“…HOC project development was predicated on an increased empirical and Indigenous knowledge evidence base suggesting that programs derived from the community and incorporating tribal-specific culture, values, and traditions are more acceptable, and may have a more positive impact, than interventions developed with majority populations (Brown et al, 2012; Hawkins et al, 2004; Kenyen & Hanson, 2012; Lowe et al, 2012; Moran & Reaman, 2002; Okamoto et al, 2014). The development process incorporated a number of key components previously noted as contributing to successful development, adaptation, and acceptance of interventions in AI/AN communities (Moran & Reaman, 2002; Trimble, 1992).…”