Assessing Social Determinants of Health in a Prenatal and Perinatal Cultural Intervention for American Indians and Alaska Natives

Abstract

American Indians and Alaska Natives (AIANs) refer to cultural traditions and values to guide resilient and strength-based practices to address maternal and infant health disparities. Methods: A case study of a culturally-based educational intervention on AIAN maternal and child health. Results: Cultural teachings have successfully been applied in AIAN behavioral interventions using talking circles and cradleboards, but maternal and child health interventions are not well-represented in peer-reviewed literature. Zero publications included interventions centered around cradleboards and safe sleep. Discussion: There is a need for rigorous published research on culturally based interventions and effectiveness on health outcomes for mothers and babies. Conclusions: This paper discusses how a cradleboard educational intervention incorporates national guidelines to address maternal and infant health while mediating social determinants of health.

A scoping review of non-pharmacological perinatal interventions impacting maternal sleep and maternal mental health

“…None of the studies reviewed explicitly stated that the interventions were designed in collaboration with women, although it is possible that this did occur but was not acknowledged. To ensure the content and focus of the information and intervention is appropriate, culturally based information is incorporated [ 81 , 82 ], and suitable methods and modes of delivery are considered, interventions need to be co-designed with perinatal women, their family members, and relevant clinical, health and community stakeholders. In Aotearoa New Zealand, for example, perinatal sleep and mood interventions must be developed by or in collaboration with Māori and Pacific women, family and whānau, and Māori and Pacific health providers.…”