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Prev Sci. 2018 Nov 6. doi: 10.1007/s11121-018-0952-z. [Epub ahead of print]

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

Author information

1
Indigenous Wellness Research Institute (IWRI), School of Social Work, University of Washington, Box 354900, Seattle, WA, 98105-6299, USA. kw5@uw.edu.
2
Research for Indigenous Community Health (RICH) Center, College of Pharmacy, University of Minnesota, Minneapolis, MN, USA.
3
Yappalli Project, Department of Behavioral Health, Choctaw Nation Health Services, Choctaw Nation of Oklahoma, Durant, OK, USA.
4
Institute of Arctic Biology, University of Alaska Fairbanks, Fairbanks, AK, USA.
5
Memory Keepers Medical Discovery Team-Health Equity, Department of Family Medicine and Biobehavioral Sciences, University of Minnesota Medical School, Duluth Campus, Duluth, MN, USA.
6
Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI, USA.
7
Hālau Mōhala 'Ilima, Ka'ōhao, HI, USA.
8
Center for Indigenous Nursing Research for Health Equity (INRHE), Florida State University, Tallahassee, FL, USA.
9
Center for Health Equity Research (CHER), Northern Arizona University, Flagstaff, AZ, USA.
10
Choctaw Nation Health Services Authority, Choctaw Nation of Oklahoma, Talihina, OK, USA.
11
School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
12
School of Public and Community Health Sciences, University of Montana, Missoula, MT, USA.
13
Skaggs School of Pharmacy, University of Montana, Missoula, MT, USA.
14
Navajo Nation Environmental Protection Agency, Window Rock, AZ, USA.
15
Nez Perce Tribe Environmental Restoration and Waste Management, Lapwai, ID, USA.

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.

KEYWORDS:

American Indian, Alaska Native, Native Hawaiian, Indigenous; Culturally grounded; Decolonizing methodologies; Health promotion programs; Indigenist research; Indigenous knowledge

PMID:
30397737
PMCID:
PMC6502697
[Available on 2020-05-06]
DOI:
10.1007/s11121-018-0952-z

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