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Growing from Our Roots: Strategies for Developing Culturally Grounded Health Promotion Interventions in American Indian, Alaska Native, and Native Hawaiian Communities

  • Karina L. WaltersEmail author
  • Michelle Johnson-Jennings
  • Sandra Stroud
  • Stacy Rasmus
  • Billy Charles
  • Simeon John
  • James Allen
  • Joseph Keawe‘aimoku Kaholokula
  • Mele A. Look
  • Māpuana de Silva
  • John Lowe
  • Julie A. Baldwin
  • Gary Lawrence
  • Jada Brooks
  • Curtis W. Noonan
  • Annie Belcourt
  • Eugenia Quintana
  • Erin O. Semmens
  • Johna Boulafentis
Article

Abstract

Given the paucity of empirically based health promotion interventions designed by and for American Indian, Alaska Native, and Native Hawaiian (i.e., Native) communities, researchers and partnering communities have had to rely on the adaptation of evidence-based interventions (EBIs) designed for non-Native populations, a decidedly sub-optimal approach. Native communities have called for development of Indigenous health promotion programs in which their cultural worldviews and protocols are prioritized in the design, development, testing, and implementation. There is limited information regarding how Native communities and scholars have successfully collaborated to design and implement culturally based prevention efforts “from the ground up.” Drawing on five diverse community-based Native health intervention studies, we describe strategies for designing and implementing culturally grounded models of health promotion developed in partnership with Native communities. Additionally, we highlight indigenist worldviews and protocols that undergird Native health interventions with an emphasis on the incorporation of (1) original instructions, (2) relational restoration, (3) narrative-[em]bodied transformation, and (4) indigenist community-based participatory research (ICBPR) processes. Finally, we demonstrate how culturally grounded interventions can improve population health when they prioritize local Indigenous knowledge and health-positive messages for individual to multi-level community interventions.

Keywords

Culturally grounded Health promotion programs American Indian, Alaska Native, Native Hawaiian, Indigenous Indigenist research Indigenous knowledge Decolonizing methodologies 

Notes

Funding

This article was supported by the following grants: (1R01ES022583) Residential Wood Smoke Interventions Improving Health in Native American Populations; (R01HL126577) KaHOLO Project: Preventing Cardiovascular Disease in Native Hawaiians; (RO1DA035143) Intertribal Talking Circle for the Prevention of Substance Abuse in Native Youth; (R01DA037176) Yappalli Choctaw Road to Health; (R01AA023754) Qungasvik (Toolbox): Prevention of Alcohol/Suicide Risk in Alaska Native Youth; and the NIMHD Comprehensive Center of Excellence Award (P60MD006909).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in each study described.

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Copyright information

© Society for Prevention Research 2018

Authors and Affiliations

  • Karina L. Walters
    • 1
    Email author
  • Michelle Johnson-Jennings
    • 2
  • Sandra Stroud
    • 3
  • Stacy Rasmus
    • 4
  • Billy Charles
    • 4
  • Simeon John
    • 4
  • James Allen
    • 5
  • Joseph Keawe‘aimoku Kaholokula
    • 6
  • Mele A. Look
    • 6
    • 7
  • Māpuana de Silva
    • 7
  • John Lowe
    • 8
  • Julie A. Baldwin
    • 9
  • Gary Lawrence
    • 10
  • Jada Brooks
    • 11
  • Curtis W. Noonan
    • 12
    • 13
  • Annie Belcourt
    • 12
    • 13
  • Eugenia Quintana
    • 14
  • Erin O. Semmens
    • 12
  • Johna Boulafentis
    • 15
  1. 1.Indigenous Wellness Research Institute (IWRI), School of Social WorkUniversity of WashingtonSeattleUSA
  2. 2.Research for Indigenous Community Health (RICH) Center, College of PharmacyUniversity of MinnesotaMinneapolisUSA
  3. 3.Yappalli Project, Department of Behavioral Health, Choctaw Nation Health ServicesChoctaw Nation of OklahomaDurantUSA
  4. 4.Institute of Arctic BiologyUniversity of Alaska FairbanksFairbanksUSA
  5. 5.Memory Keepers Medical Discovery Team-Health Equity, Department of Family Medicine and Biobehavioral SciencesUniversity of Minnesota Medical School, Duluth CampusDuluthUSA
  6. 6.Department of Native Hawaiian Health, John A. Burns School of MedicineUniversity of Hawai’i at MānoaHonoluluUSA
  7. 7.Hālau Mōhala ‘IlimaKa’ōhaoUSA
  8. 8.Center for Indigenous Nursing Research for Health Equity (INRHE)Florida State UniversityTallahasseeUSA
  9. 9.Center for Health Equity Research (CHER)Northern Arizona UniversityFlagstaffUSA
  10. 10.Choctaw Nation Health Services AuthorityChoctaw Nation of OklahomaTalihinaUSA
  11. 11.School of NursingThe University of North Carolina at Chapel HillChapel HillUSA
  12. 12.School of Public and Community Health SciencesUniversity of MontanaMissoulaUSA
  13. 13.Skaggs School of PharmacyUniversity of MontanaMissoulaUSA
  14. 14.Navajo Nation Environmental Protection AgencyWindow RockUSA
  15. 15.Nez Perce Tribe Environmental Restoration and Waste ManagementLapwaiUSA

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