Encompassing Cultural Contexts Within Scientific Research Methodologies in the Development of Health Promotion Interventions

  • Daniel DickersonEmail author
  • Julie A. Baldwin
  • Annie Belcourt
  • Lorenda Belone
  • Joel Gittelsohn
  • Joseph Keawe’aimoku Kaholokula
  • John Lowe
  • Christi A. Patten
  • Nina Wallerstein


American Indians/Alaska Natives/Native Hawaiians (AI/AN/NHs) disproportionately experience higher rates of various health conditions. Developing culturally centered interventions targeting health conditions is a strategy to decrease the burden of health conditions among this population. This study analyzes characteristics from 21 studies currently funded under the Interventions for Health Promotion and Disease Prevention in Native American (NA) Populations program among investigators currently funded under this grant mechanism. Four broad challenges were revealed as critical to address when scientifically establishing culturally centered interventions for Native populations. These challenges were (a) their ability to harness culture-centered knowledge and perspectives from communities; (b) their utilization of Indigenous-based theories and knowledge systems with Western-based intervention paradigms and theories; (c) their use of Western-based methodologies; and (d) their cultural adaptation, if based on an evidence-based treatment. Findings revealed that qualitative methodologies and community-based participatory research (CBPR) approaches were very commonly used to finalize the development of interventions. Various Indigenous-based theories and knowledge systems and Western-based theories were used in the methodologies employed. Cultural adaptations were made that often used formative mixed qualitative and quantitative methods. Illustrative examples of strategies used and suggestions for future research are provided. Findings underscored the importance of CBPR methods to improve the efficacy of interventions for AI/AN/NH communities by integrating Indigenous-based theories and knowledge systems with Western science approaches to improve health.


American Indians Alaska Natives Native Americans Native Hawaiians Culture Interventions 



Funding for this work was provided by R01 AA022066-04 from NIAAA, 1R01ES022583-01A1 from NIEHS and OBSSR, R01 CA164533 from NCI, 1R01HL126577 from NHLBI, and 1R01DA037174 from NIDA.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that we have no conflicts of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

Because this article is a review of research projects, informed consent is not applicable.

Supplementary material

11121_2018_926_MOESM1_ESM.docx (16 kb)
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Copyright information

© Society for Prevention Research 2018

Authors and Affiliations

  • Daniel Dickerson
    • 1
    Email author
  • Julie A. Baldwin
    • 2
  • Annie Belcourt
    • 3
  • Lorenda Belone
    • 4
  • Joel Gittelsohn
    • 5
  • Joseph Keawe’aimoku Kaholokula
    • 6
  • John Lowe
    • 7
  • Christi A. Patten
    • 8
  • Nina Wallerstein
    • 9
  1. 1.Integrated Substance Abuse Programs (ISAP), Semel Institute for Neuroscience and Human Behavior, David Geffen School of MedicineUniversity of California, Los AngelesLos AngelesUSA
  2. 2.Center for Health Equity ResearchNorthern Arizona UniversityFlagstaffUSA
  3. 3.College of Health Professions & Biomedical SciencesUniversity of MontanaMissoulaUSA
  4. 4.Department of Health, Exercise, & Sports Sciences, College of EducationUniversity of New MexicoAlbuquerqueUSA
  5. 5.Center for Human Nutrition, Department of International HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  6. 6.Department of Native Hawaiian Health, John A. Burns School of MedicineUniversity of Hawaii at ManoaHonoluluUSA
  7. 7.College of Nursing, Center for Indigenous Nursing Research for Health Equity (INRHE)Florida State UniversityTallahasseeUSA
  8. 8.Department of Psychiatry and PsychologyMayo ClinicRochesterUSA
  9. 9.College of Population HealthUniversity of New MexicoAlbuquerqueUSA

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