O'Keefe Victoria M, Maudrie Tara L, Cole Ashley B, Ullrich Jessica S, Fish Jillian, Hill Kyle X, White Lauren A, Redvers Nicole, Jernigan Valarie Blue Bird, Lewis Jordan P, West Amy E, Apok Charlene Aqpik, White Evan J, Ivanich Jerreed D, Schultz Katie, Lewis Melissa E, Sarche Michelle C, Gonzalez Miigis B, Parker Myra, Neuner Weinstein Sophie E, McCray Celena J, Warne Donald, Black Jessica C, Richards Jennifer R, Walls Melissa L
Center for Indigenous Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Department of Psychology, Oklahoma State University, Stillwater, OK, USA.
Arch Public Health. 2023 Apr 26;81(1):71. doi: 10.1186/s13690-023-01066-7.
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.
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.
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.
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.
近年来，公共卫生研究已转向更多基于优势或资产的健康研究方法，但对于这一概念对原住民研究人员意味着什么，人们了解甚少。因此，我们的目的是定义一种基于原住民优势的健康与福祉研究方法。
利用群体概念映射法，27名原住民健康研究人员参与了三个阶段。第一阶段：参与者针对焦点提示“基于原住民优势的健康与福祉研究……”提供了218条独特的回答。使用内容分析法去除冗余和无关陈述，最终得到94条陈述。第二阶段：参与者将陈述分类并为这些类别命名。参与者使用4分制对每条陈述的重要性进行评分。基于参与者对陈述的分组方式，使用层次聚类分析来创建聚类。第三阶段：举行了两次虚拟会议，以分享并邀请研究人员共同解读结果。
创建了一个六聚类图，代表基于原住民优势的健康与福祉研究的含义。平均评分分析结果显示，所有六个聚类的平均评分均为中等重要。
通过与领先的原住民健康研究人员合作创建的基于原住民优势的健康研究定义，以原住民知识和文化为中心，同时将研究叙事从疾病叙事转变为繁荣和关系叙事。该框架为研究人员、公共卫生从业者、资助者和机构提供了可操作的步骤，以促进基于关系和优势的研究，这种研究有可能在个人、家庭、社区和人群层面促进原住民的健康与福祉。
