Engaging Pacific Islanders in Research: Community Recommendations

Chung‐Do, Jane J.; Look, Mele A.; Mabellos, Tricia; Trask-Batti, Mililani; Burke, Katherine; Mau, Marjorie K.

doi:10.1353/cpr.2016.0002

Cited by 28 publications

(26 citation statements)

References 26 publications

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“…Researchers often define “community” by race/ethnicity, religious or sexual orientation, acculturation and socioeconomic status, and geographic locale. CBPR has been used extensively as a research approach with NHPI communities to address a range of infectious and chronic diseases (Nacapoy et al 2008; Braun, Allison, and Tsark 2008; Dela Cruz et al 2016; Chung-Do et al 2016; Aitaoto et al 2015). …”

Section: Community-based Participatory Research Approaches In Health mentioning

confidence: 99%

Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders

Kaholokula

Ing

Look

et al. 2018

Annals of Human Biology

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Context Obesity, diabetes, and cardiovascular disease (CVD) have reached epidemic proportions among Native Hawaiians/Pacific Islanders (NHPI). Culturally responsive interventions that account for their interpersonal, sociocultural, and socioeconomic realities is a public health priority. Objective To describe cultural adaptation and cultural grounded approaches to developing health interventions for NHPI and to review the culturally responsive approaches used by, and outcomes from, two long-standing community-based participatory research projects (CBPR) in Hawai‘i: PILI ‘Ohana and KāHOLO Projects. Methods A literature review of 14 studies from these two projects were done to exemplify the methods applied to culturally adapting existing evidence-based interventions and to developing novel interventions from the “ground up” to address health disparities in NHPI. Of the 14 studies reviewed, 11 were studies of the clinical and behavioral outcomes of both types of interventions. Results Both cultural adapted and cultural grounded approaches using community-based assets and NHPI cultural values/practices led to establishing sustainable and scalable interventions that significantly improved clinical measures of obesity, diabetes, and hypertension. Conclusion Several recommendations are provided based on the lessons learned from the PILI ‘Ohana and KāHOLO Projects. Multidisciplinary and transdisciplinary research using CBPR approaches are needed to elucidate how human biology is impacted by societal, environmental, and psychological factors that increase the risk for cardiometabolic diseases among NHPI to develop more effective health promotion interventions and public health policies.

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Section: Community-based Participatory Research Approaches In Health mentioning

confidence: 99%

Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders

Kaholokula

Ing

Look

et al. 2018

Annals of Human Biology

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“…This limits understanding of how the four action areas in the framework intersect, build on one another, and contribute to health policy and systems change in relationship to one another [8,9,11,12,14,15]. Furthermore, limited work has considered building a culture of health in a Pacific context and/or included Native Hawaiians or heterogeneous Asian American populations [16][17][18].…”

Section: Introductionmentioning

confidence: 99%

The Healthy Hawai‘i Initiative: insights from two decades of building a culture of health in a multicultural state

et al. 2020

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Background: The Healthy Hawai'i Initiative was created in 2000 with tobacco settlement funds as a theory-based statewide effort to promote health-supporting environments through systems and policy change. Still active today, it is imbedded explicitly in a multi-sectoral, social ecological approach, effectively striving to build a culture of health before this was the name for such an ambitious effort. Methods: From interviews with key informants, we analyze two decades of the Healthy Hawai'i Initiative (HHI) in the context of the Robert Wood Johnson Foundation (RWJF) Culture of Health Action Framework (CHAF). We list HHI accomplishments and examine how the Initiative achieved notable policy and environmental changes supportive of population health. Results: The Healthy Hawai'i Initiative started with an elaborate concept-mapping process that resulted in a common vision about making "the healthy choice the easiest choice." Early on, the Initiative recognized that making health a shared value beyond the initial stakeholders required coalition and capacity building across a broad range of governmental and nonprofit actors. HHI coalitions were designed to promote grassroots mobilization and to link community leaders across sectors, and at their height, included over 500 members across all main islands of the state. Coalitions were particularly important for mobilizing rural communities. Additionally, the Initiative emphasized accessibility to public health data, published research, and evaluation reports, which strengthened the engagement to meet the shared vision and goals between diverse sector partners and HHI. Over the past two decades, HHI has capitalized on relationship building, data sharing, and storytelling to encourage a shared value of health among lawmakers, efforts which are believed to have led to the development of health policy champions. All of these factors combined, which centered on developing health as a shared value, have been fundamental to the success of the other three action areas of the CHAF over time. Conclusions: This evidence can provide critical insights for other communities at earlier stages of implementing broad, diverse, multifaceted system change and fills a key evidence gap around building a culture of health from a mature program in a notably multicultural state.

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“…Acknowledging the community's legacy of negative experiences with research is crucial in trust building, particularly in indigenous communities (Christopher, Watts, McCormick & Young, ; LaVeaux & Christopher, ). By listening and showing up, academic researchers can practice cultural humility by committing to the ongoing process of self‐reflection, being lifelong learners, and prioritizing the trust and relationships established with community partners (Chung‐Do, Look, Mabellos, Trask‐Batti & Burke, ; Hyde, ; Yang, Chung‐Do, Fujitani, Foster & Mark, ).…”

Section: Discussion and Future Directionsmentioning

confidence: 99%

Waimānalo Pono Research Hui: A Community–Academic Partnership to Promote Native Hawaiian Wellness through Culturally Grounded and Community‐Driven Research and Programming

Chung‐Do

Ho-Lastimosa

Keaulana

et al. 2019

American J of Comm Psychol

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Although Hawai‘i is often portrayed as an idyllic paradise and is recognized as one of the healthiest States in the United States, pervasive health disparities exist among Native Hawaiians. Similar to other indigenous populations across the globe, these disparities are linked to unjust social and economic policies rooted in colonization and historical trauma. Western‐centric efforts to address these disparities have yielded limited results. Consequently, indigenous frameworks to decolonize western‐centric research processes have emerged. The Waimānalo Pono Research Hui is an example of a community–academic partnership that uses indigenous methodologies and principles of community‐based participatory research as the foundation to engage Native Hawaiian community members in research. Monthly gatherings are held where community members and academic researchers share a meal and discuss community priorities with the goal of shaping research and programming that are rooted in Native Hawaiian values. A mission for the group has been created as well as protocols for community engagement to ensure all projects that work with the Waimānalo Pono Research Hui are ethically sound and grounded in the community's preferences, cultural knowledge, and lived experiences. Our community members continually report that the Waimānalo Pono Research Hui has positively transformed their perception of and willingness to engage in research. Similarly, university students and academic researchers express how much their knowledge about working with communities has grown and inspired them. Creating spaces for communities and researchers to build authentic relationships and engage in ongoing conversations can promote culturally grounded and community‐driven research and programming.

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Engaging Pacific Islanders in Research: Community Recommendations

Cited by 28 publications

References 26 publications

Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders

Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders

The Healthy Hawai‘i Initiative: insights from two decades of building a culture of health in a multicultural state

Waimānalo Pono Research Hui: A Community–Academic Partnership to Promote Native Hawaiian Wellness through Culturally Grounded and Community‐Driven Research and Programming

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