AI Article Synopsis

  • - Multilevel interventions (MLIs) are effective in reducing health disparities among Indigenous peoples by considering their unique histories, cultures, and community dynamics, promoting a shift towards community-level focus rather than individual-level interventions.
  • - The paper reviews three case studies where Indigenous communities collaborated with researchers throughout the MLI process, emphasizing the importance of ongoing conversations, incorporating Indigenous knowledge, and using qualitative methods to better understand health issues.
  • - Key to successful MLIs are building respectful relationships, addressing historical research abuses, and fostering mutual collaboration to create equitable and meaningful solutions that benefit both Indigenous and academic communities.

Article Abstract

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11239303PMC
http://dx.doi.org/10.1007/s11121-024-01668-9DOI Listing

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