Native Pathways to Health: A Culturally Grounded and Asset-based CBPR Project Exploring the Health of North Carolina’s American Indian Communities

Irby, Megan B.; Ballard, Parissa J.; Locklear, Tony; Jeffries-Logan, Vivette; Brewington, Teryn; Byrd, Randi; Hunt, Charlene; Langdon, Sarah; Bell, Ronny A.

doi:10.18043/ncm.82.6.398

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…Moving forward, we will monitor if this results in data that are more comprehensive or presents a barrier to rapid reporting. Asset mapping familiarized the TAB members even further with the program and helped garner community engagement and motivation; previous strengths-based research studies have also reported benefits to community engagement [ 14 , 33 ]. The benefits of utilizing asset-based approaches have been exemplified in multiple studies with Indigenous populations [ 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

Planning for implementation and sustainability of a community-based suicide surveillance system in a Native American community

Brockie

Decker

Barlow

et al. 2023

Implement Sci Commun

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Background Native American youth, primarily living on reservations, suffer the highest burden of suicide of any racial group in the USA. Implementation and sustainability of culturally grounded, evidence-based interventions are needed to address suicide in Native American populations. For nearly 40 years, Montana has ranked at or near the top nationwide for suicide. Fort Peck Tribal leadership declared a state of emergency in 2010 after six suicides and 20 attempts that occurred over a 5-month period. Methods We used a community-based participatory research approach for adapting the Celebrating Life (CL) program with a specific focus on long-term sustainability, which has demonstrated efficacy in addressing suicide with the White Mountain Apache. The aims were to (1) adapt the CL program intake forms through roundtable discussions, (2) conduct asset and resource mapping to identify community and cultural resources to leverage for the CL program within the Fort Peck context, and (3) develop a sustainability plan for CL in Fort Peck through qualitative approaches informed by the Program Sustainability Assessment Tool. Results Roundtable discussions resulted in adapted intake forms that capture variables relevant to the Fort Peck context. Asset mapping identified 13 community assets and 10 cultural resources to incorporate within the CL implementation process. Focus group discussions yielded four key themes that were incorporated into a plan for sustainability: (1) strategic partnerships, (2) long-term funding, (3) communication planning, and (4) workforce planning and engagement. Conclusions This paper outlines an avenue for using culturally adapted tools to design an implementation system driven by community and cultural assets within tribal communities and for integrating program planning for sustainability early in the implementation process.

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Section: Discussionmentioning

confidence: 99%

Planning for implementation and sustainability of a community-based suicide surveillance system in a Native American community

Brockie

Decker

Barlow

et al. 2023

Implement Sci Commun

View full text Add to dashboard Cite

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“He’s a little skinny and he’s a little wide.”: a mixed design investigation of American Indian student perceptions of healthy bodies

Cothran

Kulinna

2023

BMC Public Health

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Background Childhood is a critical developmental time of wellness patterns, yet little is known about what children know and believe. Even less is known about non-majority cultures like American Indian youth. The purpose of this study was to explore American Indian students’ understandings of nutrition and physical activity. Methods This mixed methods study took place in 10 schools in an American Indian community in the Southwestern U.S. Ninety American Indian students in grades 3–12 (8–19 years old) were interviewed. The interview included an 8-point body size chart. Numerical data were analyzed via t-test statistics while a constant comparison process and analysis was used for the interview data. Results Students rated approximately 85% of students in Category 5 or smaller on the scale while placing 60% of adults at or above that size. There was a general trend of a larger body type for boys seen as healthy compared to that for girls. Students generally believed that their classmates were larger than the healthy body size. For students, a healthy body was the result of compliance with “eat right and exercise” rules. They exhibited little understanding of nutrition or physical activity and there were few developmental differences in understanding. Health was a corporeal concept and violators of the eat right and exercise rules were seen as lazy. Conclusions Students held narrow and corporeal focused notions of health focused on simple rules. People who violated the rules were “lazy”, a concept that seemed to underlie multiple constructs and a finding that holds true in other investigations. Students also reported few adult role models, a topic that should be explored with expanded family groups to better represent the multi-generational (e.g. grandparents, uncles, aunts) family housing common in the community. The findings are limited to a single American Indian community and a mixed design of relatively small numbers. This addition to the literature from a non-majority cultural group expands our knowledge of student perspectives on health. These findings can be used to create more effective curricula and interventions. Schools need more effective, but also alternately framed approaches that promote broader views of health.

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Native Pathways to Health: A Culturally Grounded and Asset-based CBPR Project Exploring the Health of North Carolina’s American Indian Communities

Cited by 2 publications

References 16 publications

Planning for implementation and sustainability of a community-based suicide surveillance system in a Native American community

Planning for implementation and sustainability of a community-based suicide surveillance system in a Native American community

“He’s a little skinny and he’s a little wide.”: a mixed design investigation of American Indian student perceptions of healthy bodies

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