Gonzalez Nathaniel J, Nippoldt Lauren, Nielsen Kelly, Lowry Chag, Casanova Alexxa R, Kovacs Georgia C, Al-Delaimy Wael K
University of California San Diego, La Jolla, CA, USA.
Health Promot Pract. 2025 Apr 29:15248399251332586. doi: 10.1177/15248399251332586.
American Indian Communities nationwide and in California have reported higher commercial tobacco use than the general population, making them at high risk of tobacco-related health consequences. While public health initiatives have successfully reduced commercial tobacco prevelance in California and around the country, mainstream commercial tobacco prevention approaches have not had as much success within American Indian communities. To address this disparity, the California Department of Public Health, California Tobacco Prevention Program initiated a new approach in 2019 by directly funding 13 California Tribes and five American Indian Serving Community Organizations to address commercial tobacco prevention as part of the California Tribal Initiative to Reduce Tobacco-Related Disparities. The California American Indian Tobacco Initiative Evaluation (CAITIE) sought to assess the overall success of the initiative and to provide specific feedback to improve future waves of funding. This article reports on the evaluation's incorporation of cultural protocols and best practices from Indigenous evaluation methodology into the research design, improving the cultural relevancy of the findings. These approaches included respect for Tribal sovereignty and Indigenous ways of knowing supported through the hiring of Native staff, an emphasis on participatory research practices using collective coding processes and member checks, and a commitment to a strengths-based approach and context-specific solutions through the dissemination processes. The CAITIE project's success offers support for the importance of conducting culturally relevant evaluations that honor and reflect the diversity of Tribal partners.
美国全国及加利福尼亚州的印第安社区报告显示，其商业烟草使用率高于普通人群，这使他们面临与烟草相关健康后果的高风险。尽管公共卫生举措已成功降低了加利福尼亚州及全国的商业烟草流行率，但主流的商业烟草预防方法在印第安社区并未取得同样的成功。为解决这一差异，加利福尼亚州公共卫生部烟草预防项目于2019年启动了一种新方法，直接资助了13个加利福尼亚部落和5个为印第安人服务的社区组织，将解决商业烟草预防问题作为加利福尼亚部落减少烟草相关差异倡议的一部分。加利福尼亚州印第安烟草倡议评估（CAITIE）旨在评估该倡议的总体成效，并提供具体反馈以改进未来的资助工作。本文报告了该评估如何将文化规程和本土评估方法的最佳实践纳入研究设计，从而提高研究结果的文化相关性。这些方法包括通过聘用本土工作人员来尊重部落主权和本土认知方式，强调使用集体编码流程和成员核对的参与式研究实践，以及通过传播过程致力于基于优势的方法和因地制宜的解决方案。CAITIE项目的成功为开展尊重并反映部落合作伙伴多样性的具有文化相关性的评估的重要性提供了支持。
