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Cited by Other Article(s)

O'Keefe VM, Maudrie TL, Cole AB, Ullrich JS, Fish J, Hill KX, White LA, Redvers N, Jernigan VBB, Lewis JP, West AE, Apok CA, White EJ, Ivanich JD, Schultz K, Lewis ME, Sarche MC, Gonzalez MB, Parker M, Neuner Weinstein SE, McCray CJ, Warne D, Black JC, Richards JR, Walls ML. Conceptualizing Indigenous strengths-based health and wellness research using group concept mapping. Arch Public Health 2023;81:71. [PMID: 37101194 PMCID: PMC10134608 DOI: 10.1186/s13690-023-01066-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 03/20/2023] [Indexed: 04/28/2023] Open

Abstract

BACKGROUND

In recent years public health research has shifted to more strengths or asset-based approaches to health research but there is little understanding of what this concept means to Indigenous researchers. Therefore our purpose was to define an Indigenous strengths-based approach to health and well-being research.

METHODS

Using Group Concept Mapping, Indigenous health researchers (N = 27) participated in three-phases. Phase 1: Participants provided 218 unique responses to the focus prompt "Indigenous Strengths-Based Health and Wellness Research…" Redundancies and irrelevant statements were removed using content analysis, resulting in a final set of 94 statements. Phase 2: Participants sorted statements into groupings and named these groupings. Participants rated each statement based on importance using a 4-point scale. Hierarchical cluster analysis was used to create clusters based on how statements were grouped by participants. Phase 3: Two virtual meetings were held to share and invite researchers to collaboratively interpret results.

RESULTS

A six-cluster map representing the meaning of Indigenous strengths-based health and wellness research was created. Results of mean rating analysis showed all six clusters were rated on average as moderately important.

CONCLUSIONS

The definition of Indigenous strengths-based health research, created through collaboration with leading AI/AN health researchers, centers Indigenous knowledges and cultures while shifting the research narrative from one of illness to one of flourishing and relationality. This framework offers actionable steps to researchers, public health practitioners, funders, and institutions to promote relational, strengths-based research that has the potential to promote Indigenous health and wellness at individual, family, community, and population levels.

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Affiliation(s)

Victoria M O'Keefe Center for Indigenous Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Tara L Maudrie Center for Indigenous Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Ashley B Cole Department of Psychology, Oklahoma State University, Stillwater, OK, USA
Jessica S Ullrich IREACH, University of Washington, Seattle, WA, USA
Jillian Fish Minneapolis VA Health Care System, Center for Care Delivery and Outcomes Research, Minneapolis, MN, USA
Kyle X Hill Department of Indigenous Health, University of North Dakota School of Medicine & Health Sciences, Grand Forks, ND, USA
Lauren A White Joint Program for Social Work and Psychology, University of Michigan, Ann Arbor, MI, USA
Nicole Redvers Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada
Valarie Blue Bird Jernigan Center for Indigenous Health Research and Policy, Oklahoma State University, Tulsa, OK, USA
Jordan P Lewis Memory Keepers Medical Discovery Team, University of Minnesota Medical School, Duluth, MN, USA
Amy E West Keck School of Medicine, Children's Hospital Los Angeles, Department of Pediatrics, University of Southern California, Los Angeles, CA, USA
Charlene Aqpik Apok Cloudberry Consulting, Anchorage, AK, USA
Evan J White Laureate Institute for Brain Research, Tulsa, OK, USA
Jerreed D Ivanich University of Colorado Anschutz Medical Campus, Centers for American Indian and Alaska Native Health, Aurora, CO, USA
Katie Schultz University of Michigan School of Social Work, Ann Arbor, MI, USA
Melissa E Lewis Department of Family and Community Medicine, University of Missouri School of Medicine, Columbia, MO, USA
Michelle C Sarche School of Medicine, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA
Miigis B Gonzalez Center for Indigenous Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Myra Parker School of Medicine, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA
Sophie E Neuner Weinstein Center for Indigenous Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA Department of Obstetrics and Gynecology, Oregon Health and Sciences University, Portland, OR, USA
Celena J McCray Northwest Portland Area Indian Health Board, Portland, OR, USA
Donald Warne Center for Indigenous Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Jessica C Black Department of Alaska Native Studies and Rural Development, University of Alaska Fairbanks, Fairbanks, AK, USA
Jennifer R Richards Center for Indigenous Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Melissa L Walls Center for Indigenous Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA Center for Indigenous Health--Great Lakes Hub, Johns Hopkins Bloomberg School of Public Health, Duluth, MN, USA

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O’Keefe VM, Fish J, Maudrie TL, Hunter AM, Tai Rakena HG, Ullrich JS, Clifford C, Crawford A, Brockie T, Walls M, Haroz EE, Cwik M, Whitesell NR, Barlow A. Centering Indigenous Knowledges and Worldviews: Applying the Indigenist Ecological Systems Model to Youth Mental Health and Wellness Research and Programs. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022;19:6271. [PMID: 35627809 PMCID: PMC9140847 DOI: 10.3390/ijerph19106271] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 05/16/2022] [Accepted: 05/19/2022] [Indexed: 11/17/2022]

Affiliation(s)

Victoria M. O’Keefe Johns Hopkins Center for American Indian Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21231, USA; (T.L.M.); (H.G.T.R.); (M.W.); (E.E.H.); (M.C.); (A.B.)
Jillian Fish Center for Care Delivery and Outcomes Research, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN 55417, USA;
Tara L. Maudrie Johns Hopkins Center for American Indian Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21231, USA; (T.L.M.); (H.G.T.R.); (M.W.); (E.E.H.); (M.C.); (A.B.)
Amanda M. Hunter Center for Health Equity Research, Northern Arizona University, Flagstaff, AZ 86011, USA;
Hariata G. Tai Rakena Johns Hopkins Center for American Indian Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21231, USA; (T.L.M.); (H.G.T.R.); (M.W.); (E.E.H.); (M.C.); (A.B.)
Jessica Saniġaq Ullrich School of Social Work, University of Alaska Anchorage, Anchorage, AK 99508, USA;
Carrie Clifford Department of Psychology, University of Otago, Dunedin 9016, New Zealand;
Allison Crawford Department of Psychiatry, University of Toronto, Toronto, ON M5G 1X5, Canada;
Teresa Brockie School of Nursing, Johns Hopkins University, Baltimore, MD 21231, USA;
Melissa Walls Johns Hopkins Center for American Indian Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21231, USA; (T.L.M.); (H.G.T.R.); (M.W.); (E.E.H.); (M.C.); (A.B.)
Emily E. Haroz Johns Hopkins Center for American Indian Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21231, USA; (T.L.M.); (H.G.T.R.); (M.W.); (E.E.H.); (M.C.); (A.B.)
Mary Cwik Johns Hopkins Center for American Indian Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21231, USA; (T.L.M.); (H.G.T.R.); (M.W.); (E.E.H.); (M.C.); (A.B.)
Nancy Rumbaugh Whitesell Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA;
Allison Barlow Johns Hopkins Center for American Indian Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21231, USA; (T.L.M.); (H.G.T.R.); (M.W.); (E.E.H.); (M.C.); (A.B.)

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