Cook Inlet Tribal Council, Inc. (CITC), a nonprofit social service organization serving Alaska Native and American Indian people residing in southcentral Alaska, has developed a survey instrument to assist clients in reaching their full potential. The “Five Factors Survey” asks clients (referred to at CITC as “participants”) to respond to questions regarding five different domains affecting their lives—financial stability, education and training, healthy lifestyles, healthy relationships, and cultural and spiritual wellness—so that they are able to prioritize and pursue their own self-defined goals. This tool has been developed over the course of six years, with input from multiple interviews and focus groups with staff, a contracted national literature review, consultation with a number of national organizations, and, most importantly and decisively, the advice and counsel of our participants.
Community-based participatory research (CBPR) focuses on building relationships between academic and community partners. Indigenist CBPR (ICBPR) expands CBPR to elevate Native voices and center Native priorities in research. This approach, however, has historically been grounded in in-person connection and collaboration. Native WYSE (Women, Young, Strong, and Empowered) making CHOICES (NWC) is an alcohol-exposed pregnancy (AEP) prevention mobile health intervention designed with and for urban Native young women nationally in the U.S. NWC was designed prior to the pandemic and planned to leverage social media and other technological resources to engage this population in AEP prevention. NWC was delivered via mobile app and evaluated within a virtual randomized controlled trial (RCT), administered fully through technology, including recruitment, intervention administration, and data collection. We pursued four main ICBPR-informed research strategies for meaningful virtual connection with urban Native young women and their communities within this RCT: social media presence, Native oversight and review, urban Native young women’s participation in all phases of research, and partnership with Native-serving organizations. We assessed the alignment of these virtual research strategies with the ICBPR framework. Each strategy aligns with several ICBPR elements and overall suggests virtual research can be meaningful and community-centered with appropriate planning. Planning for leadership turnover and long-term engagement are two elements not accommodated by our strategies, but discussed. Building an authentic social media presence proves to be an important virtual strategy in research with Native communities and may have the ability to empower commonalities of Native people’s intergenerational strengths and their cultural and scientific methodologies. Finally, CBPR-informed virtual research approaches may amplify reach and create spaces for Native youth to feel safe and supported to give voice in research efforts. Trial registration number: NCT04376346 (May 5, 2020)
This study examines to the gravity of the ongoing removal and separation of Indigenous children from their families and nations, the reality of coloniality in the child welfare system, the glaring absence of Indigenous voices and their distinct experiences in the empirical child welfare literature, and dearth of studies that implement Indigenous methodologies. Grounded in Indigenous Storywork methodology, this qualitative study sought to understand (10) Indigenous relative caregivers’ experiences with the child welfare system. Findings identified specific forms of colonial violence inflicted upon Indigenous children and families by the child welfare system, such as ongoing removal and separation, as vehicles for colonization and assimilation. Relative caregivers also exposed how the child welfare system continues to impose the modern colonial gender system, continuing a legacy of government sponsored civilizing educations programs to assimilate through racializing and genderizing Indigenous families to justify violence and maintain power and control. Relatives’ lived experiences provide a framework for uncovering coloniality in child welfare in relation to continued control over family and gender.
A team of tribe-based behavioral health specialists and university-based researchers partnered to implement a cluster randomized trial for the prevention of drug misuse among adolescents attending public high schools on or near the Cherokee Nation Reservation in northeastern Oklahoma. The conceptual framework, which guided intervention and measurement design for the trial, incorporates indigenous knowledge and worldviews with empirically-based frameworks and evidence-based practices. Our goal is to serve multicultural youth, families, and schools and to provide a model of effective strategies for wide dissemination. This paper presents the conceptual model, survey design, and psychometric properties of scales to measure risk and protective factors for substance misuse. The survey includes common measures drawn from the PhenX Toolkit on substance use patterns—adolescent module, measured with standard items from the Monitoring the Future (MTF) study and items harmonized across ten NIH-funded research projects with diverse samples of youth. In our trial, brief (20-minute) self-report questionnaires were administered to 10th grade students in fall 2021 (n = 919, 87% response rate) and spring 2022 (n = 929, 89% response rate) in 20 participating high schools on or near the Cherokee Nation Reservation. The sample primarily fell into the following three categories of race/ethnicity identification: only American Indian (AI-only, 29%), AI and another race/ethnicity (AI+, 27%), and only White (35%). Results indicate that risk and protective factor scales were reliably and validly measured with 10 scales and 10 subscales. There were minimal differences between youth who identified as AI only, AI+, and White only, especially for the main scales, which provide confidence in the interpretation of trial outcomes across demographic groups. Study results may not be generalizable to AI/AN youth who live and attend school in more homogenous reservation lands, or alternatively, live in large diverse metropolitan areas.