Tag Archive for: Culturally Informed Care

A Diabetes Self-Management Program Designed for Urban American Indians

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Authors: Sarah Castro et al.

Publication Year: 2009

Last Updated:

Journal: Preventing Chronic Disease: Public Health Research, Practice, and Policy

Keywords: Cultural Sensitivity and Appropriateness; Diabetes; Self-Management; Holistic

 

Short Abstract: Background: Although the American Indian population has a disproportionately high rate of type 2 diabetes, little has been written about culturally sensitive self-management programs in this population.

 

Abstract: Background: Although the American Indian population has a disproportionately high rate of type 2 diabetes, little has been written about culturally sensitive self-management programs in this population. Context: Community and clinic partners worked together to identify barriers to diabetes self-management and to provide activities and services as part of a holistic approach to diabetes self-management, called the Full Circle Diabetes Program. Methods: The program activities and services addressed 4 components of holistic health: body, spirit, mind, and emotion. Seven types of activities or services were available to help participants improve diabetes self-management; these included exercise classes, educational classes, and talking circles. Consequences: Ninety-eight percent of program enrollees participated in at least 1 activity, and two-thirds participated in 2 or more activities. Program participation resulted in a significant improvement in knowledge of resources for managing diabetes. Interpretation: The Full Circle Diabetes Program developed and implemented culturally relevant resources and supports for diabetes self-management in an American Indian population. Lessons learned included that a holistic approach to diabetes self-management, community participation, and stakeholder partnerships are needed for a successful program.

 

Source: Link to Original Article.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2774645/pdf/PCD64A131.pdf

Type of Resource: Peer-reviewed scientific article

Cultural influences on willingness to donate organs among urban native Americans

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Authors: Tasce Bongiovanni, James E Rawlings, Joyce A Trompeta, Marcella Nunez-Smith

Publication Year: 2020

Last Updated: January 2020

Journal: Clinical Transplantation

Keywords: Health Disparities; Organ Donation; Renal Transplant; Distrust of Medical Community; Spirituality

 

Short Abstract: Background: The need for organ donation is substantial among Native Americans, driven by the disproportionate burden of ESRD. Due to the dearth of knowledge about willingness to donate (WTD) among urban Native Americans, a group that represents over half of the US Native population, we aimed to examine factors affecting donation.

 

Abstract: Background: The need for organ donation is substantial among Native Americans, driven by the disproportionate burden of ESRD. Due to the dearth of knowledge about willingness to donate (WTD) among urban Native Americans, a group that represents over half of the US Native population, we aimed to examine factors affecting donation. Methods: We conducted a cross-sectional survey of a convenience sample, using questionnaire developed specifically for this study using community-based participatory research. The questionnaire was designed to be culturally relevant to the Native community, based on questions from three previously validated instruments and developed through one-on-one interviews. We performed logistic regression to associate survey answers with WTD. Results: Seventy percent of our 183 respondents stated that they would be willing to have their organs donated after death; however, only 41% were already registered as an organ donor on their driver's license. Logistic regression analysis found specific items in domains of trust of the medical community and spirituality most closely associated with WTD. Sixty-two percent of Native Americans surveyed reported they would not donate organs because they distrust the medical community. Discussion: Our findings suggest multiple areas of focus for increasing organ donation within this subset of the diverse Native community. Efforts to promote donation should be aimed at building trust in the medical community.

 

Source: Link to Original Article.

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Source: https://www.researchgate.net/publication/338926901_Cultural_Influences_on_Willingness_to_Donate_Organs_among_Urban_Native_Americans

Type of Resource: Peer-reviewed scientific article

Traditional Medicine and Indigenous Health in Indigenous Hands

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Authors: Gerard Bodeker and Kishan Kariippanon

Publication Year: 2020

Last Updated: February 2020

Journal: Global Public Health

Keywords: Cultural Sensitivity and Appropriateness; Health Disparities; Minority Groups; Social Determinants of Health; Community Health Worker; Social Media; Traditional Medicine

 

Short Abstract: This is a summarization of the importance and current progress of implementing traditional healing practices in care for Indigenous patients around the world.

 

Abstract: This is a summarization of the importance and current progress of implementing traditional healing practices in care for Indigenous patients around the world. An estimated 370 million Indigenous people reside in 90 countries and make up 5% of the global population. Three hundred million Indigenous people live in extremely disadvantaged rural locations. Indigenous people have suffered from historic injustices due to colonization and the dispossession of their lands, territories, and resources, thus preventing them from exercising their right to development according to their own needs and interests. Across the board, Indigenous people have poorer health outcomes when compared to their non-Indigenous fellow citizens. Cancer, respiratory disease, endocrine, nutritional, and metabolic disorders, primarily diabetes, affect Indigenous people disproportionately. Newborns of Indigenous women are more than twice as likely to be of low birth weight as those born to non-Indigenous women. Indigenous rates of suicide are the highest in the world. For public health to be effective, a social determinants approach, along with health interventions, is insufficient to create lasting health impact. Partnerships with Indigenous organizations, Indigenous researchers, and the professionalization of health workers is essential. Integration of traditional medicine and traditional health practitioners can enable the Western biomedical model to work in partnership with Indigenous knowledge systems and become more locally relevant and accountable. The Indigenous health workforce is increasingly using evidence-based, innovative approaches to address the shortage of health professionals as they move toward universal health coverage. Internet, mobile, and communication technologies are enhancing the mobilization of Indigenous health efforts and the support for health workers in rural locations. Presented are country examples of integrated medicine and Indigenous partnerships that effectively implement health interventions.

 

Source: Link to Original Article.

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Source: https://oxfordre.com/publichealth/display/10.1093/acrefore/9780190632366.001.0001/acrefore-9780190632366-e-155;jsessionid=409765ACF0760DBB260A341A7038DF23

Type of Resource: Peer-reviewed scientific article

Incorporating Traditional Healing Into an Urban American Indian Health Organization: A Case Study of Community Member Perspectives

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Authors: William E. Hartmann and Joseph P. Gone

Publication Year: 2012

Last Updated: October 2012

Journal: Journal of Counseling Psychology

Keywords: Cultural Sensitivity and Appropriateness; Health Disparities; Mental and Behavioral Health; Qualitative Content Analysis; Community-Based Research

 

Short Abstract: Facing severe mental health disparities rooted in a complex history of cultural oppression, members of many urban American Indian (AI) communities are reaching out for indigenous traditional healing to augment their use of standard Western mental health services. Because detailed descriptions of approaches for making traditional healing available for urban AI communities do not exist in the literature, this community-based project convened 4 focus groups consisting of 26 members of a midwestern urban AI community to better understand traditional healing practices of interest and how they might be integrated into the mental health and substance abuse treatment services in an Urban Indian Health Organization (UIHO).

 

Abstract: Facing severe mental health disparities rooted in a complex history of cultural oppression, members of many urban American Indian (AI) communities are reaching out for indigenous traditional healing to augment their use of standard Western mental health services. Because detailed descriptions of approaches for making traditional healing available for urban AI communities do not exist in the literature, this community-based project convened 4 focus groups consisting of 26 members of a midwestern urban AI community to better understand traditional healing practices of interest and how they might be integrated into the mental health and substance abuse treatment services in an Urban Indian Health Organization (UIHO). Qualitative content analysis of focus group transcripts revealed that ceremonial participation, traditional education, culture keepers, and community cohesion were thought to be key components of a successful traditional healing program. Potential incorporation of these components into an urban environment, however, yielded 4 marked tensions: traditional healing protocols versus the realities of impoverished urban living, multitribal representation in traditional healing services versus relational consistency with the culture keepers who would provide them, enthusiasm for traditional healing versus uncertainty about who is trustworthy, and the integrity of traditional healing versus the appeal of alternative medicine. Although these tensions would likely arise in most urban AI clinical contexts, the way in which each is resolved will likely depend on tailored community needs, conditions, and mental health objectives.

 

Source: Link to Original Article.

Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3621761/

Type of Resource: Peer-reviewed scientific article

Acceptability of an Adapted HIV Prevention Intervention for Native American Adolescents

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Authors: Crystal Lee, Melva Thompson-Robinson, Carolee Dodge-Francis

Publication Year: 2018

Last Updated:

Journal: AIDS Education and Prevention

Keywords: Cultural Sensitivity and Appropriateness; Data Collection; HIV/AIDS; Minority Groups

 

Short Abstract: Relatively few HIV evidence-based interventions (EBIs) among Native Americans have been developed, adapted, evaluated, and/or published in the scientific literature. An adolescent HIV EBI was adapted in three phases: (1) securing input from a Native American Advisory Board; (2) modifying the EBI to be more consistent with Native American culture; and (3) conducing a pilot with 14 Native American adolescents to examine acceptability and cultural congruence between the adapted intervention and the youth’s culture based on Likert-scale ratings and a focus group.

 

Abstract: Relatively few HIV evidence-based interventions (EBIs) among Native Americans have been developed, adapted, evaluated, and/or published in the scientific literature. An adolescent HIV EBI was adapted in three phases: (1) securing input from a Native American Advisory Board; (2) modifying the EBI to be more consistent with Native American culture; and (3) conducing a pilot with 14 Native American adolescents to examine acceptability and cultural congruence between the adapted intervention and the youth’s culture based on Likert-scale ratings and a focus group. The adaptations included diverse Native American social and cultural stories that assisted with responsible decision-making skills. The adolescents consistently rated each intervention session as highly acceptable. A difference in knowledge from pre-survey (M = 13.93, SD = 3.08) to post-survey (M = 17.14, SD = 2.25) was statistically significant; t(13) = 4.166, p < .0005. The adapted curriculum did appear culturally responsive based on the pilot test results.

 

Source: Link to Original Article.

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Source: https://guilfordjournals.com/doi/10.1521/aeap.2018.30.1.72

Type of Resource: Peer-reviewed scientific article

Stopping Gestational Diabetes in American Indian and Alaska Native Girls: Nutrition as a Key Component to Gestational Diabetes Risk Reduction

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Authors: Sarah A Stotz et al.

Publication Year: 2020

Last Updated: May 2020

Journal: Current Developments in Nutrition

Keywords: Cultural Sensitivity and Appropriateness; Diabetes; Health Disparities; Nutrition Weight Management and Obesity; Women's Health

 

Short Abstract: Background: American Indian and Alaska Native (AI/AN) women have a higher risk of gestational diabetes mellitus (GDM) and subsequent diagnosis of diabetes than do non-Hispanic White women. Healthy eating is key to weight management both prior to pregnancy and between pregnancies and can reduce the risk of developing GDM. Our research team developed an innovative preconception counseling and diabetes risk-reduction program, which includes nutrition and weight-management principles and is culturally tailored for adolescent AI/AN women. The program is entitled Stopping Gestational Diabetes Mellitus (SGDM).

 

Abstract: Background: American Indian and Alaska Native (AI/AN) women have a higher risk of gestational diabetes mellitus (GDM) and subsequent diagnosis of diabetes than do non-Hispanic White women. Healthy eating is key to weight management both prior to pregnancy and between pregnancies and can reduce the risk of developing GDM. Our research team developed an innovative preconception counseling and diabetes risk-reduction program, which includes nutrition and weight-management principles and is culturally tailored for adolescent AI/AN women. The program is entitled Stopping Gestational Diabetes Mellitus (SGDM). Objective: The purpose of this article is to examine nutrition-related information collected as a part of the formative qualitative research conducted for the development of a preconception counseling and gestational diabetes risk-reduction program, SGDM. Methods: This in-depth secondary analysis explored the original qualitative data from the needs assessment for SGDM program development. Participants included AI/AN women with a history of GDM (n = 5); AI/AN girls at risk of GDM (n = 14), and their mothers (n = 11), health care providers, and health administrators who care for AI/AN girls (n = 16); AI/AN elected leaders; and Indian health system administrators (n = 12). All focus groups and interviews were reanalyzed utilizing the following research question: “How do key stakeholders discuss food and/or nutrition in terms of gestational diabetes risk reduction for AI/AN adolescent girls?” Results: Three primary nutrition themes emerged: 1) AI/AN women were aware of healthy nutrition, healthy weight gain during pregnancy, and healthy nutrition for people with type 2 diabetes, but these principles were not linked to reducing the risk of GDM; 2) participants expressed the need for education on the role of nutrition and weight management in GDM risk reduction; 3) participants shared challenges of healthful eating during and before pregnancy for AI/AN women. Conclusions: These stakeholders’ comments informed the development of the nutrition components of SGDM.

 

Source: Link to Original Article.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8242493/

Type of Resource: Peer-reviewed scientific article

Participation in a Culturally Grounded Program Strengthens Cultural Identity, Self-Esteem, and Resilience in Urban Indigenous Adolescents

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Authors: Amanda Hunter, Mikah Carlos, Felix B. Muniz, et al.

Publication Year: 2022

Last Updated:

Journal:

Keywords: Childcare; Cultural Sensitivity and Appropriateness; Mental and Behavioral Health; Youth; After School Program; Self-esteem; resilience

 

Short Abstract: Culturally grounded after-school programs (ASPs) aim to promote health and well-being among Indigenous youth. Native Spirit is a 10-session ASP that focuses on local cultural values and activities facilitated by local cultural practitioners.

 

Abstract: Culturally grounded after-school programs (ASPs) aim to promote health and well-being among Indigenous youth. Native Spirit is a 10-session ASP that focuses on local cultural values and activities facilitated by local cultural practitioners. This pilot study used a single group, pretest-posttest design (N = 18) with Indigenous adolescents in grades 7-12 and conducted participant interviews (N = 11) to assess the impact of the program on cultural identity, self-esteem, and resilience. There were immediate post-program increases in mean strength in cultural identity (p = 0.002), resilience (p = 0.161), and self-esteem (p = 0.268). Themes related to benefits of program participation included curiosity and commitment to cultural identity, increases in self-esteem, and ability to build resilience. This study provides new insights on the relationship between cultural engagement and adolescent health.

 

Source: Link to Original Article.

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Source: https://coloradosph.cuanschutz.edu/docs/librariesprovider205/journal_files/vol29/29_1_2022_1_hunter.pdf

Type of Resource: Best Practices Newsletter

The Culture Is Prevention Project: Measuring Culture as a Social Determinant of Mental Health for Native/Indigenous Peoples

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Authors: Paul Masotti, John Dennem, Shir Hadani, et al.

Publication Year: 2020

Last Updated:

Journal: American Indian and Alaska Native Mental Health Research

Keywords: Cultural Sensitivity and Appropriateness; Mental and Behavioral Health; Identity; Spirituality; Traditions

 

Short Abstract: This paper reports Phase 4 of the Culture is Prevention Project where we validated the Cultural Connectedness Scale – California (CCSCA) with a sample of 344 Indigenous adults in the San Francisco Bay Area, California. In Phase 3 of this project, the CCS-CA was modified from the original Canadian Cultural Connectedness Scale (CCS) developed by Dr. Angela Snowshoe and colleagues to be a better fit for the more multi-tribal communities in urban California.

 

Abstract: This paper reports Phase 4 of the Culture is Prevention Project where we validated the Cultural Connectedness Scale – California (CCSCA) with a sample of 344 Indigenous adults in the San Francisco Bay Area, California. In Phase 3 of this project, the CCS-CA was modified from the original Canadian Cultural Connectedness Scale (CCS) developed by Dr. Angela Snowshoe and colleagues to be a better fit for the more multi-tribal communities in urban California. Both the CCS-CA and CCS consist of 29 items that measure culture on 3 sub-scales: identity, traditions, and spirituality. The project demonstrated a positive link between cultural connectedness and mental health/well-being using the Herth Hope Index. We report results similar to the original CCS study by Snowshoe et al., where we found the CCS-CA to be a valid and reliable strength-based instrument and to support the conclusion that culture is a social determinant of mental health/well-being for Indigenous/Native peoples in urban areas. Note: This study included indigenous individuals from tribes based in Latin America and Canada as well as the United States.

 

Source: Link to Original Article.

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Source: https://coloradosph.cuanschutz.edu/docs/librariesprovider205/journal_files/vol27/27_1_2020_86_masotti.pdf?sfvrsn=6fee0b9_2

Type of Resource: Peer-reviewed scientific article

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

Last Updated:

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