Community Based Participatory Research (CBPR): A Dynamic Process of Health care, Provider Perceptions and American Indian Patients' Resilience

• Published in: Journal of health care for the poor and underserved Vol. 30; no. 1; pp. 221 - 237
• Main Authors: Hulen, Elizabeth, Hardy, Lisa J, Teufel-Shone, Nicolette, Sanderson, Priscilla R, Schwartz, Anna L, Begay, R. Cruz
• Format: Journal Article
• Language: English
• Published: United States Johns Hopkins University Press 01.01.2019
• Subjects: Adults; American Indians; Cancer; Communication; Community based action research; Community involvement; Community participation; Community support; Health care; Health disparities; Health risks; Indigenous peoples; Medical personnel; Medical research; Native Americans; Native North Americans; Native peoples; Off reservation living; Participatory research; Patient satisfaction; Patients; Perceptions; Physicians; Prejudice; Resilience; Supporters; United States > US; Arizona
• ISSN: 1049-2089; 1548-6869; 1548-6869
• DOI: 10.1353/hpu.2019.0017

American Indians are disproportionately affected by factors that lead to health disparities, however many Native people demonstrate resilience when faced with health risks. Study objectives were to use a resilience framework to identify wellness strategies among American Indian people and to assess health care provider perceptions of American Indian wellness. Participants included 39 American Indian adults who self-reported resilient change and 22 health care providers who served American Indian patients. Thematic categories across American Indian and health care provider data were identified: 1) relationships inform resilience; 2) prejudice stymies resilience; and 3) place shapes resilience. Results indicated the salience of relationships in demonstrating resilience. Identified challenges and supporters of resilience are discussed.