Dáakuash Iitáa, Birdhat-Howe Rae, McCormick Alma Knows His Gun, Keene Shannen, Hallett John, Held Suzanne
Department of Health & Human Development, Montana State University.
Turt Isl J Indig Health. 2020 Oct;1(1):49-57. Epub 2020 Oct 12.
Chronic illness self-management best practices include goal-setting; however, the goal theory that many tools employ relies on individualistic principles of self-efficacy that are not culturally consonant within many Indigenous communities. During the creation of the Báa nnilah program, a chronic illness self-management intervention, we developed a goal-setting tool specific to the Apsáalooke Nation. Emerging from an Indigenous paradigm and methodology, Counting Coup serves as a goal-setting tool that promotes the Apsáalooke culture, connects individuals with their ancestors, and focuses on achievement of goals within relationships. Future research and practice should be grounded in the historical and cultural contexts of local communities when designing and implementing goal-setting tools. Limitations to Counting Coup as a goal-setting tool include the need for program facilitators to have a relationship with participants due to Counting Coup's foundation in relational accountability and that the environmental context may pose difficulties for participants in moving towards healthy behavior change.
慢性病自我管理的最佳实践包括目标设定；然而，许多工具所采用的目标理论依赖于自我效能的个人主义原则，而这些原则在许多原住民社区中与文化并不契合。在创建“Báa nnilah项目”（一种慢性病自我管理干预措施）的过程中，我们为阿帕萨罗克族开发了一种特定的目标设定工具。“Counting Coup”源自本土范式和方法，作为一种目标设定工具，它弘扬阿帕萨罗克文化，将个人与他们的祖先联系起来，并专注于在人际关系中实现目标。在设计和实施目标设定工具时，未来的研究和实践应以当地社区的历史和文化背景为基础。“Counting Coup”作为一种目标设定工具的局限性包括，由于“Counting Coup”基于关系问责制，项目促进者需要与参与者建立关系，而且环境背景可能给参与者朝着健康行为改变迈进带来困难。
