Encompassing Cultural Contexts Within Scientific Research Methodologies in the Development of Health Promotion Interventions

Dickerson, Daniel; Baldwin, Julie A.; Belcourt, Annie; Belone, Lorenda; Gittelsohn, Joel; Keawe’aimoku Kaholokula, Joseph; Lowe, John; Patten, Christi A.; Wallerstein, Nina

doi:10.1007/s11121-018-0926-1

Cited by 151Indigenous Health, Education, and RightsCommunity Health and DevelopmentCultural Competency in Health Care

Encompassing Cultural Contexts Within Scientific Research Methodologies in the Development of Health Promotion Interventions

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Dickerson, Daniel, Baldwin, Julie A., Belcourt, Annie, Belone, Lorenda, Gittelsohn, Joel, Keawe’aimoku Kaholokula, Joseph, Lowe, John, Patten, Christi A. +1 more·2020·Prevention Science

DOI 10.1007/s11121-018-0926-1PMC PMC6311146

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Abstract

American Indians/Alaska Natives/Native Hawaiians (AI/AN/NHs) disproportionately experience higher rates of various health conditions. Developing culturally centered interventions targeting health conditions is a strategy to decrease the burden of health conditions among this population. This study analyzes characteristics from 21 studies currently funded under the Interventions for Health Promotion and Disease Prevention in Native American (NA) Populations program among investigators currently funded under this grant mechanism. Four broad challenges were revealed as critical to address when scientifically establishing culturally centered interventions for Native populations. These challenges were (a) their ability to harness culture-centered knowledge and perspectives from communities; (b) their utilization of Indigenous-based theories and knowledge systems with Western-based intervention paradigms and theories; (c) their use of Western-based methodologies; and (d) their cultural adaptation, if based on an evidence-based treatment. Findings revealed that qualitative methodologies and community-based participatory research (CBPR) approaches were very commonly used to finalize the development of interventions. Various Indigenous-based theories and knowledge systems and Western-based theories were used in the methodologies employed. Cultural adaptations were made that often used formative mixed qualitative and quantitative methods. Illustrative examples of strategies used and suggestions for future research are provided. Findings underscored the importance of CBPR methods to improve the efficacy of interventions for AI/AN/NH communities by integrating Indigenous-based theories and knowledge systems with Western science approaches to improve health.

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Culturally-informed approaches explicitly address historical and intergenerational trauma, which are key drivers of substance use in AI/AN communities.
“Fourth, culturally-informed approaches explicitly address historical and intergenerational trauma, which are key drivers of substance use in AI/AN communities (Brave Heart & DeBruyn, 1998; Dickerson et al., 2020).”
From Bridging Traditions and Prevention: Insights into Implementing and Sustaining Substance Use Programs for Urban AI/AN Communities (2026) · cites this paper as Dickerson et al., 2020
The Introduction says Native health disparities, including substance use, have been postulated to stem from historical traumas. The Discussion recommends that future culturally tailored prevention frameworks address historical trauma. It does not establish historical and intergenerational trauma as key drivers of substance use or say that culturally informed approaches already address both explicitly. Page numbers were not available in our copy. (LLM, conf=0.84)
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There has been insufficient exploration of barriers communities face in adapting, implementing, and sustaining substance use prevention programs.
“To date there has been insufficient exploration of the barriers that communities face in adapting, implementing, and sustaining substance use prevention programs (Dickerson et al., 2020; Raghavan et al., 2008).”
From Bridging Traditions and Prevention: Insights into Implementing and Sustaining Substance Use Programs for Urban AI/AN Communities (2026) · cites this paper as Dickerson et al., 2020
The Results (‘Challenges Identified’; page unavailable) discuss cultural adaptation in Indigenous communities and an implementation-and-fidelity challenge in a tobacco-cessation intervention. The Discussion also identifies unanswered questions about adapting interventions for specific communities. The paper does not establish insufficient exploration of the barriers communities face across adaptation, implementation, and sustaining substance use prevention programs generally; its scope is broader health promotion in Indigenous communities. (LLM, conf=0.82)
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Significant barriers to implementing evidence-based practices in AI/AN settings have been identified, including limited infrastructure, funding constraints, and workforce challenges.
“Significant barriers to implementing evidence-based practices in AI/AN settings have been identified, including limited infrastructure, funding constraints, and workforce challenges (Dickerson et al., 2020).”
From Bridging Traditions and Prevention: Insights into Implementing and Sustaining Substance Use Programs for Urban AI/AN Communities (2026) · cites this paper as Dickerson et al., 2020
The Discussion (page unavailable) says complex community-based trials can require increased staff and resources, and that continued federal support is needed for health-disparities research. The Results, under “Challenges Identified” (page unavailable), also describes difficulties implementing a culturally adapted evidence-based treatment. These passages support the existence of some resource and implementation challenges, but they do not identify limited infrastructure, funding constraints, and workforce shortages as barriers to implementing evidence-based practices in AI/AN settings. (LLM, conf=0.78)
Experimental — accuracy not yet measured
Although cultural adaptation is frequently recommended, rigorous research examining specific adaptation processes and their outcomes remains limited.
“Dickerson et al. (2020) noted that while cultural adaptation is frequently recommended, rigorous research examining specific adaptation processes and their outcomes remains limited.”
From Bridging Traditions and Prevention: Insights into Implementing and Sustaining Substance Use Programs for Urban AI/AN Communities (2026) · cites this paper as Dickerson et al., 2020
In “Challenges Identified” (page unavailable), the paper says the studies it reviewed did not test whether culturally adapted interventions were more effective than non-adapted ones. The Discussion (page unavailable) likewise says there are few data on their comparative impact and suggests future trials. This supports the claim’s concern about limited outcome research, but the paper’s assessment concerns interventions for Indigenous communities, not cultural adaptation research generally. (LLM, conf=0.84)
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Limited research has examined implementation and sustainability of substance use prevention programs in AI/AN organizations and communities.
“However, limited research has been conducted to understand program implementation and sustainability in AI/AN organizations and communities.”
From Bridging Traditions and Prevention: Insights into Implementing and Sustaining Substance Use Programs for Urban AI/AN Communities (2026) · cites this paper as Dickerson et al., 2020
The Results (General Study Characteristics; page unavailable) identify seven studies addressing substance use, while the Discussion (page unavailable) discusses implementation and sustainability as considerations for community-based interventions. Neither passage assesses whether research on the implementation and sustainability of substance-use prevention programs in AI/AN organizations and communities is limited; searches for that research gap found no such statement. (LLM, conf=0.72)
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Formative Research and Cultural Tailoring of a Substance Abuse Prevention Program for American Indian Youth: Findings from the Intertribal Talking Circle Intervention
Baldwin, J., Lowe, J., Brooks, J. L., Charbonneau-Dahlen, B. K., Lawrence, G., Johnson-Jennings, M., Padgett, G., Kelley, M., & Camplain, C. (2020) · Health Promotion Practice · doi:10.1177/1524839920918551 · Cited by 26 · see citing works
“Furthermore, active engagement with the community in the development and implementation of programs is critical for sustainability (Dickerson et al., 2020).”
BackgroundSelf-citation
Substance Use Research with Indigenous Communities: Exploring and Extending Foundational Principles of Community Psychology
Wendt, D. C., Hartmann, W. E., Allen, J., Burack, J. A., Charles, B., D’Amico, E. J., Dell, C. A., Dickerson, D. L., Donovan, D. M., Gone, J. P., et al. (2019) · American Journal of Community Psychology · doi:10.1002/ajcp.12363 · Cited by 32 · see citing works
“This aspiration underscores the importance of community partnership and cultural humility among both Indigenous and non-Indigenous researchers (see Dickerson et al., 2018; Hartmann, Wendt, Saftner, Marcus, & Momper, 2014; Rasmus, Trickett, Charles, John, & Allen, 2019; Toombs et al., 2019).”
BackgroundSelf-citation
Culturally sensitive prevention programs for substance use among adolescents of color: A systematic review and meta-analysis of randomized controlled trials
Bo, A., Goings, T. C., Evans, C. B. R., Sharma, A., Jennings, Z., Durand, B., Bardeen, A., & Murray-Lichtman, A. (2022) · Clinical Psychology Review · doi:10.1016/j.cpr.2022.102233 · Cited by 30 · see citing works
Traditions and Connections for Urban Native Americans (TACUNA): Utilizing community-based input to develop an opioid prevention intervention for urban American Indian/Alaska Native emerging adults
Dickerson, D. L., D’Amico, E. J., Palimaru, A. I., Brown, R. A., Kennedy, D. P., Johnson, C. L., & Schweigman, K. (2022) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2022.108764 · Cited by 28 · see citing works
Self-citation
A Call for Culturally-Relevant Interventions to Address Child Abuse and Neglect in American Indian Communities
Joe, A., McElwain, C.-A., Woodard, K., & Bell, S. (2018) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-018-0531-9 · Cited by 26 · see citing works
“In their article, Dickerson et al. (2018) concur that culturally adapted Eurocentric designs and culturally based Native designs are paramount in working with AI communities [36].”
Background
Using Community-Based Participatory Research to Design, Conduct, and Evaluate Randomized Controlled Trials with American Indian Communities
Rink, E., Knight, K. E., Ellis, C., McCormick, A. K. H. G., Firemoon, P., Held, S., Webber, E. J., & Adams, A. (2020) · Preventing Chronic Disease · doi:10.5888/pcd17.200099 · Cited by 27 · see citing works
“Intervention science highlights the need for the integration of Indigenous-based theories and knowledge systems, communitybased participatory research (CBPR) methods, and colonial scientific research strategies in the design, implementation, and evaluation of randomized controlled trials (RCTs) with American Indian (A…”
Integrating traditional practices and social network visualization to prevent substance use: study protocol for a randomized controlled trial among urban Native American emerging adults
D’Amico, E. J., Dickerson, D. L., Rodriguez, A., Brown, R. A., Kennedy, D. P., Palimaru, A. I., Johnson, C. L., Smart, R., Klein, D. J., Parker, J., et al. (2021) · Addiction Science & Clinical Practice · doi:10.1186/s13722-021-00265-3 · Cited by 25 · see citing works
“Randomized controlled trials (RCTs) are often considered the scientific “gold standard” for testing efficacy of interventions, yet, RCTs may be perceived as unacceptable and unfair in AI/AN populations because not everyone receives treatment [30].”
BackgroundSelf-citation
Mosques and Public Health Promotion: A Scoping Review of Faith-Driven Health Interventions
Abu-Ras, W. M., Aboul-Enein, B. H., Almoayad, F. A., Benajiba, N., & Dodge, E. (2024) · Health Education & Behavior · doi:10.1177/10901981241252800 · Cited by 43 · see citing works
“Indeed, this is an important topic that has been analyzed and discussed in terms of culture regardless of religious affiliation (Baezconde-Garbanati et al., 2014; Betsch et al., 2015; Dickerson et al., 2020; Estrada et al., 2018; Lohr et al., 2022; Netto et al., 2010).”
Background
Culturally Responsive Opioid and Other Drug Prevention for American Indian/Alaska Native People: a Comparison of Reservation- and Urban-Based Approaches
Komro, K. A., D’Amico, E. J., Dickerson, D. L., Skinner, J. R., Johnson, C. L., Kominsky, T. K., & Etz, K. (2022) · Prevention Science · doi:10.1007/s11121-022-01396-y · Cited by 24 · see citing works
“, 2020), which led to numerous studies with partnerships between researchers and AI/AN communities to develop and test culturally appropriate interventions for a variety of behaviors (Dickerson et al., 2020).”
BackgroundSelf-citation
Connecting Systems Thinking and Service Learning in the Chemistry Classroom
Lasker, G. A. (2019) · Journal of Chemical Education · doi:10.1021/acs.jchemed.9b00344 · Cited by 25 · see citing works
Drum-Assisted Recovery Therapy for Native Americans (DARTNA): Results from a Feasibility Randomized Controlled Trial
Dickerson, D. L., D'Amico, E. J., Klein, D. J., Johnson, C. L., Hale, B., Ye, F., & Dominguez, B. X. (2021) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2021.108439 · Cited by 24 · see citing works
Self-citation
The Role of Culture in Effective Intervention Design, Implementation, and Research: Its Universal Importance
Manson, S. M. (2019) · Prevention Science · doi:10.1007/s11121-019-01065-7 · Cited by 24 · see citing works
“This challenge was also thoughtfully anticipated by several articles in the special issue, which highlighted the process of translation as much more than simply discovering and recasting intervention content and format in terms of cultural analogs (Dickerson et al. 2018; Ivanich et al. 2018).”
Background
Centering culture in the treatment of opioid use disorder with American Indian and Alaska Native Communities: Contributions from a National Collaborative Board
Hirchak, K. A., Nadeau, M., Vásquez, Á., Hernandez‐Vallant, A., Smith, K., Pham, C., Oliver, K. A., Baukol, P., Lizzy, K., Shaffer, R., et al. (2022) · American Journal of Community Psychology · doi:10.1002/ajcp.12620 · Cited by 22 · see citing works
Trauma-informed Approaches to Substance Use Interventions with Indigenous Peoples: A Scoping Review
Pride, T. M., Lam, A., Swansburg, J. E., Seno, M., Lowe, M., Bomfim, E. D. O., Toombs, E., Marsan, S., LoRusso, J., Roy, J., et al. (2021) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2021.1992047 · Cited by 21 · see citing works
A Framework for the Adaptation of Positive Psychological Interventions to North American Indigenous Populations
Schick, M. R., Kirk‐Provencher, K. T., Goldstein, S. C., Nalven, T., & Spillane, N. S. (2021) · Prevention Science · doi:10.1007/s11121-021-01282-z · Cited by 21 · see citing works
What is the prevalence of current alcohol dependence and how is it measured for Indigenous people in Australia, New Zealand, Canada and the United States of America? A systematic review
Weatherall, T. J., Conigrave, K. M., Conigrave, J. H., & Lee, K. S. (2020) · Addiction Science & Clinical Practice · doi:10.1186/s13722-020-00205-7 · Cited by 20 · see citing works
Risk and Resilience Factors in Urban American Indian and Alaska Native Youth during the Coronavirus Pandemic
D’Amico, E. J., Palimaru, A. I., Dickerson, D. L., Dong, L., Brown, R. A., Johnson, C. L., Klein, D. J., & Troxel, W. (2020) · American Indian Culture and Research Journal · doi:10.17953/aicrj.44.2.damico · Cited by 21 · see citing works
Self-citation
Risk and protective factors of social networks on alcohol, cannabis, and opioid use among urban American Indian/Alaska Native emerging adults
D'Amico, E. J., Kennedy, D. P., Malika, N., Klein, D. J., Brown, R. A., Rodriguez, A., Johnson, C. L., Schweigman, K., Arvizu-Sanchez, V., Etz, K., et al. (2023) · Psychology of Addictive Behaviors · doi:10.1037/adb0000918 · Cited by 19 · see citing works
Self-citation
Health promotion interventions supporting Indigenous healthy ageing: a scoping review
Oosman, S. N., Nisbet, C., Smith, L., & Abonyi, S. (2021) · International Journal of Circumpolar Health · doi:10.1080/22423982.2021.1950391 · Cited by 19 · see citing works
“Furthermore, interactions and connections to the land and water are highlighted among OIA as key elements to maintaining/reclaiming Indigenous identity and promoting healing and wholistic health across the life trajectory [25,32,37,42].”
BackgroundInfluential
Using Simple and Complex Mixed Methods Research Designs to Understand Research in Information Science
Ngulube, P. (2021) · Advances in knowledge acquisition, transfer, and management book series/Advances in knowledge acquisition, transfer and management book series · doi:10.4018/978-1-7998-8844-4.ch002 · Cited by 18 · see citing works
Effectiveness and sustainment of a tailored over-the-counter medication safety intervention in community pharmacies: A randomized controlled trial
Chui, M. A., Berbakov, M. E., Gilson, A. M., Morris, A. O., & Stone, J. A. (2022) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2022.06.008 · Cited by 21 · see citing works
Developments in Psychotraumatology: A Conceptual, Biological, and Cultural Update
Maercker, A. R. A., & Augsburger, M. (2019) · Clinical Psychology in Europe · doi:10.32872/cpe.v1i1.30294 · Cited by 18 · see citing works
“…a culturally-sensitive or even culturally-adapted treatment approach for patients from the “Global South” (previously termed “non-Western countries”) (Dickerson et al., 2018; Von Lersner & Kizilhan, 2017; Whealin et al., Clinical Psychology in Europe 2019, Vol.1(1), Article e30294…”
Background
Changes in Sleep-Wake Patterns and Disturbances Before and During COVID-19 in Urban American Indian/ Alaska Native Adolescents
Troxel, W. M., Palimaru, A. I., Klein, D. J., Dong, L., Dickerson, D. L., Brown, R. A., Johnson, C. L., & D’Amico, E. J. (2022) · Behavioral Sleep Medicine · doi:10.1080/15402002.2021.2022679 · Cited by 17 · see citing works
Self-citation
A Systematic Review of Interventions to Increase Physical Activity Among American Indian and Alaska Native Older Adults
Pedersen, M., Harris, K. J., Brown, B. D., Anderson, K. A., & Lewis, J. (2021) · The Gerontologist · doi:10.1093/geront/gnab020 · Cited by 15 · see citing works
Adaptation of the Gabby conversational agent system to improve the sexual and reproductive health of young women in Lesotho
Nkabane-Nkholongo, E. L., Mokgatle, M. M., Bickmore, T., Julce, C., & Jack, B. W. (2023) · Frontiers in Digital Health · doi:10.3389/fdgth.2023.1224429 · Cited by 19 · see citing works
Dissemination of an American Indian Culturally Centered Community-Based Participatory Research Family Listening Program: Implications for Global Indigenous Well-Being
Belone, L., Rae, R., Hirchak, K. A., Cohoe-Belone, B., Orosco, A., Shendo, K., & Wallerstein, N. B. (2020) · Genealogy · doi:10.3390/genealogy4040099 · Cited by 15 · see citing works
“Research with AI/AN communities has increasingly turned to CBPR approaches to reduce disparities and strengthen wellness (Christopher et al. 2011; Dickerson et al. 2018; Ivanich et al. 2018).”
BackgroundMethodSelf-citation
Recruitment and retention in randomized controlled trials with urban American Indian/Alaska Native adolescents: Challenges and lessons learned
Dickerson, D. L., Parker, J., Johnson, C. L., Brown, R. A., & D’Amico, E. J. (2020) · Clinical Trials · doi:10.1177/1740774520971774 · Cited by 15 · see citing works
“Furthermore, most researchers in health promotion research are not AI/AN, which dampens community trust necessary for successfully conducting studies within this population [4, 10, 11, 12].”
BackgroundSelf-citation
Coming together for something good: recommendations from a scoping review for dissemination and implementation science to improve indigenous substance use disorder treatment
Hirchak, K. A., Oluwoye, O. A., Nadeau, M., Richardson, M., Bajet, K., Brigman, M., Herron, J. L., Hernandez‐Vallant, A., Vásquez, Á., Pham, C., et al. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1265122 · Cited by 14 · see citing works
Self-citation
Mental Health, Physical Health, and Cultural Characteristics Among American Indians/Alaska Natives Seeking Substance Use Treatment in an Urban Setting: A Descriptive Study
Dickerson, D. L., D’Amico, E. J., Klein, D. J., Johnson, C. L., Hale, B., & Ye, F. (2020) · Community Mental Health Journal · doi:10.1007/s10597-020-00688-3 · Cited by 15 · see citing works
“We utilized a Community-Based Participatory Research approach in our recruitment and engagement of the AI/AN community, which is reflective of an approach routinely used in National Institutes of Health (NIH)-funded studies of new health interventions with ethnic/racial minority groups (Dickerson et al. 2018; Wallerst…”
BackgroundMethodInfluentialSelf-citation
“Keep up the messages, sometimes it was a lifesaver”: Effects of cultural adaptation on a suicide prevention clinical trial in American Indian/Alaska Native communities
Bogić, M., Hebert, L. E., Evanson, A., Wright, B., Petras, A., Jansen, K. J., Shaw, J. L., Comtois, K. A., & Nelson, L. A. (2023) · Behaviour Research and Therapy · doi:10.1016/j.brat.2023.104333 · Cited by 14 · see citing works
Strong and Deadly Futures: Co-Development of a Web-Based Wellbeing and Substance Use Prevention Program for Aboriginal and Torres Strait Islander and Non-Aboriginal Adolescents
Snijder, M., Stapinski, L. A., Ward, J. S., Lees, B., Chapman, C., Champion, K. E., Doyle, M., Watson, I., Sarra, R., Lear, A., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18042176 · Cited by 13 · see citing works
“The importance of providing a comprehensive prevention approach and combining effective prevention elements with cultural elements have been discussed in detail in previous research [9,18,19,29].”
Background
Feasibility and acceptability of incorporating social network visualizations into a culturally centered motivational network intervention to prevent substance use among urban Native American emerging adults: a qualitative study
Kennedy, D. P., D’Amico, E. J., Brown, R. A., Palimaru, A. I., Dickerson, D. L., Johnson, C. L., & Lopez, A. (2022) · Addiction Science & Clinical Practice · doi:10.1186/s13722-022-00334-1 · Cited by 11 · see citing works
“There are few developmentally and culturally appropriate interventions addressing AOD use for urban AI/ AN emerging adults that also incorporate evidence based treatment [15]; thus, this study addresses several critical gaps in the field.”
BackgroundSelf-citation
Centering Community Strengths and Resisting Structural Racism to Prevent Youth Suicide: Learning from American Indian and Alaska Native Communities
Wexler, L. M., White, L. A., O’Keefe, V. M., Rasmus, S., Haroz, E. E., Cwik, M. F., Barlow, A., Goklish, N. A., Elliott‐Groves, E., Pearson, C. R., et al. (2024) · Archives of Suicide Research · doi:10.1080/13811118.2023.2300321 · Cited by 13 · see citing works
Leveraging the Full Continuum of Care to Prevent Opioid Use Disorder
Cance, J. D., Adams, E. T., D’Amico, E. J., Palimaru, A. I., Fernandes, C.-S. F., Fiellin, L. E., Bonar, E. E., Walton, M. A., Komro, K. A., Knight, D. A., et al. (2023) · Prevention Science · doi:10.1007/s11121-023-01545-x · Cited by 12 · see citing works
“…participatory research (CBPR) approach when developing and implementing programs, collaborating closely with communities and organizations to ensure that the programming is both developmentally and culturally appropriate for the population (Dickerson et al., 2020; Minkler & Wallerstein, 2011).”
Background
Significados en torno al desarrollo del consumo problemático y la dependencia alcohólica en comunidades mapuches rurales de la región de la Araucanía, Chile, 2016-2017
Pérez, G. G., & Constanzo, A. Z. (2019) · Salud Colectiva · doi:10.18294/sc.2019.1932 · Cited by 11 · see citing works
Lessons learned and future directions: A scoping review of American Indian and Alaska Native participants in the National Drug Abuse Treatment Clinical Trials Network
Crouch, M. C., Venner, K. L., Wendt, D. C., Burlew, A. K., Baukol, P., Funaro, M. C., Sorrell, T. R., & Haeny, A. M. (2023) · Journal of Substance Use and Addiction Treatment · doi:10.1016/j.josat.2023.209081 · Cited by 10 · see citing works
Sleep Problems and Health Outcomes Among Urban American Indian and Alaska Native Adolescents
Troxel, W., Klein, D. J., Dong, L., Mousavi, Z. A., Dickerson, D. L., Johnson, C. L., Palimaru, A. I., Brown, R. A., Rodriguez, A., Parker, J., et al. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.14735 · Cited by 10 · see citing works
Self-citation
Risk and resiliency: the syndemic nature of HIV/AIDS in the indigenous highland communities of Ecuador
Đào, L. U.-L., Terán, E., Bejarano, S., Hernández, I., Ortiz, M. R., Chee, V., Flores, M., Izurieta, R., Baldwin, J. A., & Tyson, D. M. (2019) · Public Health · doi:10.1016/j.puhe.2019.02.021 · Cited by 10 · see citing works
Self-citation
Development of a colorectal cancer screening intervention for Alaska Native people during a pandemic year
Flanagan, C. A., Rutten, L. J. F., Kisiel, J. B., Lent, J., Bachtold, J. F., Swartz, A. W., & Redwood, D. G. (2022) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2022.101016 · Cited by 10 · see citing works
From Resilient to Thriving: Policy Recommendations to Support Health and Well-being in the Arctic
Cueva, K., Rink, E., Lavoie, J. G., Akearok, G. H., Guistini, S., Kanayurak, N., Stoor, J. P., & Larsen, C. V. L. (2022) · ARCTIC · doi:10.14430/arctic73953 · Cited by 10 · see citing works
Rationale, Design, and Methods for Nen Unkumbi/Edahiyedo (“We Are Here Now”): A Multi-Level Randomized Controlled Trial to Improve Sexual and Reproductive Health Outcomes in a Northern Plains American Indian Reservation Community
Rink, E., Firemoon, P., Anastario, M. P., Johnson, O., GrowingThunder, R., Ricker, A., Peterson, M., & Baldwin, J. A. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.823228 · Cited by 10 · see citing works
“Public Health 10:823228. doi: 10.3389/fpubh.2022.823228 Rationale, Design, and Methods for Nen Unkumbi/Edahiyedo (“We Are Here Now”): A Multi-Level Randomized Controlled Trial to Improve Sexual and Reproductive Health Outcomes in a Northern Plains American Indian Reservation Community Elizabeth Rink 1*†, Paula Firemoo…”
BackgroundInfluentialSelf-citation
Development and Feasibility Pilot Study of Indigenous Recovery Planning: A Community-Engaged Approach to Addressing Substance Use in a Native Community
Skewes, M. C., Gonzalez, V. M., Gameon, J. A., Ricker, A., Martell, S., Reum, M., & Holder, S. (2023) · Clinical Psychological Science · doi:10.1177/21677026221141662 · Cited by 9 · see citing works
“Many Native cultures share common values regarding the importance of family, language, spirituality, and cultural identity (Dickerson et al., 2020; Walters et al., 2020) and may find elements of IRP to be well-suited to their communities.”
Background
Feasibility, acceptability and effectiveness of a culturally informed intervention to decrease stress and promote well-being in reservation-based Native American Head Start teachers
Wilson, D. H., German, D., Ricker, A., Gourneau, H., Hanson, G. C., Mayhew, J., Brockie, T., & Sarche, M. C. (2023) · BMC Public Health · doi:10.1186/s12889-023-16913-z · Cited by 9 · see citing works
“This finding suggests that counselors who provide services to Native American individuals and communities should be aware of both the complex trauma that Native people have experienced, as well as the strength and agency they possess [73, 74].”
Background
Connections and Biases in Health Equity and Culture Research: A Semantic Network Analysis
Martínez-García, M., Camacho, J. M. V., & Lemus, E. H. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.834172 · Cited by 9 · see citing works
“These two concepts are indeed closely connected: embracing Cultural diversity helps healthcare providers to offer their services, recognizing the unique social, cultural and even linguistic features of their patients in the context of their populations (97, 98), this in turn leads to Cultural competency of the health…”
Background
Unpacking disparities in substance-related outcomes among racial, ethnic, sexual, and gender minoritized groups during adolescence and emerging adulthood.
D’Amico, E. J., Tucker, J. S., Dunbar, M. S., Perez, L. G., Siconolfi, D. E., Davis, J. P., Pedersen, E. R., & Rodriguez, A. (2023) · Psychology of Addictive Behaviors · doi:10.1037/adb0000905 · Cited by 9 · see citing works
Translating Open-Ended Questions in Cross-Cultural Qualitative Research: A Comprehensive Framework
de Jesús-Espinosa, T., Solís-Báez, S. S., Valencia, C. P., Orrego, J. C. T., Duque, J. B., Phillips, J. C., Schnall, R., Cuca, Y. P., Chen, W., Shaibu, S., et al. (2024) · Journal of Transcultural Nursing · doi:10.1177/10436596241271248 · Cited by 8 · see citing works
“Multicultural research also fosters the development of culturally sensitive interventions, contributing to reduced health disparities and improved overall health outcomes for marginalized and underserved communities (Dickerson et al., 2020; Tan & Li, 2016; Wilson, 2019; Woodland et al., 2021).”
A scoping review of Indigenous community-specific physical activity measures developed with and for Indigenous Peoples in Canada, Australia, and New Zealand
Johnson, S. R., Chilibeck, P. D., Oosman, S. N., & Foulds, H. J. A. (2024) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2023-0380 · Cited by 8 · see citing works
Where there’s a will, there’s a way? Strategies to reduce or abstain from alcohol use developed by Northern Plains American Indian women participating in a brief, alcohol‐exposed pregnancy preconceptual intervention
Deutsch, A. R., Lustfield, R., & Hanson, J. D. (2021) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.14721 · Cited by 7 · see citing works
Exploring a Shared History of Colonization, Historical Trauma, and Links to Alcohol Use With Native Hawaiians: Qualitative Study
Greywolf, C. T., Palakiko, D., Pokhrel, P., Vandewater, E. A., Kataoka‐Yahiro, M., & Casken, J. (2025) · Asian/Pacific Island Nursing Journal · doi:10.2196/68106 · Cited by 7 · see citing works
“Indigenous scholars have hypothesized that historical trauma is a primary cause of social stress, mental health disparities, and problems with alcohol and substance use among Indigenous peoples today [3,6,9,11,16-23].”
Unsettling Settler Colonialism in Research: Strategies Centering Native American Experience and Expertise in Responding to Substance Misuse and Co-occurring Sexual Risk-Taking, Alcohol-Exposed Pregnancy, and Suicide Prevention Among Young People
Tuitt, N. R., Wexler, L. M., Kaufman, C. E., Whitesell, N. R., Rink, E., Anastario, M. P., Ivanich, J., Belone, L., Moore, R. S., Huh, D., et al. (2023) · Adversity and Resilience Science · doi:10.1007/s42844-023-00100-5 · Cited by 8 · see citing works
“This literature describes NA community engagement in developing relevant research questions and conceptual and theoretical frameworks (Dickerson et al., 2020; Stanley et al., 2020; Walters et al., 2020; Werito & Belone, 2021); study designs that are scientifically rigorous and feasible in NA…”
BackgroundSelf-citation
Risk and Resilience Among Families in Urban AI/AN Communities: the Role of Young Adults
Palimaru, A. I., Brown, R. A., Arvizu-Sanchez, V., Mike, L., Etz, K., Johnson, C. L., Dickerson, D. L., & D’Amico, E. J. (2022) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-022-01240-7 · Cited by 7 · see citing works
Self-citation
Positive Psychological Characteristics and Substance Use in First Nation Adolescents
Schick, M. R., Spillane, N. S., Breines, J. G., & Kahler, C. W. (2022) · Substance Use & Misuse · doi:10.1080/10826084.2022.2069266 · Cited by 7 · see citing works
“…to the physical and mental health disparities experienced by NAI populations, including those related to substance use (Anastario et al., 2020; Dickerson et al., 2020; Skewes & Blume, 2019; Whitbeck © 2022 taylor & Francis Group, LLc CONTACT nichea S. Spillane nspillane@uri.edu Department…”
Background
Adapting a cooking, food budgeting and nutrition intervention for a rural community of American Indians with type 2 diabetes in the north-Central United States
Brown, M. C., Hawley, C., Ornelas, I. J., Huber, C., Best, L., Thorndike, A. N., Beresford, S., Howard, B. V., Umans, J. G., Hager, A., et al. (2023) · Health Education Research · doi:10.1093/her/cyac033 · Cited by 6 · see citing works
The Colonial Character of the Drug Treatment Superstructure: Theorizing Collective Cultural Resistance to Varying Manifestations of Coercive Control
Williams, I. L., Laenui, P., & Rezentes, W. C. (2023) · Journal of Progressive Human Services · doi:10.1080/10428232.2023.2180605 · Cited by 6 · see citing works
“Nonetheless, we might expect such treatment to translate better results (Benish et al., 2011; Dickerson et al., 2020; Gainsbury, 2017; T. B. Smith & Trimble, 2016; Wampold & Imel, 2015) measured by a standardized tool, expressed as an effect size, and completed by the recipient, deliverer, or outside assessor (S.”
Ground-up approach to understanding the impacts of historical trauma in one reserve-dwelling first nations community.
Weiss, N. H., Spillane, N. S., Goldstein, S. C., Kiefer, R., Raudales, A. M., Nalven, T., Egan, A., Trinh, C. D., Moore, R. S., & Gone, J. P. (2023) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000840 · Cited by 6 · see citing works
Wiidookaage’Win: A Community-Based Qualitative Approach to Developing a Facebook Group Intervention for Native Women to Support Recovery From Opioid Use
Young, A. M., Sinicrope, P. S., Kelpin, S. S., Roche, A. I., Sabaque, C., Pham, C., Marsch, L. A., Campbell, A. N. C., Venner, K. L., Bastian, E., et al. (2023) · American Journal of Health Promotion · doi:10.1177/08901171231205355 · Cited by 6 · see citing works
“In selecting and re ﬁ ning our content for cultural relevance, the research team applied cultural variance and surface/deep structure frameworks, 48,49 accounting for AI/AN cultural in ﬂ uence on health behaviors.”
MethodSelf-citation
Cultural tailoring advance care planning for an American Indian community: make your wishes about you
Goins, R. T., Haozous, E. A., Anderson, E., & Winchester, B. (2024) · Ethnicity and Health · doi:10.1080/13557858.2024.2401830 · Cited by 6 · see citing works
Family listening/circle program: The experience of community action projects to promote family and community wellness in three tribal communities in New Mexico
Rae, R., Belone, L., Tafoya, E., Yepa, M., Cohoe-Belone, B., Burbank, I., Orosco, A., Lacroix-Garcia, P., Sherpa, M., & Wallerstein, N. B. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1091751 · Cited by 6 · see citing works
Self-citation
Evidence of secular trends during the COVID-19 pandemic in a stepped wedge cluster randomized trial examining sexual and reproductive health outcomes among Indigenous youth
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“…should be swapped for health promotion and drug awareness campaigns using community-based strategies When undertaking health promotion in communities it is particularly important that the affected social group is targeted using information and language they understand (Dickerson et al., 2020).”
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“Because there is great variation among Indigenous nations, utilizing a CBPR approach can ensure local IRPs are developed and implemented that are consonant with the values and strengths of specific Indigenous nations (Belone et al., 2020; Dickerson et al., 2018; Gittelsohn et al., 2018; Whitesell et al., 2018) with su…”
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“Culturally centered research embraces approaches that are based on history, language, values, and healing traditions (Dickerson et al. 2018; Dutta 2007; Wallerstein et al. 2018; Wallerstein et al. 2019).”
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“There have been calls for the development of culturally congruent health measures, interventions and systems to decol-onise healthcare and promote the well-being of Indigenous populations (Dickerson et al., 2020).”
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Authors: Dickerson, D., Baldwin, J. A., Belcourt, A., Belone, L., Gittelsohn, J., Keawe’aimoku Kaholokula, J., Lowe, J., Patten, C. A., & Wallerstein, N.
Affiliations: University of California, Los Angeles (US)
Northern Arizona University (US)
University of Montana (US)
University of New Mexico (US)
Johns Hopkins University (US)
Florida State University (US)
Mayo Clinic (US)
Corresponding author: Dickerson, Daniel
ORCID: Dickerson, Daniel
Baldwin, Julie A.
Belone, Lorenda
Gittelsohn, Joel
Lowe, John
Patten, Christi A.
Wallerstein, Nina
Venue: Prevention Science
Publisher: Springer Science and Business Media LLC
Published: 2018-06-29
Volume: 21
Issue: S1
Pages: 33-42
ISSN: 1389-4986 (ISSN-L)
1573-6695
DOI: 10.1007/s11121-018-0926-1
PMC: PMC6311146
OpenAlex: W2809803165
Cited by: 151
References: 58
Citations by year: 2026: 16 · 2025: 18 · 2024: 20 · 2023: 26 · 2022: 25 · 2021: 16 · 2020: 12 · 2019: 13 · 2018: 4
FWCI: 12.05
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: Prevention Science (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
eScholarship (California Digital Library) (submittedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (R01 AA022066-04)
National Institute of Environmental Health Sciences (1R01ES022583-01A)
National Cancer Institute (R01 CA164533)
National Heart, Lung, and Blood Institute (1R01HL126577)
National Institute on Drug Abuse (1R01DA037174)
Topics: Social Sciences › Health › Indigenous Health, Education, and Rights
Health Sciences › Health Professions › General Health Professions › Community Health and Development
Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
Keywords: health promotion, indigenous knowledge, community-based participatory research, cultural adaptation, intervention development, health disparities, research funding programs
MeSH terms: Health Equity, Health Promotion, Humans, Indians, North American, Research Design, United States, Native Hawaiian or Other Pacific Islander, Native Hawaiian or Pacific Islander, Cultural Competency, Health Status Disparities

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Encompassing Cultural Contexts Within Scientific Research Methodologies in the Development of Health Promotion Interventions

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