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"We don't separate out these things. Everything is related": Partnerships with indigenous communities to design, implement, and evaluate multilevel interventions to reduce health disparities

Rink E, Stotz SA, Johnson-Jennings M, Huyser K, Collins K, Manson SM, Berkowitz SA, Hebert L, Byker Shanks C, Begay K, Hicks T, Dennison M, Jiang L, Firemoon P, Johnson O, Anastario M, Ricker A, GrowingThunder R, Baldwin J
Prev Sci
Multilevel interventions (MLIs) are appropriate to reduce health disparities among Indigenous peoples because of their ability to address these communities' diverse histories, dynamics, cultures, politics, and environments. Intervention science has highlighted the importance of context-sensitive MLIs in Indigenous communities that can prioritize Indigenous and local knowledge systems and emphasize the collective versus the individual. This paradigm shift away from individual-level focus interventions to community-level focus interventions underscores the need for community engagement and diverse partnerships in MLI design, implementation, and evaluation. In this paper, we discuss three case studies addressing how Indigenous partners collaborated with researchers in each stage of the design, implementation, and evaluation of MLIs to reduce health disparities impacting their communities. We highlight the following: (1) collaborations with multiple, diverse tribal partners to carry out MLIs which require iterative, consistent conversations over time; (2) inclusion of qualitative and Indigenous research methods in MLIs as a way to honor Indigenous and local knowledge systems as well as a way to understand a health disparity phenomenon in a community; and (3) relationship building, maintenance, and mutual respect among MLI partners to reconcile past research abuses, prevent extractive research practices, decolonize research processes, and generate co-created knowledge between Indigenous and academic communities.

Rink E, Stotz SA, Johnson-Jennings M, et al. "We don't separate out these things. Everything is related": partnerships with indigenous communities to design, implement, and evaluate multilevel interventions to reduce health disparities. Prev Sci. 2024. Epub ahead of print. DOI:10.1007/s11121-024-01668-9. PMID: 38598040

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Publication year
Resource type
Peer Reviewed Research
Outcomes
Social Needs/ SDH
Population
Complex Patients
Social Determinant of Health
Food/Hunger
Study design
Other Study Design