Nancy Rumbaugh Whitesell
Biographic Data
| ID | 4608875 |
|---|---|
| NAME | Nancy Rumbaugh Whitesell |
| GIVEN NAMES | Nancy Rumbaugh |
| FAMILY NAME | Whitesell |
| SIGNATURE | WHITESELL N R |
| AFFILIATIONS | Colorado School of Public Health |
| ORCID | 0000-0002-3383-3194 |
| VERIFIED | Yes |
| TOTAL WORKS | 41 |
| TOTAL CITATIONS | 277 |
| AUTHOR COUNT | 41 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1992 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 8 |
Participant Perceptions of the Acceptability, Feasibility, and Perceived Impact of the Thiwáhe Gluwáš’akapi Substance Use Prevention Program for American Indian Youth
(1) Background: This study aimed to examine adult participants perceptions of the Thiwáhe Gluwáš'akapi (TG) program. We recruited 13 of 85 (15.3%) adult participants from various previous cohorts of the TG program, separated into lower and higher participation groups. Qualitative semi-structured interviews were conducted. This study was conducted on a Northern Plains reservation, and interviews took place via phone. (2) Methods: Semi-structured i…
Co‐creating a conceptual model of Indigenous relational wellbeing in early childhood: Planting seeds of connectedness
The purpose of this article is to share our story of conceptualizing Indigenous early relational wellbeing (ERW), specifically reflecting American Indian and Alaska Native worldviews. Our approach is grounded in Indigenous methodologies and guided by a Community of Learning comprised of Indigenous and allied Tribal early childhood community partners, researchers, practitioners, and federal funders. We describe the steps we took to conceptualize c…
Flexibility and resilience in equity-centered research: Lessons learned conducting a randomized controlled trial of a family-based substance use prevention program for American Indian families
Meaningful and effective community engagement lies at the core of equity-centered research, which is a powerful tool for addressing health disparities in American Indian (AI) communities. It is essential for centering Indigenous wisdom as a source of solutions and disrupting Western-centric perspectives and inequitable and exclusionary research practices. This paper reports on lessons learned implementing an effectiveness trial of the Thiwáhe Glú…
Engaging Indigenous communities in research to inform practice: The multisite implementation evaluation of Tribal home visiting
Community engagement (CE) is widely acknowledged as a way to enhance the ethics, rigor, and impact of research. Additionally, CE is a demonstrated way to integrate Indigenous and colonial (western) research systems. For these reasons and others, designers of the Multi‐site Implementation Evaluation of Tribal Home Visiting (MUSE) used a community‐engaged approach to study the implementation of federally funded home‐visiting programs across 17 Indi…
Grounding evidence-based prevention within cultural context: Promising effects of substance use prevention adapted for American Indian families
Background : Effective substance use prevention strategies are needed for American Indian (AI) youth, who face disproportionate risk for early substance use and consequently bear a disproportionate burden of health and developmental disparities related to early use. With few exceptions, significant advances in prevention science have largely excluded this population, leaving gaps in the evidence of effective practice. This paper builds on emergin…
Increasing Native Research Leadership Through an Early Career Development Program
Inequities impact American Indian, Alaska Native, and Native Hawaiian populations across various health conditions; in particular, many Native communities bear a disproportionate burden of substance use disorder. Such inequities persist despite concerted efforts of communities and significant research directed toward prevention and intervention. One factor hampering these efforts is the underrepresentation of researchers who are themselves Native…
Crisis-Resilient and Antiracist Approaches to Community-Based Participatory Research During Covid-19 and Beyond
Social and health inequities among communities of color are deeply embedded in the United States and were exacerbated by the COVID-19 pandemic. Community-based participatory research (CBPR) is a powerful approach to advance health equity. However, emergencies both as global as a pandemic or as local as a forest fire have the power to interrupt research programs and weaken community relationships. Drawing from Public Health Critical Race Praxis (P…
Implementation Factors and Teacher Experience of the Integrated Nutrition Education Program: A Mixed Methods Program Evaluation
BACKGROUND: School-based programs are widely implemented to address childhood obesity. Despite the promise of these programs, evidence on their effectiveness is mixed. Adopting a dissemination and implementation (D&I) science focus utilizing mixed methods can provide a broader understanding and more robust details about these programs. The goal of this evaluation is to understand how implementation factors and teacher experience influence impleme…
Centering Indigenous Knowledges and Worldviews: Applying the Indigenist Ecological Systems Model to Youth Mental Health and Wellness Research and Programs
Globally, Indigenous communities, leaders, mental health providers, and scholars have called for strengths-based approaches to mental health that align with Indigenous and holistic concepts of health and wellness. We applied the Indigenist Ecological Systems Model to strengths-based case examples of Indigenous youth mental health and wellness work occurring in CANZUS (Canada, Australia, New Zealand, and United States). The case examples include r…
Exploring the feasibility of validating early developmental screening tools for American Indian and Alaska Native children
Screening children from birth through age 5 is critical to early identification of challenges and referral to intervention to support optimal development. Screening of American Indian and Alaska Native (AIAN) children lags behind that of other children, partly due to the lack of screening tools validated for this population. This study tested the feasibility of an online data collection strategy for use in a future study of the validity of existi…
Community perspectives on developmental screening of American Indian and Alaska Native children
Children are highly regarded and treasured as the future of American Indian and Alaska Native (AIAN) communities. Developmental disorders, however, are more frequently undiagnosed and untreated in AIAN children compared to others in the United States. Developmental screening can help communities ensure that their children reach their full potential, but lack of culturally sensitive and valid screening measures complicates screening among AIAN chi…
Measure of Socialization of American Indian Children (Mosaic): Understanding the roots of ethnic–racial identity
Dimensions of ERS common to measures developed for other populations emerged as relevant for AI families, with adaptations to reflect the unique context of this population. Further work is needed to confirm the structure of the MOSAIC in both this AI community and with other diverse indigenous populations. (PsycInfo Database Record (c) 2023 APA, all rights reserved
Moving the prevention timeline: A scoping review of the literature on precursors to sexual risk in early adolescence among youth of color
INTRODUCTION: Sexual health disparities are leading causes of morbidity among youth of color in the United States. We conducted a scoping review of the literature on precursors to sexual risk-taking among young adolescents of color (ages 10-14) to assess precedents of sexual experience and their utility as measurable proximal constructs and behaviors gauging sexual risk and sexual risk prevention efforts. METHODS: This study was conducted using t…
Persistent Concerns: Questions for Research on Ethnic-Racial Identity Development
Research on ethnic-racial identity (ERI) and its development has increased exponentially over the past decade. In this paper we discuss five questions that the Lifespan ERI Study Group grappled with in our effort propose a lifespan model of ERI: (1) When does ERI development begin and end? (2) How do we account for age-dependent and contextually-initiated factors in ERI? (3) Should there be a reference point for healthy ERI, and if so, what is it…
A Lifespan Model of Ethnic-Racial Identity
The current paper presents a lifespan model of ethnic-racial identity (ERI) from infancy into adulthood. We conceptualize that ethnic-racial priming during infancy prompts nascent awareness of ethnicity/race that becomes differentiated across childhood and through adulthood. We propose that the components of ERI that have been tested to date fall within five dimensions across the lifespan: ethnic-racial awareness, affiliation, attitudes, behavior…
Dissemination and uptake of HIV/STD preventive interventions in American Indian and Alaska Native communities: A case study
Objectives: HIV and sexually transmitted diseases (STDs) are serious health conditions among American Indian and Alaska Native (AIAN) populations, especially youth. However, few sexual risk reduction evidence-based interventions (EBIs) have been implemented by AIAN-serving organizations. This project sought to identify and assess the parameters facilitating the uptake and use of EBIs in order to strengthen opportunities for sustainability and imp…
Methodological Considerations for Home‐visiting Research in Tribal Communities
Drawing on previous studies and the collective experience of conducting rigorous evaluations as part of the Tribal Maternal, Infant, and Early Childhood Home Visiting grants, we outline methodological considerations that will inform future research in tribal communities, particularly in the area of home visiting. The methodological issues we discuss are study design choices, measurement and data collection, and including community members in all …
Measurement Issues in Home‐visiting Research Within Tribal Communities: Challenges and Strategies
In this article, Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) grantees share strategies they have developed and adopted to address the most common barriers to effective measurement (and thus to effective evaluation) encountered in the course of implementation and evaluation of their home‐visiting programs. We identify key challenges in measuring outcomes in Tribal MIECHV Programs and provide practical examples of various st…
Approaches to the Evaluation of Cultural Adaptations of Home Visiting in Tribal Communities
The research that underlies evidence‐based practices is often based on relatively homogenous study samples, thus limiting our ability to understand how the study findings apply in new situations as well as our understanding of what might need to be adapted. In a preliminary effort to address those gaps, the requirements for the Tribal Maternal Infant and Early Childhood Home Visiting Program (MIECHV) included the expectation that grantees design …
Research with American Indian and Alaska Native populations: Measurement matters
Research is an important tool in addressing myriad American Indian and Alaska Native (AIAN) health disparities; however, tensions exist between common empirical measurement approaches that facilitate cross-cultural comparisons and measurement specificity that may be more valid locally and/or culturally appropriate. The tremendous diversity of AIAN communities, small population sizes of distinct AIAN cultural groups, and varying cultural contexts …
Assessing the Theory of Gender and Power: HIV Risk Among Heterosexual Minority Dyads
Advancing Scientific Methods in Community and Cultural Context to Promote Health Equity: Lessons From Intervention Outcomes Research With American Indian and Alaska Native Communities
Evidence-based interventions hold promise for reducing gaps in health equity across diverse populations, but evidence about effectiveness within these populations lags behind the mainstream, often leaving opportunities to fulfill this promise unrealized. Mismatch between standard intervention outcomes research methods and the cultural and community contexts of populations at greatest risk presents additional challenges in designing and implementi…
Self‐Efficacy About Sexual Risk/Protective Behaviors: Intervention Impact Trajectories Among American Indian Youth
For adolescents, normative development encompasses learning to negotiate challenges of sexual situations; of special importance are skills to prevent early pregnancy, HIV, and other sexually transmitted diseases. Disparities in sexual risk among American Indian youth point to the importance of intervening to attenuate this risk. This study explored the impact of Circle of Life (COL), an HIV prevention intervention based on social cognitive theory…
The Survey of Well-Being of Young Children: Results of a Feasibility Study With American Indian and Alaska Native Communities
This study examined the feasibility of the Survey of Well-Being of Young Children (SWYC), a new screener for socioemotional and developmental problems and family risk in children birth to age 5 years, for use in American Indian and Alaska Native (AIAN) communities. A Community of Learning within the Tribal Early Childhood Research Center, composed of university researchers, tribal early childhood program staff and evaluators, and federal partners…
Effectiveness of Circle of Life, an HIV-Preventive Intervention for American Indian Middle School Youths: A Group Randomized Trial in a Northern Plains Tribe
Objectives. We assessed the effectiveness of Circle of Life (COL), an HIV-preventive intervention developed specifically for American Indian and Alaska Native (AI/AN) middle school youths. Methods. By partnering with a tribal community, we conducted a longitudinal wait-listed group randomized trial with 635 seventh and eighth graders in 13 schools of a Northern Plains tribe. We surveyed participants at baseline, 3 months, and 12 months from 2006 …
A Lifespan Model of Ethnic-Racial Identity
The current paper presents a lifespan model of ethnic-racial identity (ERI) from infancy into adulthood. We conceptualize that ethnic-racial priming during infancy prompts nascent awareness of ethnicity/race that becomes differentiated across childhood and through adulthood. We propose that the components of ERI that have been tested to date fall within five dimensions across the lifespan: ethnic-racial awareness, affiliation, attitudes, behavior…
Level of voice among female and male high school students: Relational context, support, and gender orientation
Adolescence brings with it displays of false self-behavior, including the suppression of opinions. C. Gilligan (1993) argued that lack of "voice" is problematic for girls when they enter adolescence. In the present study, the authors examined level of self-reported voice with parents, teachers, male classmates, female classmates, and close friends among both female and male high school students. Findings revealed no gender differences nor evidenc…
Persistent Concerns: Questions for Research on Ethnic-Racial Identity Development
Research on ethnic-racial identity (ERI) and its development has increased exponentially over the past decade. In this paper we discuss five questions that the Lifespan ERI Study Group grappled with in our effort propose a lifespan model of ERI: (1) When does ERI development begin and end? (2) How do we account for age-dependent and contextually-initiated factors in ERI? (3) Should there be a reference point for healthy ERI, and if so, what is it…
Trajectories of Substance Use Among Young American Indian Adolescents: Patterns and Predictors
Individual Differences in the Effects of Educational Transitions on Young Adolescent’s Perceptions of Competence and Motivational Orientation
We conducted two studies to examine the effects of changing educational environments on children’s academic self-concepts and motivation. In the first study, we examined the effects of transitions to a new grade or a new school on children’s perceptions of their scholastic competence, their motivational orientation, and their anxiety and general affect about school performance. Four groups of children were examined longitudinally as they made the…
Relational expression of ethnic identity in Chinese Americans
The conceptualization of ethnic identity as a dynamic construct differentially expressed as a function of relational context was examined in 207 Chinese Americans. Relational differentiations were made such that individuals expressed their ethnic identity most when with Asian peers, followed by parents, then Caucasian peers. Factor analysis supported differentiations across same-ethnic and different-ethnic contexts. To illustrate the utility of a…
Autonomy and Connectedness as Dimensions of Relationship Styles in Men and Women
This study identified a trichotomy of styles that characterize adults' relationships with partners: self-focused autonomy, other-focused connection, and mutuality. Each style was defined by several dimensions; dominance-submission, whose needs are met, sensitivity to the partner's feelings, clarity of feelings, separateness vs intimacy, and concern with the relationship. Participants were adults, aged 18-70 years, who responded to a newspaper sur…
Advancing Scientific Methods in Community and Cultural Context to Promote Health Equity: Lessons From Intervention Outcomes Research With American Indian and Alaska Native Communities
Evidence-based interventions hold promise for reducing gaps in health equity across diverse populations, but evidence about effectiveness within these populations lags behind the mainstream, often leaving opportunities to fulfill this promise unrealized. Mismatch between standard intervention outcomes research methods and the cultural and community contexts of populations at greatest risk presents additional challenges in designing and implementi…
A longitudinal study of self-esteem, cultural identity, and academic success among American Indian adolescents
Latent growth curve modeling was used to estimate developmental trajectories of self-esteem and cultural identity among American Indian high school students and to explore the relationships of these trajectories to personal resources, problem behaviors, and academic performance at the end of high school. The sample included 1,611 participants from the Voices of Indian Teens project, a 3-year longitudinal study of adolescents from 3 diverse Americ…
Cumulative Risk for Early Sexual Initiation Among American Indian Youth: A Discrete‐Time Survival Analysis
Approximately 3 million teens are diagnosed with a sexually transmitted disease (STD) annually; STDs rates for American Indian young adults are among the highest of any racial/ethnic group. An important risk factor for STDs is early initiation of sex. In this study, we examined risk for early initiation with 474 American Indian youth ages 14–18, using 11 risk factors from three developmentally important microsystems (family, school, peers) along …
The Survey of Well-Being of Young Children: Results of a Feasibility Study With American Indian and Alaska Native Communities
This study examined the feasibility of the Survey of Well-Being of Young Children (SWYC), a new screener for socioemotional and developmental problems and family risk in children birth to age 5 years, for use in American Indian and Alaska Native (AIAN) communities. A Community of Learning within the Tribal Early Childhood Research Center, composed of university researchers, tribal early childhood program staff and evaluators, and federal partners…
Similarities and Differences in Domain-Specific and Global Self-Evaluations of Learning-Disabled, Behaviorally Disordered, and Normally Achieving Adolescents
Similarities and differences in the domain-specific and global self-evaluations of 235 normally achieving, 118 learning-disabled, and 70 behaviorally disordered adolescents were documented. Factor analysis revealed eight discrete self-concept domains for each group. The importance of success in each domain was similar for each group, as were processes predicting level of self-worth. Consistent with W. James’ (1892) formulation, students with high…
Measurement Issues in Home‐visiting Research Within Tribal Communities: Challenges and Strategies
In this article, Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) grantees share strategies they have developed and adopted to address the most common barriers to effective measurement (and thus to effective evaluation) encountered in the course of implementation and evaluation of their home‐visiting programs. We identify key challenges in measuring outcomes in Tribal MIECHV Programs and provide practical examples of various st…
Community perspectives on developmental screening of American Indian and Alaska Native children
Children are highly regarded and treasured as the future of American Indian and Alaska Native (AIAN) communities. Developmental disorders, however, are more frequently undiagnosed and untreated in AIAN children compared to others in the United States. Developmental screening can help communities ensure that their children reach their full potential, but lack of culturally sensitive and valid screening measures complicates screening among AIAN chi…
Approaches to the Evaluation of Cultural Adaptations of Home Visiting in Tribal Communities
The research that underlies evidence‐based practices is often based on relatively homogenous study samples, thus limiting our ability to understand how the study findings apply in new situations as well as our understanding of what might need to be adapted. In a preliminary effort to address those gaps, the requirements for the Tribal Maternal Infant and Early Childhood Home Visiting Program (MIECHV) included the expectation that grantees design …
Effectiveness of Circle of Life, an HIV-Preventive Intervention for American Indian Middle School Youths: A Group Randomized Trial in a Northern Plains Tribe
Objectives. We assessed the effectiveness of Circle of Life (COL), an HIV-preventive intervention developed specifically for American Indian and Alaska Native (AI/AN) middle school youths. Methods. By partnering with a tribal community, we conducted a longitudinal wait-listed group randomized trial with 635 seventh and eighth graders in 13 schools of a Northern Plains tribe. We surveyed participants at baseline, 3 months, and 12 months from 2006 …
Marijuana Initiation in 2 American Indian Reservation Communities: Comparison With a National Sample
Objectives. We examined disparities in age-related patterns of marijuana initiation in 2 culturally distinct American Indian reservation communities (from the Northern Plains and the Southwest) compared with a national sample. Methods. We used discrete-time survival models to estimate age-related risk for initiation with data from 2 population-based studies: the American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Fa…
Co‐creating a conceptual model of Indigenous relational wellbeing in early childhood: Planting seeds of connectedness
The purpose of this article is to share our story of conceptualizing Indigenous early relational wellbeing (ERW), specifically reflecting American Indian and Alaska Native worldviews. Our approach is grounded in Indigenous methodologies and guided by a Community of Learning comprised of Indigenous and allied Tribal early childhood community partners, researchers, practitioners, and federal funders. We describe the steps we took to conceptualize c…
Engaging Indigenous communities in research to inform practice: The multisite implementation evaluation of Tribal home visiting
Community engagement (CE) is widely acknowledged as a way to enhance the ethics, rigor, and impact of research. Additionally, CE is a demonstrated way to integrate Indigenous and colonial (western) research systems. For these reasons and others, designers of the Multi‐site Implementation Evaluation of Tribal Home Visiting (MUSE) used a community‐engaged approach to study the implementation of federally funded home‐visiting programs across 17 Indi…
Exploring the feasibility of validating early developmental screening tools for American Indian and Alaska Native children
Screening children from birth through age 5 is critical to early identification of challenges and referral to intervention to support optimal development. Screening of American Indian and Alaska Native (AIAN) children lags behind that of other children, partly due to the lack of screening tools validated for this population. This study tested the feasibility of an online data collection strategy for use in a future study of the validity of existi…
Measure of Socialization of American Indian Children (Mosaic): Understanding the roots of ethnic–racial identity
Dimensions of ERS common to measures developed for other populations emerged as relevant for AI families, with adaptations to reflect the unique context of this population. Further work is needed to confirm the structure of the MOSAIC in both this AI community and with other diverse indigenous populations. (PsycInfo Database Record (c) 2023 APA, all rights reserved
Methodological Considerations for Home‐visiting Research in Tribal Communities
Drawing on previous studies and the collective experience of conducting rigorous evaluations as part of the Tribal Maternal, Infant, and Early Childhood Home Visiting grants, we outline methodological considerations that will inform future research in tribal communities, particularly in the area of home visiting. The methodological issues we discuss are study design choices, measurement and data collection, and including community members in all …
Self‐Efficacy About Sexual Risk/Protective Behaviors: Intervention Impact Trajectories Among American Indian Youth
For adolescents, normative development encompasses learning to negotiate challenges of sexual situations; of special importance are skills to prevent early pregnancy, HIV, and other sexually transmitted diseases. Disparities in sexual risk among American Indian youth point to the importance of intervening to attenuate this risk. This study explored the impact of Circle of Life (COL), an HIV prevention intervention based on social cognitive theory…
Individual Differences in the Effects of Educational Transitions on Young Adolescent’s Perceptions of Competence and Motivational Orientation
We conducted two studies to examine the effects of changing educational environments on children’s academic self-concepts and motivation. In the first study, we examined the effects of transitions to a new grade or a new school on children’s perceptions of their scholastic competence, their motivational orientation, and their anxiety and general affect about school performance. Four groups of children were examined longitudinally as they made the…
Autonomy and Connectedness as Dimensions of Relationship Styles in Men and Women
This study identified a trichotomy of styles that characterize adults' relationships with partners: self-focused autonomy, other-focused connection, and mutuality. Each style was defined by several dimensions; dominance-submission, whose needs are met, sensitivity to the partner's feelings, clarity of feelings, separateness vs intimacy, and concern with the relationship. Participants were adults, aged 18-70 years, who responded to a newspaper sur…
Level of voice among female and male high school students: Relational context, support, and gender orientation
Adolescence brings with it displays of false self-behavior, including the suppression of opinions. C. Gilligan (1993) argued that lack of "voice" is problematic for girls when they enter adolescence. In the present study, the authors examined level of self-reported voice with parents, teachers, male classmates, female classmates, and close friends among both female and male high school students. Findings revealed no gender differences nor evidenc…
Similarities and Differences in Domain-Specific and Global Self-Evaluations of Learning-Disabled, Behaviorally Disordered, and Normally Achieving Adolescents
Similarities and differences in the domain-specific and global self-evaluations of 235 normally achieving, 118 learning-disabled, and 70 behaviorally disordered adolescents were documented. Factor analysis revealed eight discrete self-concept domains for each group. The importance of success in each domain was similar for each group, as were processes predicting level of self-worth. Consistent with W. James’ (1892) formulation, students with high…
Beyond the Debate: Why Some Adolescents Report Stable Self‐Worth Over Time and Situation, Whereas Others Report Changes in Self‐Worth
Within the field of personality and social psychology, there has been historical controversy over whether constructs such as self‐esteem are stable over time and situation or whether they are changeable. One response to this question has been to invoke two types of self‐esteem or self‐worth, trait self‐esteem and state self‐esteem. Thus it has been asserted that adolescents, the participants in this paper, have both a baseline self‐esteem as well…
Prevalence of Mental Disorders and Utilization of Mental Health Services in Two American Indian Reservation Populations: Mental Health Disparities in a National Context
OBJECTIVE: The American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project (AI-SUPERPFP) provided estimates of the prevalence of DSM-III-R disorders and utilization of services for help with those disorders in American Indian populations. Completed between 1997 and 1999, the AI-SUPERPFP was designed to allow comparison of findings with the results of the baseline National Comorbidity Survey (NCS), conducted …
Cumulative Risk for Early Sexual Initiation Among American Indian Youth: A Discrete‐Time Survival Analysis
Approximately 3 million teens are diagnosed with a sexually transmitted disease (STD) annually; STDs rates for American Indian young adults are among the highest of any racial/ethnic group. An important risk factor for STDs is early initiation of sex. In this study, we examined risk for early initiation with 474 American Indian youth ages 14–18, using 11 risk factors from three developmentally important microsystems (family, school, peers) along …
Marijuana Initiation in 2 American Indian Reservation Communities: Comparison With a National Sample
Objectives. We examined disparities in age-related patterns of marijuana initiation in 2 culturally distinct American Indian reservation communities (from the Northern Plains and the Southwest) compared with a national sample. Methods. We used discrete-time survival models to estimate age-related risk for initiation with data from 2 population-based studies: the American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Fa…
Disparities in drug use and disorder: Comparison of two American Indian reservation communities and a national sample
Population-based samples provided estimates of drug use and disorder in two American Indian populations. Comparison to a national sample revealed tribal-national, intertribal, and intratribal gender and age differences. Findings suggest that disparities in drug use and disorder are complex, characterized by important variations across diverse American Indian tribal cultures
Relational expression of ethnic identity in Chinese Americans
The conceptualization of ethnic identity as a dynamic construct differentially expressed as a function of relational context was examined in 207 Chinese Americans. Relational differentiations were made such that individuals expressed their ethnic identity most when with Asian peers, followed by parents, then Caucasian peers. Factor analysis supported differentiations across same-ethnic and different-ethnic contexts. To illustrate the utility of a…
Effects of an Internet-Based Intervention for HIV Prevention: The Youthnet Trials
Reflections on a proposed theory of reservation-dwelling American Indian alcohol use: Comment on Spillane and Smith (2007)
In their recent article, N. Spillane and G. Smith suggested that reservation-dwelling American Indians have higher rates of problem drinking than do either non-American Indians or those American Indians living in nonreservation settings. These authors further argued that problematic alcohol use patterns in reservation communities are due to the lack of contingencies between drinking and "standard life reinforcers" (SLRs), such as employment, hous…
Health-related quality of life and help seeking among American Indians with diabetes and hypertension
A longitudinal study of self-esteem, cultural identity, and academic success among American Indian adolescents
Latent growth curve modeling was used to estimate developmental trajectories of self-esteem and cultural identity among American Indian high school students and to explore the relationships of these trajectories to personal resources, problem behaviors, and academic performance at the end of high school. The sample included 1,611 participants from the Voices of Indian Teens project, a 3-year longitudinal study of adolescents from 3 diverse Americ…
Epidemiology and Etiology of Substance Use among American Indians and Alaska Natives: Risk, Protection, and Implications for Prevention
BACKGROUND: The epidemiology and etiology of substance use and disorder in American Indian and Alaska Native (AI/AN) communities have received increasing attention over the past 25 years and accumulating evidence provides important insights into substance use patterns in these populations. OBJECTIVES AND METHODS: We provide a descriptive sketch of the AI/AN population in the United States today, present a brief review of the literature on the epi…
Trajectories of Substance Use Among Young American Indian Adolescents: Patterns and Predictors
Effectiveness of Circle of Life, an HIV-Preventive Intervention for American Indian Middle School Youths: A Group Randomized Trial in a Northern Plains Tribe
Objectives. We assessed the effectiveness of Circle of Life (COL), an HIV-preventive intervention developed specifically for American Indian and Alaska Native (AI/AN) middle school youths. Methods. By partnering with a tribal community, we conducted a longitudinal wait-listed group randomized trial with 635 seventh and eighth graders in 13 schools of a Northern Plains tribe. We surveyed participants at baseline, 3 months, and 12 months from 2006 …
The Survey of Well-Being of Young Children: Results of a Feasibility Study With American Indian and Alaska Native Communities
This study examined the feasibility of the Survey of Well-Being of Young Children (SWYC), a new screener for socioemotional and developmental problems and family risk in children birth to age 5 years, for use in American Indian and Alaska Native (AIAN) communities. A Community of Learning within the Tribal Early Childhood Research Center, composed of university researchers, tribal early childhood program staff and evaluators, and federal partners…
Research with American Indian and Alaska Native populations: Measurement matters
Research is an important tool in addressing myriad American Indian and Alaska Native (AIAN) health disparities; however, tensions exist between common empirical measurement approaches that facilitate cross-cultural comparisons and measurement specificity that may be more valid locally and/or culturally appropriate. The tremendous diversity of AIAN communities, small population sizes of distinct AIAN cultural groups, and varying cultural contexts …
Assessing the Theory of Gender and Power: HIV Risk Among Heterosexual Minority Dyads
Advancing Scientific Methods in Community and Cultural Context to Promote Health Equity: Lessons From Intervention Outcomes Research With American Indian and Alaska Native Communities
Evidence-based interventions hold promise for reducing gaps in health equity across diverse populations, but evidence about effectiveness within these populations lags behind the mainstream, often leaving opportunities to fulfill this promise unrealized. Mismatch between standard intervention outcomes research methods and the cultural and community contexts of populations at greatest risk presents additional challenges in designing and implementi…
Self‐Efficacy About Sexual Risk/Protective Behaviors: Intervention Impact Trajectories Among American Indian Youth
For adolescents, normative development encompasses learning to negotiate challenges of sexual situations; of special importance are skills to prevent early pregnancy, HIV, and other sexually transmitted diseases. Disparities in sexual risk among American Indian youth point to the importance of intervening to attenuate this risk. This study explored the impact of Circle of Life (COL), an HIV prevention intervention based on social cognitive theory…
Dissemination and uptake of HIV/STD preventive interventions in American Indian and Alaska Native communities: A case study
Objectives: HIV and sexually transmitted diseases (STDs) are serious health conditions among American Indian and Alaska Native (AIAN) populations, especially youth. However, few sexual risk reduction evidence-based interventions (EBIs) have been implemented by AIAN-serving organizations. This project sought to identify and assess the parameters facilitating the uptake and use of EBIs in order to strengthen opportunities for sustainability and imp…
Methodological Considerations for Home‐visiting Research in Tribal Communities
Drawing on previous studies and the collective experience of conducting rigorous evaluations as part of the Tribal Maternal, Infant, and Early Childhood Home Visiting grants, we outline methodological considerations that will inform future research in tribal communities, particularly in the area of home visiting. The methodological issues we discuss are study design choices, measurement and data collection, and including community members in all …
Measurement Issues in Home‐visiting Research Within Tribal Communities: Challenges and Strategies
In this article, Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) grantees share strategies they have developed and adopted to address the most common barriers to effective measurement (and thus to effective evaluation) encountered in the course of implementation and evaluation of their home‐visiting programs. We identify key challenges in measuring outcomes in Tribal MIECHV Programs and provide practical examples of various st…
Psychology (32 works) · Medicine (27 works) · Sociology (21 works) · Developmental psychology (16 works) · Social Psychology (14 works) · Political science (13 works) · Community Health and Development (12 works) · Indigenous Health, Education, and Rights (12 works) · Social Psychology (12 works) · Gerontology (10 works)