Unsettling Settler Colonialism in Research: Strategies Centering Native American Experience and Expertise in Responding to Substance Misuse and Co-occurring Sexual Risk-Taking, Alcohol-Exposed Pregnancy, and Suicide Prevention Among Young People

Tuitt, Nicole R.; Wexler, Lisa; Kaufman, Carol E.; Whitesell, Nancy Rumbaugh; Rink, Elizabeth; Anastario, Michael; Ivanich, Jerreed; Belone, Lorenda; Moore, Roland S.; Huh, David; Campbell, Timothy B.; Allen, James

doi:10.1007/s42844-023-00100-5

Cited by 3 publications

(1 citation statement)

References 73 publications

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“…The rapidly growing majority of American Indians (AIs) (70%) who now live in cities contend with severe health disparities while being underserved by culturally appropriate prevention programs (Anastario et al, 2013;Gone & Trimble, 2012). AI adolescents and adults experience relatively high rates of inter-partner violence, sexual assault, and co-occurring risky sexual behavior and substance use (de Ravello et al, 2014;Malcoe et al, 2004;Tuitt et al, 2023). Thus a substantial need exists for interventions that promote the sexual health of AI youth (Suellentrop & Hunter, 2009;Yuan et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Parenting in 2 Worlds: Testing improved parent–adolescent communication about sexuality in Urban American Indian families

Kulis,

Tsethlikai,

Ayers

et al. 2023

J of Research on Adolesc

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Urban American Indian (AI) adolescents are more likely than non‐Natives to have early sexual debut, teen pregnancies, sexually transmitted infections, and inadequate sexual health information. A RCT in three Arizona cities, with 585 parents of urban AI adolescents, tested whether a culturally tailored parenting intervention for urban AI families, Parenting in 2 Worlds (P2W), increased parent–adolescent communication about sexuality, compared to an informational family health intervention that was not culturally tailored. P2W produced significantly larger increases on two measures: communication about general sexual health and about sexual decision‐making. The desired effects of P2W on the first measure were stronger short‐term for cross‐gender dyads, while for the second measure, they were stronger long‐term for both mothers and fathers of adolescent sons.

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Section: Introductionmentioning

confidence: 99%

Parenting in 2 Worlds: Testing improved parent–adolescent communication about sexuality in Urban American Indian families

Kulis,

Tsethlikai,

Ayers

et al. 2023

J of Research on Adolesc

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The Indigenous Connectedness Framework for Understanding the Causes, Consequences, and Solutions to Substance Misuse in Indigenous Children’s Development

Ivanich,

Ullrich,

Martin

et al. 2023

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Flexibility and resilience in equity-centered research: lessons learned conducting a randomized controlled trial of a family-based substance use prevention program for American Indian families

Asdigian,

Tuitt,

Dick

et al. 2024

Front. Public Health

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Meaningful and effective community engagement lies at the core of equity-centered research, which is a powerful tool for addressing health disparities in American Indian (AI) communities. It is essential for centering Indigenous wisdom as a source of solutions and disrupting Western-centric perspectives and inequitable and exclusionary research practices. This paper reports on lessons learned implementing an effectiveness trial of the Thiwáhe Glúwašʼakapi program (TG) program (translated as “sacred home in which families are made strong”)—a family-based substance use prevention program—in a post-pandemic era with an American Indian reservation community that has confronted extreme challenges. We describe lessons in six areas (community engagement, study design, community workforce, participant engagement, retention, and data collection) that illustrate how conventional Western research practices were adapted in order to conduct authentic, equity-centered research. Key principles gleaned from those lessons are also discussed, including: (a) honoring partnerships and making study decisions collaboratively, (b) considering the implications of decisions for both the scientific value of the study and the community, (c) considering the health and well-being of community staff, (d) being flexible and responsive to changing needs, and (e) approaching work with communities through a strengths-based frame. Insight into the challenges encountered and the solutions developed in alignment with community partners and Indigenous wisdom may strengthen the work of other academic-community partnerships endeavoring to bring culturally relevant, evidence-informed prevention programming to Indigenous communities.

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Unsettling Settler Colonialism in Research: Strategies Centering Native American Experience and Expertise in Responding to Substance Misuse and Co-occurring Sexual Risk-Taking, Alcohol-Exposed Pregnancy, and Suicide Prevention Among Young People

Cited by 3 publications

References 73 publications

Parenting in 2 Worlds: Testing improved parent–adolescent communication about sexuality in Urban American Indian families

Parenting in 2 Worlds: Testing improved parent–adolescent communication about sexuality in Urban American Indian families

The Indigenous Connectedness Framework for Understanding the Causes, Consequences, and Solutions to Substance Misuse in Indigenous Children’s Development

Flexibility and resilience in equity-centered research: lessons learned conducting a randomized controlled trial of a family-based substance use prevention program for American Indian families

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