Child, Family and Population Health, University of Washington, Seattle, WA, USA.
Urban Indian Health Institute, Seattle Indian Health Board, Seattle, WA, USA.
Can J Nurs Res. 2020 Jun;52(2):149-156. doi: 10.1177/0844562120914424. Epub 2020 Mar 26.
Few, if any, home visiting programs for children under the age of three have been culturally adapted for American Indian reservation settings. We recently adapted one such program: Promoting First Relationships®.
To culturally adapt Promoting First Relationships® while maintaining program fidelity, we used a community-based participatory approach to elicit input from two American Indian partners.
University-based researchers, reservation-based Native project staff, and Native tribal liaisons conducted collaborative meetings, conference calls, and focus groups to adapt Promoting First Relationships® to reflect local community needs and values.
Working closely with onsite Native project staff, being flexible and open to suggestions, and attending to the logistical needs of the community are imperative to developing and implementing adaptations.
Several adaptations were made based on the collaboration between researchers and Native project staff. Collaboration is critical for adapting programs so they can be tested in ways that respect both American Indian culture and research needs.
鲜少有针对三岁以下儿童的家访项目针对美洲印第安人保留地进行了文化适应性调整。我们最近对其中一个项目进行了调整：促进最初的人际关系。
为了在保持项目忠实度的同时对促进最初的人际关系进行文化适应性调整，我们采用了基于社区的参与式方法，从两位美洲印第安合作伙伴那里征求意见。
大学研究人员、保留地的本地项目工作人员和美国印第安部落联络人举行了合作会议、电话会议和焦点小组会议，以调整促进最初的人际关系，以反映当地社区的需求和价值观。
与现场的本地项目工作人员密切合作，灵活并乐于接受建议，并关注社区的后勤需求，对于制定和实施调整至关重要。
根据研究人员和本地项目工作人员的合作，进行了一些调整。合作对于调整项目至关重要，以便可以以既尊重美洲印第安文化又尊重研究需求的方式对其进行测试。
