Developing an Indigenous Measure of Overall Health and Well-being: The Wicozani Instrument

Peters, Heather J.; Peterson, Teresa R.; Community, Dakota Wicohan

doi:10.5820/aian.2602.2019.96

Cited by 14 publications

(27 citation statements)

References 29 publications

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“…In our study, youth described positive experiences with both Western religion and traditional beliefs or teachings and perceived that spirituality may be a potential protective factor against youth suicide. This finding is consistent with research from other Native communities showing that spirituality is important to overall health (Peters et al, 2019) and “resilience” (Long & Nelson, 1999) and may be associated with reduced suicide-related outcomes (Garroutte et al, 2003; Peters et al, 2019). However, some participants expressed feeling confusion or external pressure (e.g., judgment from others in the community) to choose between Western religion and traditional beliefs or teachings, and some youth may transition between belief systems as they age.…”

Section: Discussionsupporting

confidence: 89%

Community Perspectives on Social Influences on Suicide Within a Native American Reservation

et al. 2021

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Relative to the general population, Native Americans (NA) bear a disproportionate burden of suicide-related mortality rates. NA males and females aged 15 to 24 years experience suicide rates nearly 3 times than the U.S. all races rates in this age group. Although efforts have been made to understand and reduce suicide in tribal communities, a large portion has focused on individual characteristics with less attention given to social factors that may also inform suicide. This article aims to build on a local conceptual model of NA youth suicide by examining additional potential social factors through qualitative interviews. Findings from the thematic analysis resulted in the identification of seven perceived social influences: contagion, violence and abuse, discrimination and bullying, negative expectations, spirituality, social support, and cultural strengths. Public health approaches to reduce suicide should consider local social factors that resonate with tribal communities to build resilience.

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Section: Discussionsupporting

confidence: 89%

Community Perspectives on Social Influences on Suicide Within a Native American Reservation

et al. 2021

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“…The Wicozani Instrument 67 is a nine-item measure created in response to deficit-focused health outcomes and the need for an easily accessible measure for elders and youth. It includes three dimensions: mental, physical and spiritual health.…”

Section: Resultsmentioning

confidence: 99%

“…In Dakota language, wicozani means overall health and well-being, and is grounded in Indigenous paradigms using a strengths-based approach. 67 The developers note that health is viewed through a holistic lens, and the interconnectedness relationality and interdependency of mental, physical and spiritual aspects of health being recognised. Further, the authors acknowledge that when one aspect of health is affected, all aspects are affected.…”

Section: Resultsmentioning

confidence: 99%

“…Further, the authors acknowledge that when one aspect of health is affected, all aspects are affected. 67 The tool includes three written response questions and six questions rated on a 5-point scale. While the authors of this study suggest there is evidence of reliability and validity of the Wicozani Instrument, this is the only paper identified (including grey literature searching) using the Wicozani Instrument; it seems likely that further research is required.…”

Section: Resultsmentioning

confidence: 99%

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Health-related quality of life measures used with Indigenous children/youth in the Pacific Rim: a scoping review

et al. 2023

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ObjectiveTo identify and describe (1) which health-related quality of life (HRQoL) measures have been used with Indigenous children/youth (aged 8–17 years) within the Pacific Rim; and (2) studies that refer to Indigenous health concepts in the use of child/youth HRQoL measures.DesignA scoping review.Data sourcesOvid (Medline), PubMed, Scopus, Web of Science and CINAHL were searched up until 25 June 2020.Eligibility criteriaEligible papers were identified by two independent reviewers. Eligible papers were written in English, published between January 1990 and June 2020 and included an HRQoL measure used in research with Indigenous child/youth populations (aged between 8 and 17 years) in the Pacific Rim region.Data extraction and synthesisData extracted included study characteristics (year, country, Indigenous population, Indigenous sample size, age group), HRQoL measure characteristics (generic or condition-specific measure, child or adult measure, who completed the measure(s), dimensions, items and response scale of measure) and consideration of Indigenous concepts (created for Indigenous population, modified for Indigenous population, validated for Indigenous population, reliability in Indigenous populations, Indigenous involvement, reference to Indigenous theories/models/frameworks).ResultsAfter removing duplicates, 1393 paper titles and abstracts were screened, and 543 had full-text review for eligibility. Of these, 40 full-text papers were eligible, reporting on 32 unique studies. Twenty-nine HRQoL measures were used across eight countries. Thirty-three papers did not acknowledge Indigenous concepts of health, and only two measures were specifically created for use with Indigenous populations.ConclusionsThere is a paucity of research investigating HRQoL measures used with Indigenous children/youth and a lack of involvement of Indigenous peoples in the development and use of HRQoL measures. We strongly recommend explicit consideration of Indigenous concepts when developing, validating, assessing and using HRQoL measures with Indigenous populations.

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“…The final section of the issue holds contributions from several CRCAIH pilot grant program (Becker, Heinzmann, & Kenyon, 2018) awardees. These papers detail important findings exploring concepts of Wicozani (overall health and well-being; Peters, Peterson, & the Dakota Wicohan Community, 2019), Wac’inyeya (hope for the future; Gray, Schrader, Isaacs, Smith, & Bender, 2019), and describes two parts of the intervention project, We RISE: indicators of health behavior change (McCormack, O’Leary, Moran, & Hockett, 2019) and development of a resource guide and training (O’Leary et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

The Collaborative Research Center for American Indian Health’s Partnership River of Life: Special Issue Introduction

Kenyon¹,

Buffalo

Heinzmann

et al. 2019

AIANMHR

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In 2012, the National Institutes of Health funded the Collaborative Research Center for American Indian Health (CRCAIH) to work toward two broad goals: 1) to build tribal research infrastructure, and 2) to increase research on social determinants of health in American Indian communities. As the introduction to this special issue of American Indian and Alaska Native Mental Health Research, we highlight results from the Partnership River of Life evaluation tool in order to provide broader context for the other manuscripts presented here. Insights were gained during the Partnership River of Life group discussion and evaluation process of combining the groups’ rivers to create one representation of the CRCAIH partnership. Detailed results underscore insights for similar transdisciplinary groups.

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Developing an Indigenous Measure of Overall Health and Well-being: The Wicozani Instrument

Cited by 14 publications

References 29 publications

Community Perspectives on Social Influences on Suicide Within a Native American Reservation

Community Perspectives on Social Influences on Suicide Within a Native American Reservation

Health-related quality of life measures used with Indigenous children/youth in the Pacific Rim: a scoping review

The Collaborative Research Center for American Indian Health’s Partnership River of Life: Special Issue Introduction

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