Promising Practices for Promoting Health Equity Through Rigorous Intervention Science with Indigenous Communities

Whitesell, Nancy Rumbaugh; Mousseau, Alicia C.; Parker, Myra; Rasmus, Stacy M.; Allen, James

doi:10.1007/s11121-018-0954-x

Cited by 49 publications

(43 citation statements)

References 23 publications

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“…Gathering community (lay) knowledge on the wider social context also improved understanding of local priorities within a national community empowerment programme. There is a long tradition of Community Based Participatory Research (CBPR) in public health and health promotion [39,53] and application of these methods are recommended when using a systems/ecological framework [24]. Although this paper makes no claims to using novel techniques, our reflection is that participatory methods are of value in developing understanding of social processes which are outside of the intervention yet still within the community system.…”

Section: Discussionmentioning

confidence: 95%

Complexity and Community Context: Learning from the Evaluation Design of a National Community Empowerment Programme

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et al. 2019

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Community empowerment interventions, which aim to build greater individual and community control over health, are shaped by the community systems in which they are implemented. Drawing on complex systems thinking in public health research, this paper discusses the evaluation approach used for a UK community empowerment programme focused on disadvantaged neighbourhoods. It explores design choices and the tension between the overall enquiry questions, which were based on a programme theory of change, and the varied dynamic socio-cultural contexts in intervention communities. The paper concludes that the complexity of community systems needs to be accounted for through in-depth case studies that incorporate community perspectives.

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Section: Discussionmentioning

confidence: 95%

Complexity and Community Context: Learning from the Evaluation Design of a National Community Empowerment Programme

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“…On the other hand, an individual drinking heavily may experience no guilt or remorse if drinking large quantities is the social norm within that community. Interviewers utilising tools should consider an individual's background and worldviews and as every Indigenous community is different, interviewers benefit from training by local Indigenous people [41].…”

Section: Detecting Alcohol Dependencementioning

confidence: 99%

“…Researchers and clinicians should work in partnership with local Indigenous community members to take into consideration local worldviews and culture [38,41]. They also should ensure research approaches (e.g.…”

Section: Implications For Policy Practice and Researchmentioning

confidence: 99%

What is the prevalence of current alcohol dependence and how is it measured for Indigenous people in Australia, New Zealand, Canada and the United States of America? A systematic review

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et al. 2020

Addict Sci Clin Pract

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Background Alcohol affects Indigenous communities globally that have been colonised. These effects are physical, psychological, financial and cultural. This systematic review aims to describe the prevalence of current (12-month) alcohol dependence in Indigenous Peoples in Australia, New Zealand, Canada and the United States of America, to identify how it is measured, and if tools have been validated in Indigenous communities. Such information can help inform estimates of likely treatment need. Methods A systematic search of the literature was completed in six electronic databases for reports on current alcohol dependence (moderate to severe alcohol use disorder) published between 1 January 1989–9 July 2020. The following data were extracted: (1) the Indigenous population studied; country, (2) prevalence of dependence, (3) tools used to screen, assess or diagnose current dependence, (4) tools that have been validated in Indigenous populations to screen, assess or diagnose dependence, and (5) quality of the study, assessed using the Appraisal Tool for Cross-Sectional Studies. Results A total of 11 studies met eligibility criteria. Eight were cross-sectional surveys, one cohort study, and two were validation studies. Nine studies reported on the prevalence of current (12-month) alcohol dependence, and the range varied widely (3.8–33.3% [all participants], 3–32.8% [males only], 1.3–7.6% [females only]). Eight different tools were used and none were Indigenous-specific. Two tools have been validated in Indigenous (Native American) populations. Conclusion Few studies report on prevalence of current alcohol dependence in community or household samples of Indigenous populations in these four countries. Prevalence varies according to sampling method and site (for example, specific community versus national). Prior work has generally not used tools validated in Indigenous contexts. Collaborations with local Indigenous people may help in the development of culturally appropriate ways of measuring alcohol dependence, incorporating local customs and values. Tools used need to be validated in Indigenous communities, or Indigenous-specific tools developed, validated and used. Prevalence findings can inform health promotion and treatment needs, including funding for primary health care and specialist treatment services.

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“…As Crump et al (2019) and Whitesell et al (2019) note in the opening two articles of this issue, the presence of researchers in ethnocultural communities, especially North America indigenous communities, is cause for considerable concern, suspicion, and mistrust among many community members. Even the mere suggestion that one is an academic is enough to spark controversy.…”

Section: Who Will Guide the Community Direction Of Research: A Relatimentioning

confidence: 99%

“…For this reason, I will include concepts from a number of these classic citations that, while too often neglected at the time of their publication, remain highly relevant today and demonstrate these are not new considerations in which the IRINAH projects are making promising inroads, but instead represent a long historical arc of thinking in research conduct. On this point, in their summary article to the supplemental issue, Rasmus, Whitesell, Mousseau, and Allen (2019) emphasize that the "themes collectively inform an ethical and rigorous Indigenous intervention science. Collectively, they suggest a roadmap for advancing Indigenous perspectives and self-determination in health intervention research."…”

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confidence: 99%

“Being Grounded in the Ancestors and Looking Forward...”—Blending Culturally Competent Research with Indigenous Leadership Styles1

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2019

Prev Sci

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The themes and topics found in this Prevention Science supplemental issue on Promoting Health Equity through Rigorous, Culturally Informed Intervention Science: Innovations with Indigenous Populations in the United States represent a comprehensive array of essential considerations for the ethical and principled conduct of health-related research with indigenous communities. The topics are inclusive of what must be considered when researchers realize "culture matters" in the conduct of ethnocultural field-based research. The reader is introduced to profound insights, engaging observations, important research results, and cutting-edge commentary on the future of health-centered research and practice with indigenous populations. In reflecting on the general intent of the issue, two additional themes are considered. Attention is given to the research relationship and requirements for a significant degree and depth in the cultural competence and sensitivity of field-based research teams. Consideration also is given culture and leadership style at the local community level in research programs. These twin considerations have bearing on two important questions facing future research in Indigenous health. In effect, who will guide the community's policies, practices, and experiences of the research teams? Who will lead the funding and policy sources and the next generation of researchers? I wish to extend my deepest gratitude and admiration for the assistance provided me by my dear friend and colleague,

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Promising Practices for Promoting Health Equity Through Rigorous Intervention Science with Indigenous Communities

Cited by 49 publications

References 23 publications

Complexity and Community Context: Learning from the Evaluation Design of a National Community Empowerment Programme

Complexity and Community Context: Learning from the Evaluation Design of a National Community Empowerment Programme

What is the prevalence of current alcohol dependence and how is it measured for Indigenous people in Australia, New Zealand, Canada and the United States of America? A systematic review

“Being Grounded in the Ancestors and Looking Forward...”—Blending Culturally Competent Research with Indigenous Leadership Styles1

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