Pub Date : 2019-01-01DOI: 10.5820/aian.2602.2019.42
Melissa Buffalo, Jessica E. Heinzmann, D. Kenyon, Kathryn Blindman, S. Bordeaux, Anita Frederick, Erin Garrison, C. Greensky, Heather Larsen, Tonya Kjerland, Victoria Grey Owl
The Collaborative Research Center for American Indian Health (CRCAIH) was created to foster tribal partnerships in the Minnesota, North Dakota, and South Dakota regions to increase capacity for tribal research. Since 2013, through community engagement and technical assistance from CRCAIH's cores and divisions, seven tribal partners have expanded research infrastructure and recognize the benefits of an established tribal research office. This manuscript showcases the unique approaches individual CRCAIH tribal partners have taken to build tribal research infrastructure. The unique experiences of the CRCAIH tribal partnership holds valuable lessons for other tribes interested in increasing research capacity through research review, regulation, and data management.
{"title":"Not a One-Size-Fits-All Approach: Building Tribal Infrastructure for Research Through CRCAIH.","authors":"Melissa Buffalo, Jessica E. Heinzmann, D. Kenyon, Kathryn Blindman, S. Bordeaux, Anita Frederick, Erin Garrison, C. Greensky, Heather Larsen, Tonya Kjerland, Victoria Grey Owl","doi":"10.5820/aian.2602.2019.42","DOIUrl":"https://doi.org/10.5820/aian.2602.2019.42","url":null,"abstract":"The Collaborative Research Center for American Indian Health (CRCAIH) was created to foster tribal partnerships in the Minnesota, North Dakota, and South Dakota regions to increase capacity for tribal research. Since 2013, through community engagement and technical assistance from CRCAIH's cores and divisions, seven tribal partners have expanded research infrastructure and recognize the benefits of an established tribal research office. This manuscript showcases the unique approaches individual CRCAIH tribal partners have taken to build tribal research infrastructure. The unique experiences of the CRCAIH tribal partnership holds valuable lessons for other tribes interested in increasing research capacity through research review, regulation, and data management.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"17 1","pages":"42-70"},"PeriodicalIF":1.3,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84443894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.5820/aian.2602.2019.134
R. O'Leary, L. McCormack, Corrine Huber, C. Hockett, Alli Moran, J. Pesicka
The We RISE Study aimed to support young American Indian mothers on a tribal reservation by addressing social determinants of health at an individual and community-wide level. To address community-based barriers, the study developed the Tribal Resource Guide, a comprehensive list of available resources that was created through partnerships with community programs and staff. In addition to the guide, the study also developed the Poverty and Culture Training in order to train program staff at numerous community programs to better understand and serve lower socioeconomic and/or Native clients. The two projects facilitated collaboration between community programs and provided tools for programs to address barriers and ultimately better serve their target audience. Despite challenges, the transdisciplinary approach used with the local community maximized potential for success. This process and model could be duplicated in communities with similar demographics, resources, and barriers.
{"title":"Developing the Tribal Resource Guide and the Poverty and Culture Training: The We RISE (Raising Income, Supporting Education) Study.","authors":"R. O'Leary, L. McCormack, Corrine Huber, C. Hockett, Alli Moran, J. Pesicka","doi":"10.5820/aian.2602.2019.134","DOIUrl":"https://doi.org/10.5820/aian.2602.2019.134","url":null,"abstract":"The We RISE Study aimed to support young American Indian mothers on a tribal reservation by addressing social determinants of health at an individual and community-wide level. To address community-based barriers, the study developed the Tribal Resource Guide, a comprehensive list of available resources that was created through partnerships with community programs and staff. In addition to the guide, the study also developed the Poverty and Culture Training in order to train program staff at numerous community programs to better understand and serve lower socioeconomic and/or Native clients. The two projects facilitated collaboration between community programs and provided tools for programs to address barriers and ultimately better serve their target audience. Despite challenges, the transdisciplinary approach used with the local community maximized potential for success. This process and model could be duplicated in communities with similar demographics, resources, and barriers.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"108 1","pages":"134-150"},"PeriodicalIF":1.3,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85330353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.5820/aian.2602.2019.15
Jessica E. Heinzmann, Anna C. Simonson, D. Kenyon
Social determinants of health and their effects on health outcomes create a complex system, with interaction between social, economic, physical, and biological factors necessitating research take a holistic approach. Transdisciplinary research, one of the three core values of the Collaborative Research Center for American Indian Health, seeks to go beyond methods of knowledge production occurring solely within disciplinary boundaries, because real-world societal problems do not adhere to such restrictions. Community involvement is an essential component for successful research partnerships with American Indian and Alaska Native (AI/AN) communities. We posit that transdisciplinary approaches, which considers community-level expertise as an equitable component on the research team, show great potential for advancing research in AI/AN communities.
{"title":"A Transdisciplinary Approach is Essential to Community-based Research with American Indian Populations.","authors":"Jessica E. Heinzmann, Anna C. Simonson, D. Kenyon","doi":"10.5820/aian.2602.2019.15","DOIUrl":"https://doi.org/10.5820/aian.2602.2019.15","url":null,"abstract":"Social determinants of health and their effects on health outcomes create a complex system, with interaction between social, economic, physical, and biological factors necessitating research take a holistic approach. Transdisciplinary research, one of the three core values of the Collaborative Research Center for American Indian Health, seeks to go beyond methods of knowledge production occurring solely within disciplinary boundaries, because real-world societal problems do not adhere to such restrictions. Community involvement is an essential component for successful research partnerships with American Indian and Alaska Native (AI/AN) communities. We posit that transdisciplinary approaches, which considers community-level expertise as an equitable component on the research team, show great potential for advancing research in AI/AN communities.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"64 1","pages":"15-41"},"PeriodicalIF":1.3,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83454456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.5820/aian.2602.2019.172
V. O’Keefe
Indigenous peoples have been engaged in resistance against the destructive effects of colonialism on Indigenous land, lives, all living things, and its impacts on the health and wellbeing of Native peoples since the first arrival of settlers in the Americas. This resistance, at its core, has been a movement to preserve Indigenous peoples, lands, identity, and ways of knowing, learning, respecting, and living harmoniously with the world. In the past half century, the spirit of Indigenous resistance has found its way to the field of health research. Starting with thoughtleaders like Vine Deloria Jr. in 1969, Indigenous scholars have pointed to problematic and harmful research practices that have taken place on tribal lands, and that have sought to expand the Western canon of scientific knowledge without providing solutions to, with, and for Indigenous communities. Since that time, a narrative around collective protection, collaborative research partnerships (i.e., community-based participatory research in all its forms), and tribal sovereignty over research is increasing rapidly. This special issue of American Indian and Alaska Native Mental Health Research takes a giant step forward – beyond a collective resistance against harmful research practices – to a reclamation of collaboration, Indigenous knowledge, strengths, and tribal sovereignty within health research. This group of articles highlights a diverse coalition of tribal communities, transdisciplinary health researchers, academic institutions, community organizations, service providers, and federal agencies that comprise the Collaborative Research Center for American Indian Health (CRCAIH; Kenyon et al., this issue). CRCAIH goals include improving AI health through strategic development of tribal research infrastructure and sustainability of health research with a focus on social determinants (Kenyon et al., this issue). Supported by the National Institutes of Health, the CRCAIH provides a promising pathway to eliminate health disparities among AI communities—Oglala Sioux Tribe, Turtle Mountain Band of Chippewa Indians, Fond du Lac Band of Lake Superior Chippewa, Sisseton-Wahpeton Oyate, Rosebud Sioux Tribe, Cheyenne River Sioux Tribe, and Spirit Lake Nation—in the Northern Plains and Upper Midwest regions.
自从第一批移民抵达美洲以来，土著人民一直在抵抗殖民主义对土著土地、生活和所有生物的破坏性影响及其对土著人民健康和福祉的影响。这种抵抗的核心是保护土著人民、土地、身份以及认识、学习、尊重和与世界和谐相处的方式的运动。在过去的半个世纪里，土著抵抗精神已经进入了健康研究领域。从1969年小瓦因·德洛里亚(Vine Deloria Jr.)等思想领袖开始，土著学者指出了在部落土地上发生的有问题和有害的研究实践，这些研究实践试图扩展西方科学知识的经典，却没有为土著社区提供解决方案，也没有为土著社区提供解决方案。从那时起，围绕集体保护、合作研究伙伴关系(即以社区为基础的各种形式的参与性研究)和部落对研究的主权的叙述正在迅速增加。这期《美国印第安人和阿拉斯加土著心理健康研究》的特刊向前迈出了一大步——超越了对有害研究做法的集体抵制——在健康研究中重新利用合作、土著知识、优势和部落主权。这组文章强调了部落社区、跨学科卫生研究人员、学术机构、社区组织、服务提供者和联邦机构组成的多样化联盟，这些联盟包括美国印第安人健康合作研究中心(CRCAIH;Kenyon等人，本期)。CRCAIH的目标包括通过战略发展部落研究基础设施和以社会决定因素为重点的卫生研究的可持续性来改善人工智能健康(Kenyon等人，本期)。在美国国立卫生研究院的支持下，CRCAIH为消除北部平原和中西部上游地区AI社区之间的健康差异提供了一条有希望的途径-奥格拉拉苏族部落，奇佩瓦印第安人的海龟山部落，苏必利尔湖奇佩瓦湖的Fond du Lac部落，Sisseton-Wahpeton Oyate，玫瑰花蕾苏族部落，夏安河苏族部落和精灵湖民族。
{"title":"Commentary: A Movement to Reclaim American Indian Health through Tribal Sovereignty, Community Partnerships, and Growing Tribally-Driven Health Research.","authors":"V. O’Keefe","doi":"10.5820/aian.2602.2019.172","DOIUrl":"https://doi.org/10.5820/aian.2602.2019.172","url":null,"abstract":"Indigenous peoples have been engaged in resistance against the destructive effects of colonialism on Indigenous land, lives, all living things, and its impacts on the health and wellbeing of Native peoples since the first arrival of settlers in the Americas. This resistance, at its core, has been a movement to preserve Indigenous peoples, lands, identity, and ways of knowing, learning, respecting, and living harmoniously with the world. In the past half century, the spirit of Indigenous resistance has found its way to the field of health research. Starting with thoughtleaders like Vine Deloria Jr. in 1969, Indigenous scholars have pointed to problematic and harmful research practices that have taken place on tribal lands, and that have sought to expand the Western canon of scientific knowledge without providing solutions to, with, and for Indigenous communities. Since that time, a narrative around collective protection, collaborative research partnerships (i.e., community-based participatory research in all its forms), and tribal sovereignty over research is increasing rapidly. This special issue of American Indian and Alaska Native Mental Health Research takes a giant step forward – beyond a collective resistance against harmful research practices – to a reclamation of collaboration, Indigenous knowledge, strengths, and tribal sovereignty within health research. This group of articles highlights a diverse coalition of tribal communities, transdisciplinary health researchers, academic institutions, community organizations, service providers, and federal agencies that comprise the Collaborative Research Center for American Indian Health (CRCAIH; Kenyon et al., this issue). CRCAIH goals include improving AI health through strategic development of tribal research infrastructure and sustainability of health research with a focus on social determinants (Kenyon et al., this issue). Supported by the National Institutes of Health, the CRCAIH provides a promising pathway to eliminate health disparities among AI communities—Oglala Sioux Tribe, Turtle Mountain Band of Chippewa Indians, Fond du Lac Band of Lake Superior Chippewa, Sisseton-Wahpeton Oyate, Rosebud Sioux Tribe, Cheyenne River Sioux Tribe, and Spirit Lake Nation—in the Northern Plains and Upper Midwest regions.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"44 1","pages":"172-176"},"PeriodicalIF":1.3,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89643811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.5820/aian.2602.2019.1
D. Kenyon, Melissa Buffalo, Jessica E. Heinzmann, M. Seiber, Dorothy M. Castille, A. Elliott
In 2012, the National Institutes of Health funded the Collaborative Research Center for American Indian Health (CRCAIH) to work toward two broad goals: 1) to build tribal research infrastructure, and 2) to increase research on social determinants of health in American Indian communities. As the introduction to this special issue of American Indian and Alaska Native Mental Health Research, we highlight results from the Partnership River of Life evaluation tool in order to provide broader context for the other manuscripts presented here. Insights were gained during the Partnership River of Life group discussion and evaluation process of combining the groups' rivers to create one representation of the CRCAIH partnership. Detailed results underscore insights for similar transdisciplinary groups.
{"title":"The Collaborative Research Center for American Indian Health's Partnership River of Life: Special Issue Introduction.","authors":"D. Kenyon, Melissa Buffalo, Jessica E. Heinzmann, M. Seiber, Dorothy M. Castille, A. Elliott","doi":"10.5820/aian.2602.2019.1","DOIUrl":"https://doi.org/10.5820/aian.2602.2019.1","url":null,"abstract":"In 2012, the National Institutes of Health funded the Collaborative Research Center for American Indian Health (CRCAIH) to work toward two broad goals: 1) to build tribal research infrastructure, and 2) to increase research on social determinants of health in American Indian communities. As the introduction to this special issue of American Indian and Alaska Native Mental Health Research, we highlight results from the Partnership River of Life evaluation tool in order to provide broader context for the other manuscripts presented here. Insights were gained during the Partnership River of Life group discussion and evaluation process of combining the groups' rivers to create one representation of the CRCAIH partnership. Detailed results underscore insights for similar transdisciplinary groups.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"9 1","pages":"1-14"},"PeriodicalIF":1.3,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79383158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.5820/aian.2602.2019.96
Heather J. Peters, Teresa R. Peterson
A Native community developed the Wicozani Instrument, a 9-item self-report measure, to assess overall health and well-being from an Indigenous epistemology. The Wicozani Instrument measures mental, physical, and spiritual health and their importance to an individual's quality of life. The instrument's validity and reliability was examined through two studies. Study 1 utilized standardized measures from Native (i.e., Awareness of Connectedness Scale) and Western (i.e., Psychological Sense of School Membership and Suicide Ideation Questionnaire) epistemologies with Native and non-Native youth. Study 2 utilized a community created measure (i.e., Indigenous Healing Strategies Scale) with Dakota women. Results suggest the Wicozani Instrument is valid and reliable. The development of an Indigenous measure of overall health and well-being addresses Western atomistic frameworks, which often perpetuate the perception of Native identity as a risk factor for poor health, and works to disrupt the Cycle of Native Health Disparities.
{"title":"Developing an Indigenous Measure of Overall Health and Well-being: The Wicozani Instrument.","authors":"Heather J. Peters, Teresa R. Peterson","doi":"10.5820/aian.2602.2019.96","DOIUrl":"https://doi.org/10.5820/aian.2602.2019.96","url":null,"abstract":"A Native community developed the Wicozani Instrument, a 9-item self-report measure, to assess overall health and well-being from an Indigenous epistemology. The Wicozani Instrument measures mental, physical, and spiritual health and their importance to an individual's quality of life. The instrument's validity and reliability was examined through two studies. Study 1 utilized standardized measures from Native (i.e., Awareness of Connectedness Scale) and Western (i.e., Psychological Sense of School Membership and Suicide Ideation Questionnaire) epistemologies with Native and non-Native youth. Study 2 utilized a community created measure (i.e., Indigenous Healing Strategies Scale) with Dakota women. Results suggest the Wicozani Instrument is valid and reliable. The development of an Indigenous measure of overall health and well-being addresses Western atomistic frameworks, which often perpetuate the perception of Native identity as a risk factor for poor health, and works to disrupt the Cycle of Native Health Disparities.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"282 1","pages":"96-122"},"PeriodicalIF":1.3,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77119408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.5820/aian.2401.2017.127
C. Sawchuk, J. Russo, P. Roy-Byrne, J. Goldberg, R. Forquera, D. Buchwald
The objective of the present study was to assess whether selfreported physical activity barriers could be reduced among American Indian elders who participated in a 6-week randomized physical activity trial that compared the use of a pedometer only to that of pedometers with step-count goal setting. Elders (N = 32) were compared on the Barriers to Being Physically Active Quiz after participating in a pilot physical activity trial. Elders were classified into high- and low-barrier groups at baseline and compared on self-reported physical activity, health-related quality of life, pedometer step counts, and 6-minute walk performance. At the conclusion of the 6-week trial, only the lack of willpower subscale significantly decreased. The low-barrier group reported significantly higher physical activity engagement and improved mental health quality of life than the high-barrier group. The groups did not differ on daily step counts or 6-minute walk performance. Additional research is needed with a larger sample to understand relevant activity barriers in this population and assess whether they can be modified through participation in structured physical activity and exercise programs.
{"title":"Changes in Physical Activity Barriers among American Indian Elders: A Pilot Study.","authors":"C. Sawchuk, J. Russo, P. Roy-Byrne, J. Goldberg, R. Forquera, D. Buchwald","doi":"10.5820/aian.2401.2017.127","DOIUrl":"https://doi.org/10.5820/aian.2401.2017.127","url":null,"abstract":"The objective of the present study was to assess whether selfreported physical activity barriers could be reduced among American Indian elders who participated in a 6-week randomized physical activity trial that compared the use of a pedometer only to that of pedometers with step-count goal setting. Elders (N = 32) were compared on the Barriers to Being Physically Active Quiz after participating in a pilot physical activity trial. Elders were classified into high- and low-barrier groups at baseline and compared on self-reported physical activity, health-related quality of life, pedometer step counts, and 6-minute walk performance. At the conclusion of the 6-week trial, only the lack of willpower subscale significantly decreased. The low-barrier group reported significantly higher physical activity engagement and improved mental health quality of life than the high-barrier group. The groups did not differ on daily step counts or 6-minute walk performance. Additional research is needed with a larger sample to understand relevant activity barriers in this population and assess whether they can be modified through participation in structured physical activity and exercise programs.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"31 1","pages":"127-140"},"PeriodicalIF":1.3,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75093428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.5820/aian.2305.2016.1
Scott Anderson, C. Currie, J. Copeland, G. Metz
This study examined how income and community belonging may interact to influence leisure sedentary behavior among Indigenous adults. Data were obtained from 1,304 First Nations adults who completed the Canadian Community Health Survey in 2012. Among average-income earners, a strong sense of belonging to local community was associated with less sedentary behavior, a finding also documented in the general population. Among low-income earners, a strong sense of belonging to local community was associated with more sedentary behavior, a finding that is novel in the literature. These associations remained significant after adjustment for sociodemographic covariates and mental and physical health, suggesting other factors are influencing this correlation.
{"title":"Community belonging and sedentary behavior among First Nations adults in Canada: The moderating role of income.","authors":"Scott Anderson, C. Currie, J. Copeland, G. Metz","doi":"10.5820/aian.2305.2016.1","DOIUrl":"https://doi.org/10.5820/aian.2305.2016.1","url":null,"abstract":"This study examined how income and community belonging may interact to influence leisure sedentary behavior among Indigenous adults. Data were obtained from 1,304 First Nations adults who completed the Canadian Community Health Survey in 2012. Among average-income earners, a strong sense of belonging to local community was associated with less sedentary behavior, a finding also documented in the general population. Among low-income earners, a strong sense of belonging to local community was associated with more sedentary behavior, a finding that is novel in the literature. These associations remained significant after adjustment for sociodemographic covariates and mental and physical health, suggesting other factors are influencing this correlation.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"41 1","pages":"1-14"},"PeriodicalIF":1.3,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84513582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.5820/aian.2305.2016.15
Mary Kate Dennis, Sandra L. Momper
Utilizing community-based methods, we assessed the behavioral and physical health needs of a Detroit metropolitan Indian health clinic. The project goal was to identify health service needs for urban American Indians/Alaska Natives and develop the infrastructure for culturally competent and integrative behavioral and physical health care. We conducted 38 semi-structured interviews and 12 focus groups with service providers and community members. Interview and focus group data indicated a need for 1) more culturally competent services and providers, 2) more specialized health services, and 3) more transportation options. We then report on the Indian health clinic's and community's accomplishments in response to the needs assessment.
{"title":"An urban American Indian health clinic's response to a community needs assessment.","authors":"Mary Kate Dennis, Sandra L. Momper","doi":"10.5820/aian.2305.2016.15","DOIUrl":"https://doi.org/10.5820/aian.2305.2016.15","url":null,"abstract":"Utilizing community-based methods, we assessed the behavioral and physical health needs of a Detroit metropolitan Indian health clinic. The project goal was to identify health service needs for urban American Indians/Alaska Natives and develop the infrastructure for culturally competent and integrative behavioral and physical health care. We conducted 38 semi-structured interviews and 12 focus groups with service providers and community members. Interview and focus group data indicated a need for 1) more culturally competent services and providers, 2) more specialized health services, and 3) more transportation options. We then report on the Indian health clinic's and community's accomplishments in response to the needs assessment.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"127 1","pages":"15-33"},"PeriodicalIF":1.3,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77783187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-01-01DOI: 10.5820/AIAN.1702.2011.1
P. Lewis, V. Shipman, P. May
The relationship of selected demographic, socioeconomic status (SES), and psychological characteristics was examined in interviews with 176 Northern Plains American Indian mothers whose children were referred to diagnostic clinics for evaluation of developmental disabilities, including fetal alcohol spectrum disorders (FASD). Thirty-nine mothers had children diagnosed with an FASD (Group 1), 107 had children who were not diagnosed with an FASD or other major disability (Group 2), and 30 additional mothers with normally performing children, matched by age, sex, and reservation with those diagnosed with an FASD, were recruited as a comparison group (Group 3). Analysis revealed statistically signifi cant differences (p < .001) in alcohol consumption among all three groups, and a statistically signifi cant difference in the mean Total Distress score among the three groups of mothers, F(2, 176) = 9.60, p < .001, with Group 3 having a lower mean score than Groups 1 and 2. Sequential regression analysis revealed that the quantity of alcohol consumed prior to knowledge of pregnancy, when combined with SES and Total Distress, was more highly associated with having a child diagnosed with an FASD (R2 = .206) than was quantity of alcohol consumed alone.
{"title":"Socioeconomic status, psychological distress, and other maternal risk factors for fetal alcohol spectrum disorders among American Indians of the Northern Plains","authors":"P. Lewis, V. Shipman, P. May","doi":"10.5820/AIAN.1702.2011.1","DOIUrl":"https://doi.org/10.5820/AIAN.1702.2011.1","url":null,"abstract":"The relationship of selected demographic, socioeconomic status (SES), and psychological characteristics was examined in interviews with 176 Northern Plains American Indian mothers whose children were referred to diagnostic clinics for evaluation of developmental disabilities, including fetal alcohol spectrum disorders (FASD). Thirty-nine mothers had children diagnosed with an FASD (Group 1), 107 had children who were not diagnosed with an FASD or other major disability (Group 2), and 30 additional mothers with normally performing children, matched by age, sex, and reservation with those diagnosed with an FASD, were recruited as a comparison group (Group 3). Analysis revealed statistically signifi cant differences (p < .001) in alcohol consumption among all three groups, and a statistically signifi cant difference in the mean Total Distress score among the three groups of mothers, F(2, 176) = 9.60, p < .001, with Group 3 having a lower mean score than Groups 1 and 2. Sequential regression analysis revealed that the quantity of alcohol consumed prior to knowledge of pregnancy, when combined with SES and Total Distress, was more highly associated with having a child diagnosed with an FASD (R2 = .206) than was quantity of alcohol consumed alone.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"37 1","pages":"1-21"},"PeriodicalIF":1.3,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80937136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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