TY - JOUR
T1 - Momentum and longevity for tribally driven health equity science
T2 - evidence from the gathering for health project
AU - Elm, Jessica H.L.
AU - Handeland, Tina
N1 - Funding Information:
We thank Melissa Walls for access to primary documents and assistance in the data review process. We also thank the CRC members and other stakeholders in the G4HP. Funding for the Mino Giizhigad study and the Maawaji’idi-oog Mino ayaawin (G4H) study within the G4HP came from the National Institutes of Health: National Institute of Mental Health grant R21 MH085852 and National Institute of Digestive Diabetes and Kidney Disease grant R01 DK091250 (both to M. L. Walls), respectively.
Funding Information:
The G4HP is an ongoing innovative research endeavor with the overall goal of addressing the epidemic of type 2 diabetes (T2D), a problem afffecting many tribal communities (Centers for Disease Control and Prevention 2020). The G4HP partnership began in 2008 when two local Indigenous health and human services providers approached Melissa Walls at the University of Minnesota, Duluth Campus (UMD). The providers expressed concern that patients with T2D within their communities exhibited malaise or apathy toward lifestyle changes (e.g., diet, exercise, and self-care), all critical attitudes and behaviors that influence glycemic control (Carlson et al. 2017). These conversations led to a formal academic-tribal research collaboration between reservation-based tribal communities in the Great Lakes region and UMD. This community-engaged research project is referred to as the G4HP and includes three research studies funded by the National Institutes of Health (NIH). The fijirst two of these studies are represented in this article. A common goal across both of these studies was to examine the stress process. The stress process model explains that diffferential exposure to social stressors (e.g., discrimination and violence) is the underlying mechanism that drives health inequities (Pearlin 1989; Turner 2013). Therefore, understanding and addressing stressor exposures and their interactions with health have implications for multiple health challenges that disproportionately impact AIs, including T2D.
Publisher Copyright:
© 2020 Wayne State University Press, Detroit, Michigan 48201.
PY - 2019/6/1
Y1 - 2019/6/1
N2 - American Indian health disparities have reached crisis levels, and there is a need to develop culturally congruent interventions through meaningful tribal involvement and ethical community-oriented approaches. Hence, it is imperative that researchers and university administrators better understand how research translation occurs for tribally driven health-equity research projects. Utilizing thematic analysis methods, the authors examined documents from a 12-year community-based participatory research partnership to elucidate factors that ignite momentum and support partnership longevity. The overarching fijinding was that trust and respect provide a foundation for momentum and longevity and are closely intertwined with other themes identifijied in analyses. Seven themes were extrapolated and classifijied into two domains: (1) investments, which are catalyzing factors that advance research, and (2) intermediate processes, which link investments to success. Investment themes include Indigenous scholar involvement, time and efffort, establishing rapport, and clear and appropriate communication. Intermediate process themes include generative colearning, active participation, and recognition and celebration. Community-based participatory research principles were reflected in these fijindings. This study also upholds prior published work on Indigenous research methodologies, promotes the lived experiences of Indigenous people, and contributes to Indigenous theory building and science.
AB - American Indian health disparities have reached crisis levels, and there is a need to develop culturally congruent interventions through meaningful tribal involvement and ethical community-oriented approaches. Hence, it is imperative that researchers and university administrators better understand how research translation occurs for tribally driven health-equity research projects. Utilizing thematic analysis methods, the authors examined documents from a 12-year community-based participatory research partnership to elucidate factors that ignite momentum and support partnership longevity. The overarching fijinding was that trust and respect provide a foundation for momentum and longevity and are closely intertwined with other themes identifijied in analyses. Seven themes were extrapolated and classifijied into two domains: (1) investments, which are catalyzing factors that advance research, and (2) intermediate processes, which link investments to success. Investment themes include Indigenous scholar involvement, time and efffort, establishing rapport, and clear and appropriate communication. Intermediate process themes include generative colearning, active participation, and recognition and celebration. Community-based participatory research principles were reflected in these fijindings. This study also upholds prior published work on Indigenous research methodologies, promotes the lived experiences of Indigenous people, and contributes to Indigenous theory building and science.
KW - Community-based participatory research
KW - Community-engaged research
KW - Culture
KW - Diabetes mellitus
KW - Historical trauma
KW - Indigenous knowledge
KW - Indigenous methodologies
KW - Indigenous peoples
KW - Stress process
KW - Translational science
KW - Values
UR - http://www.scopus.com/inward/record.url?scp=85086177733&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85086177733&partnerID=8YFLogxK
U2 - 10.13110/humanbiology.91.3.05.
DO - 10.13110/humanbiology.91.3.05.
M3 - Article
C2 - 32549036
AN - SCOPUS:85086177733
SN - 0018-7143
VL - 91
SP - 153
EP - 162
JO - Human Biology
JF - Human Biology
IS - 3
ER -