional healers and health researchers. They also explored relationships between traditional medicine and health care services, and ways to connect younger generations of AI/AN people to traditional medicine, integrative health care, and academic research. These conversations created a foundation for the different groups to build on and work together to improve Native health now and in the future. This report provides background on the Summit and highlights discussions and themes that emerged from the public sessions. For additional information, please email throinfo@nih.gov.

 

Source: Link to Original Article.

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Source: https://dpcpsi.nih.gov/sites/default/files/NIH-THRO-2019-Traditional-Medicine-Summit-Report.pdf

Type of Resource: Summit Report

Making Amends: Recommended Strategies and Actions to Improve the Health and Safety of American Indian and Alaska Native Mothers and Infants

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Authors: U.S. Secretary of Health and Human Services Advisory Committee on Infant and Maternal Mortality (ACIMM)

Publication Year: 2022

Last Updated: December 2022

Journal:

Keywords: Awareness; Ethnicity; Federal Health Care; Health Care Access; Health Disparities; IHS; Infant Mortality; Medicare; Medicaid; Minority Groups; Misclassification of AI/AN; Pregnancy; Women's Health; Social Determinants of Health

 

Short Abstract: Report submitted in to US HHS Secretary with recommendations for the federal government to reconcile past actions and step up to the obligations to American Indians and Alaska Natives (AI/AN). Recommendations are based on the findings of previous reports on the health of AI/AN people, populations, and communities, ACIMM’s analysis of maternal health and birth outcome-related data, presentations by representatives of federal health programs, and the testimony and input of over 88 individuals with relevant lived and professional experience.

 

Abstract: Report submitted in to US HHS Secretary with recommendations for the federal government to reconcile past actions and step up to the obligations to American Indians and Alaska Natives (AI/AN). Recommendations are based on the findings of previous reports on the health of AI/AN people, populations, and communities, ACIMM’s analysis of maternal health and birth outcome-related data, presentations by representatives of federal health programs, and the testimony and input of over 88 individuals with relevant lived and professional experience. 59 strategies are offered to support three overarching recommendations: I. Make the health and safety of AI/AN mothers and infants a priority for action. II. Improve the living conditions of AI/AN mothers and infants and assure universal access to high quality healthcare III. Address urgent and immediate challenges that disproportionately affect AI/AN women before, during, and after pregnancy.

 

Source: Link to Original Article.

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Source: https://www.hrsa.gov/sites/default/files/hrsa/advisory-committees/infant-mortality/birth-outcomes-AI-AN-mothers-infants.pdf

Type of Resource: Report

Maternal Mortality Among American Indian/Alaska Native Women in Arizona

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Authors: Arizona Department of Health Services

Publication Year: 2021

Last Updated: December 2021

Keywords: Infant Mortality; Pregnancy; Women's Health; Maternal Health

 

Short Abstract: This document is an overview of AI/AN maternal mortality and morbidity in Arizona with statistics from 2016-2018 Maternal Mortality Review Committee (MMRC) reviewed deaths in Arizona of women 15-49 years old with a pregnancy in the previous 365 days.

 

Source: Link to Original Article.

Source: https://drive.google.com/file/d/1XYFEeAQMkCURCWK7cI5xX-tSkrzKSsTX/view

Type of Resource: Fact sheets

Report on Maternal Mortality (2016-2017) and Severe Maternal Morbidity (2016-2019) in Arizona

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Authors: Arizona Department of Health Services

Publication Year: 2020

Last Updated: December 2020

Keywords: Infant Mortality; Pregnancy; Women's Health; Maternal Health

 

Short Abstract: The findings in this report related to maternal mortality were derived from the CDC's Review to Action methods, which the Arizona Department of Health Services adopted in 2018. These methods differ from the methods used to review and report on maternal mortality in Arizona between 2012-2015. For this reason, maternal mortality findings between 2016-2017 should not be compared to findings reported in Arizona’s report on 2012-2015 maternal mortality, and instead, should be considered baseline data for future reporting.

 

Source: Link to Original Article.

Type of Resource: Other