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

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...

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Published inJournal 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
LanguageEnglish
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
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Abstract 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.
AbstractList 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.
Author Begay, R. Cruz
Hulen, Elizabeth
Teufel-Shone, Nicolette
Schwartz, Anna L
Hardy, Lisa J
Sanderson, Priscilla R
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  fullname: Begay, R. Cruz
BackLink https://www.ncbi.nlm.nih.gov/pubmed/30827979$$D View this record in MEDLINE/PubMed
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Copyright Copyright © Meharry Medical College.
Copyright Johns Hopkins University Press Feb 2019
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SubjectTerms 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
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Title Community Based Participatory Research (CBPR): A Dynamic Process of Health care, Provider Perceptions and American Indian Patients' Resilience
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