“We don’t separate out these things. Everything is related”: Partnerships with Indigenous Communities to Design, Implement, and Evaluate Multilevel Interventions to Reduce Health Disparities
-
Published:2024-04-10
Issue:S3
Volume:25
Page:474-485
-
ISSN:1389-4986
-
Container-title:Prevention Science
-
language:en
-
Short-container-title:Prev Sci
Author:
Rink ElizabethORCID, Stotz Sarah A., Johnson-Jennings Michelle, Huyser Kimberly, Collins Katie, Manson Spero M., Berkowitz Seth A., Hebert Luciana, Byker Shanks Carmen, Begay Kelli, Hicks Teresa, Dennison Michelle, Jiang Luohua, Firemoon Paula, Johnson Olivia, Anastario Mike, Ricker Adriann, GrowingThunder Ramey, Baldwin Julie
Abstract
AbstractMultilevel interventions (MLIs) are appropriate to reduce health disparities among Indigenous peoples because of their ability to address these communities’ diverse histories, dynamics, cultures, politics, and environments. Intervention science has highlighted the importance of context-sensitive MLIs in Indigenous communities that can prioritize Indigenous and local knowledge systems and emphasize the collective versus the individual. This paradigm shift away from individual-level focus interventions to community-level focus interventions underscores the need for community engagement and diverse partnerships in MLI design, implementation, and evaluation. In this paper, we discuss three case studies addressing how Indigenous partners collaborated with researchers in each stage of the design, implementation, and evaluation of MLIs to reduce health disparities impacting their communities. We highlight the following: (1) collaborations with multiple, diverse tribal partners to carry out MLIs which require iterative, consistent conversations over time; (2) inclusion of qualitative and Indigenous research methods in MLIs as a way to honor Indigenous and local knowledge systems as well as a way to understand a health disparity phenomenon in a community; and (3) relationship building, maintenance, and mutual respect among MLI partners to reconcile past research abuses, prevent extractive research practices, decolonize research processes, and generate co-created knowledge between Indigenous and academic communities.
Funder
National Institute on Minority Health and Health Disparities National Institute of Drug Abuse National Institute of Diabetes and Digestive and Kidney Diseases
Publisher
Springer Science and Business Media LLC
Reference70 articles.
1. Allen, J. (2014). Introduction to ecological description of a community intevention: Building prevention through collaborative field based research. American Journal of Community Psychology, 54, 83–90. https://doi.org/10.1007/s10464-014-9644-4 2. Anastario, M., Rink, E., Firemoon, P., Carnegie, N., Johnson, O., Peterson, M., & Rodriguez, A. M. (2023). Evidence of secular trends during the COVID-19 pandemic in a stepped wedge cluster randomized trial examining sexual and reproductive health outcomes among Indigenous youth. Trials, 24(1), 248. https://doi.org/10.1186/s13063-023-07223-1 3. Archibald, J. A., & Xiiem, Q. (2018). Indigenous storytelling. In P. Tortell, M. Turin, & M. Young (Eds.), Peter Wall Institute for Advanced Studies (pp. 233–424). https://doi.org/10.2307/j.ctvbtzpfm 4. Arriagada, P., Hahmann, T., & O’Donnell, V. (2020). Indigenous people and mental health during the COVID-19 pandemic. Statistics Canada. 5. Baxter, P., & Jack, S. (2008). Qualitative case study methodology : Study design and implementation for novice researchers. The Qualitative Report, 13(4), 544–559.
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
|
|