scholarly journals Cree Youth Engagement in Health Planning

2020 ◽  
Vol 15 (1) ◽  
pp. 73-89
Author(s):  
Nickoo Merati ◽  
Jonathan Salsberg ◽  
Joey Saganash ◽  
Joshua Iserhoff ◽  
Kaitlynn Hester Moses ◽  
...  

Indigenous communities experience a greater burden of ill health than all other communities in Canada. Across the (Indigenous Region), all nine (Name) communities experience similar health challenges. In 2014, the (REGIONAL_BOARD) supported an initiative to stimulate local community prioritization for health change. While many challenges identified were specific to youth (10-29 years of age), youth’s perspectives in these reports to date have been limited. We sought to understand how (Indigenous) youth perceived youth health and their engagement in health and health planning across (Region). As part of a (REGIONAL_BOARD-University) partnership, this qualitative descriptive study adopted a community-based participatory research approach. Ten (Indigenous) youth participated in two focus groups, and five (Indigenous) youth coordinators participated in key informant interviews. Thematic analysis was conducted and inductive codes were grouped into themes. (Indigenous) participants characterized youth engagement into the following levels: participation in community and recreational activities; membership in youth councils at the local and regional levels; and, in decision-making as planners of health-related initiatives. (Indigenous) youth recommended greater use of social media, youth assemblies, and youth planners to strengthen their engagement and youth health in the region. Our findings revealed an interconnectedness between youth health and youth engagement; (Indigenous) youth described how they need to be engaged to be healthy, and need to be healthy to be engaged. (Indigenous) participants contributed novel and practical insights to engage Indigenous youth in health planning across Canada.

Genealogy ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. 17
Author(s):  
Ramona Beltrán ◽  
Antonia R. G. Alvarez ◽  
Lisa Colón ◽  
Xochilt Alamillo ◽  
Annie Zean Dunbar

Community based participatory research and attention to cultural resilience is recommended in HIV prevention research with Indigenous communities. This paper presents qualitative findings from evaluation of a culture-centered HIV prevention curriculum for Indigenous youth that was developed using a community based participatory research approach. Specifically, the authors focus on youth descriptions of cultural resilience and enculturation factors after participating in the curriculum. Thematic analysis of in-depth interviews with 23 youth participants yields three salient themes associated with cultural resilience and enculturation factors including: Development of cultural pride, honoring ancestors through traditional cultural practices, and acknowledging resilience and resistance within Indigenous communities. Additionally, per community directive, the authors share an observation of changes to identity descriptions from pre-curriculum baseline to post-curriculum interviews, pointing to a possible increase in awareness of Indigenous cultural identity.


10.2196/21155 ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. e21155
Author(s):  
Tarun Reddy Katapally

Indigenous youth mental health is an urgent public health issue, which cannot be addressed with a one-size-fits-all approach. The success of health policies in Indigenous communities is dependent on bottom-up, culturally appropriate, and strengths-based prevention strategies. In order to maximize the effectiveness of these strategies, they need to be embedded in replicable and contextually relevant mechanisms such as school curricula across multiple communities. Moreover, to engage youth in the twenty-first century, especially in rural and remote areas, it is imperative to leverage ubiquitous mobile tools that empower Indigenous youth and facilitate novel Two-Eyed Seeing solutions. Smart Indigenous Youth is a 5-year community trial, which aims to improve Indigenous youth mental health by embedding a culturally appropriate digital health initiative into school curricula in rural and remote Indigenous communities in Canada. This policy analysis explores the benefits of such upstream initiatives. More importantly, this article describes evidence-based strategies to overcome barriers to implementation through the integration of citizen science and community-based participatory research action.


2018 ◽  
Vol 33 (5) ◽  
pp. 708-717
Author(s):  
Katrina R. Ellis ◽  
Tiffany L. Young ◽  
Dana Carthron ◽  
Marcia Simms ◽  
Shirley McFarlin ◽  
...  

Purpose: African Americans (AAs) in rural south and southeast regions of the United States have among the highest prevalence of cardiovascular disease (CVD) in the country. The purpose of this qualitative, exploratory study is to understand family influences on CVD-related knowledge and health-related behaviors among rural AA adults. Design: Qualitative descriptive study design using a community-based participatory research approach. Setting: Two rural North Carolina counties. Participants: Eligible participants were AA adults (at least 21 years of age), who self-reported either CVD diagnosis or selected CVD risk factor(s) for themselves or for an adult family member (N = 37). Method: Directed content analysis of semistructured interviews by community and academic partners. Results: Family health history and familial norms and preferences influenced participants’ CVD-related knowledge, beliefs, and health-related behaviors. Participants reported their families were helpful for increasing motivation for and overcoming barriers to healthy behaviors, including hard-to-access community resources and physical challenges. Conversely, and to a lesser extent, participants also reported that family members hindered or had little influence (positive or negative) on their engagement in healthy behaviors. Conclusion: Family played an important role in helping individuals overcome personal and community-related challenges. Efforts to reduce CVD burden among rural AAs should seek to understand the family-related facilitators, barriers, and processes associated with CVD knowledge and risk-reduction behaviors.


2018 ◽  
Author(s):  
Joyce Balls-Berry ◽  
Pamela Sinicrope ◽  
Miguel Valdez Soto ◽  
Tabetha Brockman ◽  
Martha Bock ◽  
...  

BACKGROUND Linking podcasts with social media is a strategy to promote and disseminate health and health research information to the community without constraints of time, weather, and geography. OBJECTIVE To describe the process of creating a podcast library and promoting it on social media as a strategy for disseminating health and biomedical research topics to the community. METHODS We used a community and patient engagement in research approach for developing a process to use podcasts for dissemination of health and health research information. We have reported the aspects of audience reach, impressions, and engagement on social media through the number of downloads, shares, and reactions posted on SoundCloud, Twitter, and Facebook, among others. RESULTS In collaboration with our local community partner, we produced 45 podcasts focused on topics selected from a community health needs assessment with input from health researchers. Episodes lasted about 22 minutes and presented health-related projects, community events, and community resources, with most featured guests from Olmsted County (24/45, 53%). Health research was the most frequently discussed topic. Between February 2016 and June 2017, episodes were played 1843 times on SoundCloud and reached 1702 users on our Facebook page. CONCLUSIONS This study demonstrated the process and feasibility of creating a content library of podcasts for disseminating health- and research-related information. Further examination is needed to determine the best methods to develop a sustainable social media plan that will further enhance dissemination (audience reach), knowledge acquisition, and communication of health topics.


2010 ◽  
Vol 16 (1) ◽  
Author(s):  
Lisa Slater

In a discussion about the problems affecting young people of Cape York, a local community health worker told me: ‘their spirits have wandered too far. We need to call them back to them’.  In the last five years mainstream notions of wellbeing have changed dramatically, but still there is little room for spirits and ancestors. It is now considered that the critical goods of health and wellbeing are leading a life with purpose, having quality connections with others, possessing self-regard and experiencing feelings of efficacy and control. For decades now Australia has demonstrated difficulty, if not failure, to construct appropriate responses to entrenched social problems within Indigenous communities. In this article I examine two Cape York festivals aimed at improving the wellbeing of Indigenous youth – Croc Fest and Laura Dance Festival. The former is driven by government agendas of enhancing education and health outcomes for Indigenous youth, while the latter’s purpose is to maintain and develop strong culture for the Cape and surrounding communities and respect the country’s spirits and ancestors.Why do mainstream and Indigenous responses to social problems continue to diverge so greatly, and what does each achieve and have to offer the other? In examining these festivals what can be seen is mainstream Australia’s failure to understand culture as a material expression of a vital life force, thus integral to wellbeing. I argue that a fundamental failure in mainstream responses to the ‘crisis’ in Indigenous Australia is to enable a life force derived from another sovereignty. In examining these festivals, mainstream and Indigenous, the disjuncture becomes clear. I propose that it is not only Indigenous youth whose spirits have wandered too far from them, but secular, neo-liberal Australia is lost in a world void of spirits, the ephemeral, and the power of country, forsaken for progress, individuality and the drive for statistical equality. How can we call our spirits home whilst respecting different sovereignties? What might Indigenous cultural festivals have to teach us about the making of a ‘good life’?


2020 ◽  
Author(s):  
Tarun Reddy Katapally

UNSTRUCTURED Indigenous youth mental health is an urgent public health issue, which cannot be addressed with a one-size-fits-all approach. The success of health policies in Indigenous communities is dependent on bottom-up, culturally appropriate, and strengths-based prevention strategies. In order to maximize the effectiveness of these strategies, they need to be embedded in replicable and contextually relevant mechanisms such as school curricula across multiple communities. Moreover, to engage youth in the twenty-first century, especially in rural and remote areas, it is imperative to leverage ubiquitous mobile tools that empower Indigenous youth and facilitate novel Two-Eyed Seeing solutions. Smart Indigenous Youth is a 5-year community trial, which aims to improve Indigenous youth mental health by embedding a culturally appropriate digital health initiative into school curricula in rural and remote Indigenous communities in Canada. This policy analysis explores the benefits of such upstream initiatives. More importantly, this article describes evidence-based strategies to overcome barriers to implementation through the integration of citizen science and community-based participatory research action.


Author(s):  
Nadia A Charania ◽  
Leonard JS Tsuji

Influenza pandemics disproportionately impact remote and/or isolated Indigenous communities worldwide. The differential risk experienced by such communities warrants the recommendation of specific mitigation measures. Interviewer-administered questionnaires were conducted with adult key health care informants from three remote and isolated Canadian First Nations communities of sub-Arctic Ontario. Forty-eight mitigation measures (including the setting, pandemic period, trigger, and duration) were questioned. Participants’ responses were summarized and collected data were deductively and inductively coded. The participants recommended 41 of the questioned mitigation measures, and often differed from previous literature and national recommendations. Results revealed that barriers, such as overcrowded housing, limited supplies, and health care infrastructure, impacted the feasibility of implementing mitigation measures. These findings suggest that pandemic plans should recommend control strategies for remote and isolated Canadian First Nations communities that may not be supported in other communities. These findings highlight the importance of engaging locally impacted populations using participatory approaches in policy decision-making processes. Other countries with remote and/or isolated Indigenous communities are encouraged to include recommendations for mitigation measures that specifically address the unique needs of such communities in an effort to improve their health outcomes during the next influenza pandemic.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 233-233
Author(s):  
Jordan Lewis

Abstract Much of the past research conducted with tribal communities was coined "helicopter research," because researchers would enter the community, gather data, and leave the community, never to inform communities how the data was used or published, creating mistrust. Community Based Participatory Research (CBPR) is a research approach conducted as an equal partnership between community members, organizational representatives, and researchers that serve as guidelines for researchers working collaboratively with communities. This symposium will offer a panel of presentations highlighting research studies with tribal communities that honor and respect tribal sovereignty in addressing health and wellbeing among their older adults. The panel presentations will consist of presentations on dementia caregiving, generativity and successful aging, social support and diabetes management, elder-centered research methods.


2010 ◽  
Vol 8 (SI) ◽  
pp. 39-51 ◽  
Author(s):  
Diana M. Tisnado ◽  
Lola Sablan-Santos ◽  
Linda Guevara ◽  
Lourdes Quitugua ◽  
Keith Castro ◽  
...  

Objective: We describe the development of a community and academic research partnership, share reflections on processes for collaborations, and identify key factors for establishing strong and effective relationships to foster high-quality research. Background: A community-based participatory research (CBPR) effort evaluating a community-based patient navigation program assisting Chamorro women to access breast cancer services in Southern California served as the foundation for the development of the community-academic partnership. Methods: Using a CBPR approach focusing on active involvement of community members, organizational representatives, and academic researchers in all aspects of research process, faculty from a research university and a local community-based organization were brought together to build a partnership. Community and academic partners engaged in a series of meetings where dialogue focused on developing and nurturing trust and shared values, respect for community knowledge, and establishing community-defined and prioritized needs and goals. Partners have also focused on defining and developing explicit structures and policies to implement an equal partnership. Results: Experiences and lessons learned are shared, reflecting the processes of relationship building, and planning and implementing preliminary research steps. Lessons Learned: Adequate time for relationship-building, open and honest communication, flexibility, and ongoing examination of assumptions are keys to developing successful CBPR partnerships.


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