Tag Archive for: Culturally Informed Care

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

Last Updated:

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.

Funding:

Code:

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

Last Updated:

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.

Funding:

Code:

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

Last Updated:

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.

Funding:

Code:

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

Last Updated:

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.

Funding:

Code:

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.

Funding:

Code:

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

Type of Resource: Report

Prevention in Our Native Communities Vol 3 Issue 1 Fall 2022

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Authors: National American Indian and Alaska Native Prevention technology transfer center (PTTC) network

Publication Year: 2022

Last Updated: November 5, 2022

Keywords: Minority Groups; Suicide and Suicide Prevention; Social Determinants of Health

 

Short Abstract: This issue focuses on the negative impact stigma has on Natives in the early phases of the development of a substance use disorder. People in this situation could profit from early intervention but may feel embarrassed because of the stigma associated with substance use/abuse. The main article describes ways to ensure that culturally appropriate prevention efforts are both trauma-informed and non-stigmatizing.

 

Source: Link to Original Article.

Source: https://pttcnetwork.org/centers/national-american-indian-alaska-native-pttc/product/prevention-our-native-communities-vol-3

Type of Resource: Best Practices Newsletter

Resources Related to MMIP

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Authors: NCUIH

Publication Year: 2022

Last Updated: November 30, 2022

Keywords: Awareness; General Materials; Injury and Trauma; Mental and Behavioral Health; Presentations; Suicide and Suicide Prevention; Violence; Social Determinants of Health; MMIP

 

Short Abstract: This is a document for resources related to the MMIP crisis, originally distributed during NCUIH's MMIP Virtual Dialogue on November 30, 2022. There are links to government databases, legislation trackers, 2 spirit talking circles, websites to report missing people, suicide hotlines specific for AI/AN, webinars on human trafficking, etc.

 

 

Source: Link to MMIP Related Resource Sheet.

Source: https://ncuih.org/wp-content/uploads/MMIP-Related-Resource-Sheet.pdf

 

Type of Resource: NCUIH data products

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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 Heffern, Julianna Cheney, Aaron Secakuku, Julie Baldwin

Publication Year: 2020

Last Updated: September 2020

Journal: American Indian and Alaskan Native Mental Health Research

Keywords: Childcare; Mental and Behavioral Health

 

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. 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.

Type of Resource: Peer-reviewed scientific article

Understanding Sleep Facilitators, Barriers, and Cultural Dimensions in Native American Urban Youth

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Authors: Alina Palimaru, PhD, MPP, Ryan Brown, PhD MA, Wendy Troxel, PhD MS, Daniel Dickerson, DO MPH, Carrie Johnson, PhD, Elizabeth D'Amico, PhD MA

Publication Year: 2020

Last Updated: August 2020

Journal: Sleep Health

Keywords: Childcare; Health Disparities; Mental and Behavioral Health; Sleep Health

 

Short Abstract: Background: AI/AN youth are a high-risk group for sleep problems and associated conditions. AI/AN youth are a high-risk group for sleep problems and associated chronic conditions. Urban AI/AN youth may face certain challenges, including specific psychosocial stressors (e.g., discrimination) and environmental factors (e.g., noise, light) that render them particularly vulnerable to poor sleep health. However, few studies have explored AI/AN adolescent sleep.

 

Source: Link to Original Article.

Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7529658/

Type of Resource: Peer-reviewed scientific article

Traditional Food Practices, Attitudes, and Beliefs in Urban Alaska Native Women Receiving WIC Assistance

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Authors: Amanda Walch, PhD, MPH, RDN, Philip Loring, PhD, Rhonda Johnson, PhD, Melissa Tholl, BS, RDN, Andrea Bersamin, PhD

Publication Year: 2019

Last Updated: March 2019

Journal: Journal of Nutritional Education Behavior

Keywords: Nutrition; Population Information; Traditional Diet; Traditional Foods; Food Sharing Networks

 

Short Abstract: Background: Traditional foods play an important cultural role in AI/AN populations and have been associated with psychological and psychosocial health and well-being. Low rates of traditional food intake have been reported to negatively impact food security, diet quality, and overall health. It is unknown to what extent urban Alaskan Native individuals consume traditional foods and the knowledge and attitudes they have about traditional foods.

 

Source: Link to Original Article.

Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8731265/