The DOI matches its Crossref record; 55 of the 58 references it cites were found in a registry or an index.
Encompassing Cultural Contexts Within Scientific Research Methodologies in the Development of Health Promotion Interventions
Open accessAbstract
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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“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
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“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
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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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 (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
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“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
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“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
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Items 101–151 of 151
Hirchak, K. A., Webb, K., Wagon, S., Bajet, K., Kelley, A., Murphy, J. G., & Venner, K. L. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1745254 · Cited by 2
“Studies have suggested that engagement and access to substance-free activities that are cultural, including family or broader social connection, and are outdoors, are important to prevention and treatment of alcohol and other substance use (14, 44–48).”
Greywolf, C. T., Palakiko, D., Pokhrel, P., & Kataoka‐Yahiro, M. (2026) · Nursing Inquiry · doi:10.1111/nin.70141 · Cited by 2
Percepções sobre o uso de álcool em uma comunidade indígena potiguar,
Barreto, I. F., Dimenstein, M. D. B., & Leite, J. F. (2022) · Psicologia Teoria e Pesquisa · doi:10.1590/0102.3772e38419.pt · Cited by 2
Perceptions on alcohol use in a Potiguar indigenous community,
Barreto, I. F., Dimenstein, M. D. B., & Leite, J. F. (2022) · Psicologia Teoria e Pesquisa · doi:10.1590/0102.3772e38419.en · Cited by 2
Wong, J., Delormier, T., Bergeron, D. A., Chan, H. M., Gabriel-Ferland, P., & Jock, B. (2025) · BMC Public Health · doi:10.1186/s12889-025-22196-3 · Cited by 2
“Findings in this study align with previous studies that have described cultural safety practices as creating space for the sharing of local Indigenous culture [16, 19, 22, 40, 58] and bridging Indigenous knowledges in western research [9, 18, 20, 22, 24, 25, 59, 60].”
Physical Activity Intervention Adaptation: Recommendations from Rural American Indian Older Adults
Pedersen, M., Harris, K. J., Brown, B. D., Grant, M., Kleinmeyer, C., Glass, A., Graham, N., & King, D. K. (2022) · Prevention Science · doi:10.1007/s11121-022-01342-y · Cited by 2
“1 3 participatory research (CBPR) approach to prioritize the inclusion of Indigenous voices and the goal of health equity throughout the research (Dickerson et al., 2020; Jernigan et al., 2020; Whitesell et al., 2018).”
BackgroundKelley, A., McCoy, T. P., Skye, M., Singer, M., Rushing, S. C., Perkins, T., Donald, C., Rajani, K., Bustamante, B. L. M., Milligan, K., et al. (2022) · PLoS ONE · doi:10.1371/journal.pone.0268510 · Cited by 2
Shrestha, U., Boland, S. E., Howley, C., Reed, N. D., Tuitt, N. R., Asdigian, N. L., Bull, S. S., Sarche, M. C., & Kaufman, C. E. (2023) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2023.2223160 · Cited by 2
“A systematic review of culturally grounded programs found most programs for AIANs are based in rural communities (Lauricella et al., 2016) and rarely integrate cultural elements salient for urban AIANs (D’Amico et al., 2020; Dickerson et al., 2020; Dickerson & Johnson, 2012; Walters et al., 2020).”
Ramos, L. L., Véliz, L. H., & Müller, J. R. (2022) · Revista Chilena de Enfermería · doi:10.5354/2452-5839.2022.66641 · Cited by 3
Enhancing Patients' E-Health Engagement Through Artificial Intelligence
Chauhan, A. S., Gulati, C., Mathur, G., & Sankpal, S. (2024) · Advances in healthcare information systems and administration book series · doi:10.4018/979-8-3693-5468-1.ch002 · Cited by 1
Wallace, V., Meldrum, K., Hornby‐Turner, Y. C., Quigley, R., Russell, S., & Strivens, E. (2025) · Dementia · doi:10.1177/14713012251355004 · Cited by 1
“However, health promotion programs designed using Western orientated approaches may not be appropriate for Indigenous peoples (Dickerson et al., 2020; O ’ Keefe et al., 2022; Sacca et al., 2022; Walters et al., 2020).”
InfluentialDorame, B., Donnellan, K., Babbel, B., Eppes, R., Benson, B., Kuehn, K., Dicken, M., & Hoskins, C. (2025) · The Gerontologist · doi:10.1093/geront/gnaf233 · Cited by 1
Mkumbuzi, N. S., Jiya, E., Chisati, E. M., Kemp, J. L., Barton, C., & Ezzat, A. M. (2026) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2026.13317 · Cited by 1
Reed, N. D., Sarche, M. C., Shrestha, U., Bull, S. S., Howley, C. T., Shangreau, C., Asdigian, N. L., Vossberg, R. L., Leon, J. S., & Kaufman, C. E. (2023) · Adversity and Resilience Science · doi:10.1007/s42844-023-00114-z · Cited by 1
“Recent work has expanded the original approach of CBPR, to create an Indigenist-specific CBPR (ICBPR) approach (Dickerson et al., 2020; Mitchell, 2018; Walters et al., 2020; Walters et al., 2009).”
MethodStanley, R. M., McKnight, A., Probst, Y., O’Flynn, G., & Tillott, S. (2024) · Pilot and Feasibility Studies · doi:10.1186/s40814-023-01422-y · Cited by 1
“The design phase needed to be flexible and adaptive to each community and Country, which was a core requirement to sustaining, enabling and empowering the community, mentors and children [46].”
BackgroundMethodInfluentialDickerson, D. L., D’Amico, E. J., Klein, D. J., Rodriguez, A., Dong, L., Brown, R. A., Johnson, C. L., & Troxel, W. (2025) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-025-02387-9 · Cited by 1
Self-citationKennedy, D. P., Brown, R. A., D’Amico, E. J., Dickerson, D. L., Johnson, C. L., Malika, N. M., Rodriguez, A., & Arvizu-Sanchez, V. (2025) · BMC Public Health · doi:10.1186/s12889-025-25150-5 · Cited by 2
“…well-being and healthy behaviors by addressing cultural identity, stigma, and community connections - as well as providing ways to promote health through engagement in traditional practices and culture – which is often protective and associated with decreased risk behavior [52–55, 59, 60, 63–65].”
Self-citationRichards, J. R., Bueno, Y., Begay, J., Chambers, R. S., Tingey, L., Teufel‐Shone, N. I., & Kahn‐John, M. (2022) · Journal of Transcultural Nursing · doi:10.1177/10436596221077670 · Cited by 1
“should inform such interventions to have the greatest impact on AI adolescent health disparities (Dickerson et al., 2020).”
BackgroundAkaka, G., Daniels, S.-A., Davis, K., Dillard, A. Y., Farrar, K., Goebert, D. A., Howard, J., Kaio, C., Makahi, E., Inada, M. K., et al. (2023) · Hawai‘i Journal of Health & Social Welfare · doi:10.62547/dqyn7451 · Cited by 1
Greywolf, C. T., Palakiko, D., Pokhrel, P., Vandewater, E. A., Kataoka‐Yahiro, M., & Casken, J. (2024) · doi:10.2196/preprints.68106 · Cited by 1
Palimaru, A. I., Malika, N., Brown, R. A., Holmes, P., Dickerson, D. L., Johnson, C. L., Sanchez, V. A., Schweigman, K., & D’Amico, E. J. (2026) · Journal of Substance Use and Addiction Treatment · doi:10.1016/j.josat.2026.209892 · Cited by 1
Self-citationWang, L., Yuwen, W., Cox, V. F., Chen, L., Zheng, H., Ning, Z., & Simoni, J. (2025) · AIDS and Behavior · doi:10.1007/s10461-025-04812-w
Gilder, D. A. (2018) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000000453
“, 2018) approach to designing and implementing culturally competent treatment programs (Venner et al., 2008; Venner et al., 2016; Dickerson et al., 2018; Ivanich et al., 2018) is most likely to be successful.”
BackgroundStriving for Being in the Line of Life: Personal Active Ageing Strategies among Iranian ElderPreprint
Dehkordi, F. R., Eslami, A. A., Zamani‐Alavijeh, F., & Matlabi, H. (2020) · Preprints.org · doi:10.20944/preprints202010.0556.v1
“Health promoting behaviors are affected by the culture and religion of the society(Dickerson et al., 2018).”
BackgroundMokalake, M. M. (2021) · Unisa Institutional Repository (University of South Africa)
Goins, R. T., Adamsen, C., Bendixen, B., Woodrich-Fernando, M., Joe, J. R., Besse, R., & Zuke, K. (2023) · Health Promotion Practice · doi:10.1177/15248399231201552
Leadbeater, B. J. R., Walker, M., Bowen, F., Barbic, S. P., Crooks, C. V., Mathias, S., Moretti, M. M., Sukhawathanakul, P., Pepler, D. J., Angelius, K., et al. (2023) · Canadian Journal of Community Mental Health · doi:10.7870/cjcmh-2023-031 · Cited by 1
“Many EBPIs have been successfully adapted and implemented within Indigenous communities; however, few have been widely disseminated, leading to inequities in access to EBPIs in Indigenous contexts (Dickerson et al., 2020).”
7. Behavioral Research to Reduce and Eliminate Health Disparities
McDaniel, M. D., & Parra-Medina, D. M. (2024) · American Public Health Association eBooks · doi:10.2105/9780875533476ch07
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“First, the way language is used and spoken varies by region and cultural group [7].”
Saavedra, R. Q., & Aubel, J. (2024) · Canadian Journal of Program Evaluation · doi:10.3138/cjpe-2023-0017
Mkumbuzi, N. S., Jiya, E., Chisati, E. M., Kemp, J. L., Barton, C. J., & Ezzat, A. M. (2025) · medRxiv · doi:10.1101/2025.02.07.25321791
Cultural Competence and Mental Health Promotion
Zaid, F. A. (2025) · Springer eBooks · doi:10.1007/978-981-92-1290-3_160
Cultural approaches to promote Indigenous mental health: weaving healthy families
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“Despite substantial growth and development (Dickerson et al., 2020), culturally grounded and family-focused interventions available to prevent mental health outcomes associated with substance misuse and violence among Indigenous peoples remain limited (D. Dickerson et al., 2020; Ka’apu & Burnette,…”
InfluentialFortalecimiento de capacidades institucionales y comunitarias en salud de trabajadores rurales
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Palimaru, A. I., Malika, N. M., Brown, R. A., Holmes, P., Dickerson, D. L., Johnson, C. L., Arvizu-Sanchez, V., Schweigman, K., & D’Amico, E. J. (2025) · SSRN Electronic Journal · doi:10.2139/ssrn.5356994
Self-citationD’Amico, E. J., Dickerson, D. L., Rodriguez, A., Brown, R. A., Kennedy, D. P., Palimaru, A. I., Johnson, C., Smart, R., Klein, D. J., Parker, J., et al. (2021) · Figshare · doi:10.6084/m9.figshare.16683021
Self-citationArmenta-Belen, K., Rey, L. F., Severns, J., Dickerson, D. L., Hedrick, V., Miele, G. M., Bhakta, M., Rutkowski, B. A., Freese, T. E., & Keepers, T. G. C. O. T. H. A. K. (2026) · Journal of Public Health Research · doi:10.1177/22799036251410263
“5,32 Implementation research indicates that community adoption of crisis response systems depends heavily on cultural congruence and local leadership, factors often overlooked in conventional service delivery models.”
Self-citationStifter, M., Grubin, F., Goklish, N. A., Larzelere, F., Suttle, R., Garcia, M., Kaytoggy, C., Minjarez, T., Tessay, R., Cwik, M. F., et al. (2026) · Pilot and Feasibility Studies · doi:10.1186/s40814-026-01779-w
Self-care skills training for school-age leukemia patients: current evidence and future directions
Feng, T., Zhang, C., & Zhang, L. Y. (2026) · European Journal of Pediatrics · doi:10.1007/s00431-026-06780-2
“The outcome will be evidence to shape local and international policies [48].”
Hummel, B., van Schalkwijk, D. L., Zipfel, N., Tuithof, P. T. C., Mommersteeg, P. M. C., Harskamp, R. E., & van Valkengoed, I. G. M. (2026) · PLoS ONE · doi:10.1371/journal.pone.0344093
Takagi, M. A., Mehmood, H., Hoque, A. R., & Ragina, N. P. (2026) · COVID · doi:10.3390/covid6050080
“A systematic review identified key components of effective communication, including cultural congruence, Indigenous involvement in message design, and the use of trusted messengers [7,21].”
Nabofa, O. E. (2026) · Qeios · doi:10.32388/jovmkr
Redwood, D. G., Flanagan, C. A., Jeffries, L., Holck, P., Rutten, L. F., Desnoyers, C., Bailie, D., & Kisiel, J. B. (2026) · BMC Family Practice · doi:10.1186/s12875-026-03370-x
Challenges and Barriers to the Implementation of Women-Tailored Evidence-Based Interventions
Vernon, M., Ilatovskaya, D., Hollis, F., Carrillo, A., Harris, R. A., Ryan, M. J., & Sullivan, J. C. (2026) · Physiology in health and disease · doi:10.1007/978-3-032-26472-5_2
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Self-citationGuruge, G. N. D., Herath, H. M. T. P., Young, S. M., Perera, M. N., Dharmaratne, S. D., & Gunathunga, M. W. (2026) · Health Promotion Practice · doi:10.1177/15248399261485465
Restoring Pono in Native Hawaiian Communities: Historical Trauma and Resilience Across Generations
Su'esu'e, A., Greywolf, C. T., Smith, H., Kaneakua, J. P., Keyes, K. B., & Riley, L. (2026) · Genealogy · doi:10.3390/genealogy10040155
“The prevalence of heart disease is 20% higher among American Indians than among all other racial groups in the United States (Barnes et al. 2010), and is 68% higher among NHs compared to other ethnic groups in Hawai‘i (Dickerson et al. 2020; Nakagawa et al. 2015).”
InfluentialDesigning a Pediatric Health Unit for Indigenous Communities
Tsosie, C. R., Lowenthal, E. D., & Sanseau, E. (2026) · Academic Pediatrics · doi:10.1016/j.acap.2026.103490
Metadata
- 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
- Venue
- Prevention Science
- Published
- 2018-06-29
- Volume
- 21
- Issue
- S1
- Pages
- 33-42
- ISSN
- 1389-4986 (ISSN-L)
- 1573-6695
- 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
- 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 › Medicine › Public Health, Environmental and Occupational Health › Community Health and Development
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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