Center for Alaska Native Health Research, Institute for Arctic Biology, University of Alaska Fairbanks, 205 Arctic Health Research Building, 2141 Koyukuk Drive, PO Box 757000, Fairbanks, 99775-7000, USA.
Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, MS F800, 13055 E. 17th Avenue, Room 333, Aurora, CO, 80045, USA.
Prev Sci. 2020 Jan;21(Suppl 1):83-92. doi: 10.1007/s11121-019-01025-1.
This concluding article to the Supplemental Issue on Promoting Health Equity through Rigorous, Culturally Informed Intervention Science: Innovations with Indigenous Populations in the United States draws themes and conclusions from the innovative practices implemented by the National Institutes of Health Intervention Research to Improve Native American Health (IRINAH) consortium. The IRINAH work highlights promising practices for advancing the diverse and underrepresented perspectives essential to develop and test culturally appropriate, effective health interventions in American Indian, Alaska Native, and Native Hawaiian settings. Four emergent themes appear through the IRINAH work. First, community-based participatory research (CBPR) has provided projects an intersectional worldview for bridging cultures and informing an ethics of local control. Second, culture is fundamental as a central organizing principle in IRINAH research and intervention implementation. Third, crucial demands for sustainability of interventions in Indigenous intervention science require a rethinking of the intervention development process. Finally, tensions persist in Indigenous health research, even as significant strides are made in the field. These themes collectively inform an ethical and rigorous Indigenous intervention science. Collectively, they suggest a roadmap for advancing Indigenous perspectives and self-determination in health intervention research. IRINAH studies are leading innovation in intervention science by advancing applications of CBPR in intervention science, promoting new directions in small populations health research, and demonstrating value of participatory team science.
这篇补充文章是关于通过严谨、文化知情的干预科学促进健康公平的，它从美国促进健康公平的创新实践中汲取主题和结论，这些实践是由美国国立卫生研究院干预研究来改善美国原住民健康（IRINAH）联盟实施的。IRINAH 的工作强调了推进多样化和代表性不足的观点的有希望的做法，这些观点对于开发和测试适合美国印第安人、阿拉斯加原住民和夏威夷原住民的文化的有效健康干预措施至关重要。IRINAH 的工作中出现了四个突出的主题。首先，基于社区的参与式研究（CBPR）为项目提供了一个交叉视角，以弥合文化差距，并为地方控制提供伦理依据。其次，文化是 IRINAH 研究和干预实施的核心组织原则。第三，可持续性是干预科学中的一个关键需求，这需要重新思考干预措施的开发过程。最后，即使在该领域取得了重大进展，原住民健康研究中的紧张局势仍然存在。这些主题共同为道德和严谨的原住民干预科学提供了信息。总的来说，它们为推进原住民在健康干预研究中的观点和自决提供了路线图。IRINAH 的研究通过在干预科学中推进 CBPR 的应用、促进小人群健康研究的新方向以及展示参与式团队科学的价值，引领着干预科学的创新。
