“Please Don't Just Hang a Feather on a Program or Put a Medicine Wheel on Your Logo and Think ‘Oh Well, This Will Work’”

Walsh-Buhi, Margaret L.

doi:10.1097/fch.0000000000000125

Cited by 4 publications

(5 citation statements)

References 18 publications

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“…Rather, researchers must look on these as collective practices that are contextual and interwoven with language, geography, and tribal histories. The context of this evidence dictates that programming not be undertaken irreverent of the spiritual and traditional element, or, as one qualitative study title directly calls out, “Please Don't Just Hang a Feather on a Program or Put a Medicine Wheel on Your Logo and Think ‘Oh Well, This Will Work…” 45 …”

Section: Discussionmentioning

confidence: 99%

Traditional Ceremonial Practices as a Strategy to Reduce Problem Substance Use in American Indian Communities: A Systematic Review

Chase-Begay,

Peterson,

Liddell

et al. 2023

Journal of Integrative and Complementary Medicine

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Objective: This systematic review assessed the feasibility of American Indian traditional ceremonial practices (TCPs) to address problem substance use in both reservation and urban settings. Methods: Between September 24, 2021, and January 14, 2022, culturally specific review protocols were applied to articles retrieved from over 160 electronic databases—including PubMed, Global Health, Global Health Archive, CINAHL Complete, PsychInfo, Web of Science, Health and Wellness (Gale), Sage Online Journals, and ScienceDirect. Results: A total of 10 studies met the criteria for inclusion in the review. Studies were conducted with both urban ( n = 7) and reservation ( n = 3) American Indian and Alaska Native (AIAN) populations. The most common TCP activities reported were drumming ( n = 9), sweat lodge ( n = 7), and talking circles ( n = 6). All 10 studies reported some type of quantitative data showing a reduction of substance use associated with TCP interventions or activities. Conclusions: The current status of the literature is emerging and does not allow for meta-analysis of existing studies. However, the existing literature does indicate promise for the use of TCPs to address problem substance use in AIAN communities in a way that is effective and also culturally congruent.

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Section: Discussionmentioning

confidence: 99%

Traditional Ceremonial Practices as a Strategy to Reduce Problem Substance Use in American Indian Communities: A Systematic Review

Chase-Begay,

Peterson,

Liddell

et al. 2023

Journal of Integrative and Complementary Medicine

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“…Although these are research areas in need of further study, previous research has noted that Indigenous groups report having higher unmet mental healthcare needs compared to other groups (Harris et al, 2005). Other scholars have critiqued and questioned the efficacy of substance use and abuse programs that fail to meaningfully incorporate Indigenous perspectives and approaches in their interventions (Liddell & Burnette, 2017; Walsh‐Buhi, 2017). More broadly, public health education programs have been called on to engage more deeply in decolonization to address existing health disparities (Narasimhan & Chandanabhumma, 2021).…”

Section: Discussionmentioning

confidence: 99%

Healthcare needs and infrastructure obstacles for a state‐recognised Indigenous tribe in the United States

Liddell

Meyer

2022

Health Social Care Comm

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Although Indigenous groups continue to experience extensive health disparities, little research explores the role of structural barriers in contributing to health disparities for state-recognised tribes, who do not receive healthcare services from the Indian Health Service. In addition, much research focuses on discrete physical health outcomes, without utilising community-based approaches to allow participants to identify healthcare priorities and needs in their own voices. In partnership with a community advisory board, a qualitative descriptive methodology was used to conduct 31 life-course interviews with participants of a state-recognised tribe in the Gulf South region of the United States to explore healthcare experiences. Participants identified unmet healthcare needs and healthcare infrastructure barriers. Some of the most common barriers and unmet healthcare needs included: Long Distance to Healthcare Services and Difficulty in Accessing Specialists, Need for Increased Communication, Long Hospital or Appointment Wait Times, Unmet Mental Health Needs, Need for Substance Use or Abuse Prevention Programs and Need for Health Education. These findings highlight some of the structural barriers that exacerbate existing health disparities and suggest important areas of intervention, such as including a focus on mental health needs. Increased healthcare resources and recognition of sovereignty for this state-recognised tribe are also needed to begin to address these barriers. In addition, because of the long history of exploitation of Indigenous communities, healthcare interventions should meaningfully include Indigenous tribes in the development and implementation of any healthcare programs.

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“…In contrast when a project does not invest time into establishing good working relationships with an Indigenous community, a different outcome can occur. Walsh-Buhi reports [90] during a semi-structured interview about a substance abuse prevention program with American Indian and Alaskan Native populations, one participant noted:“ please don’t just hang a feather on a program or put a medicine wheel on your logo and think ‘oh well this will work ”.…”

Section: Discussionmentioning

confidence: 99%

The picture talk project: Aboriginal community input on consent for research

et al. 2019

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BackgroundThe consent and community engagement process for research with Indigenous communities is rarely evaluated. Research protocols are not always collaborative, inclusive or culturally respectful. If participants do not trust or understand the research, selection bias may occur in recruitment, affecting study results potentially denying participants the opportunity to provide more knowledge and greater understanding about their community. Poorly informed consent can also harm the individual participant and the community as a whole.MethodsInvited by local Aboriginal community leaders of the Fitzroy Valley, the Kimberley, Western Australia, The Picture Talk project explores the consent process for research. Focus groups of Aboriginal community members were conducted to establish preferences for methods of seeking individual consent. Transcripts were analysed through NVivo10 Qualitative software using grounded theory with inductive and deductive coding. Themes were synthesised with quotes highlighted.ResultsFocus groups with Aboriginal community members (n = 6 focus groups of 3–7 participants) were facilitated by a Community Navigator as a cultural guide and interpreter and a researcher. Participants were recruited from all main language groups of the Fitzroy Valley – Gooniyandi, Walmajarri, Wangkatjungka, Bunuba and Nikinya. Participants were aged ≥18 years, with 5 female groups and one male group. Themes identified include: Reputation and trust is essential; The Community Navigator is key; Pictures give the words meaning – milli milli versus Pictures; Achieving consensus in circles; Signing for consent; and Research is needed in the Valley.ConclusionAboriginal communities of the Fitzroy Valley recommend that researchers collaborate with local leaders, develop trust and foster a good reputation in the community prior to research. Local Aboriginal researchers should be employed to provide cultural guidance throughout the research process and interpret local languages especially for elders. Pictures are preferred to written text to explain research information and most prefer to sign for consent. The Fitzroy Valley welcomes research when collaborative and for the benefit of the community. Future research could include exploring how to support young people, promote health screening and improve understanding of medical knowledge.

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“Please Don't Just Hang a Feather on a Program or Put a Medicine Wheel on Your Logo and Think ‘Oh Well, This Will Work’”

Cited by 4 publications

References 18 publications

Traditional Ceremonial Practices as a Strategy to Reduce Problem Substance Use in American Indian Communities: A Systematic Review

Traditional Ceremonial Practices as a Strategy to Reduce Problem Substance Use in American Indian Communities: A Systematic Review

Healthcare needs and infrastructure obstacles for a state‐recognised Indigenous tribe in the United States

The picture talk project: Aboriginal community input on consent for research

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