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Co-designing the Indigenous Evaluation Toolkit for Opioid Prevention in American Indian/Alaska Native Communities

Bibliographic Data

ID17720988
AuthorsDanielle Eakins (0000-0002-8805-151X, University of Washington, corresponding author), Angela Gaffney (University of Washington), Maya Magarati (0000-0001-6175-5739, University of Washington), Caelin Marum (University of Washington), Tsering Wangmo (University of Washington), Christina Ore (University of Washington), Myra Parker (0000-0003-4871-4304, University of Washington)
Year2026
Pages10901981261443483-10901981261443483
Publication date2026-04-30
Open AccessYes
TypeARTICLE
VenueHealth Education & Behavior (JOURNAL)
Journal identifiersISSN: 1090-1981 • E-ISSN: 1552-6127
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/10901981261443483
PMID42059096
OpenAlexW7158556066
LanguageEN
References cited11

American Indian and Alaska Native (AIAN) people living on reservations and in urban areas have been disproportionately impacted by the ongoing opioid epidemic, as demonstrated by higher opioid overdose fatality rates. AIAN communities have mobilized to address opioid misuse through community-centered approaches, including revitalizing and enhancing Indigenous epistemologies. While Tribal and urban Indian opioid misuse prevention programs aim to support critical healing, these programs often have funding requirements that prioritize Western evaluation methodologies that may not be responsive to the successful implementation of culturally grounded solutions. Indigenous evaluation is a long-relied-upon practice to adjust and improve community efforts using Indigenous ways of knowing and continuous community involvement. Although Indigenous evaluation approaches have been used in education, violence prevention, youth-focused, and other Indigenous public health programs, the literature lacked an actionable guide for implementing Indigenous evaluation approaches for opioid overdose prevention programs. Leveraging professional and cultural expertise, lived experience, and a multi-year, community-based participatory consultation process, Seven Directions developed the

Citizen journalism · Community-based participatory research · Culturally appropriate · Culturally sensitive · Indigenous · Opioid overdose · Opioid use disorder · Participatory action research · Public health · Health Policy Implementation Science · Indigenous Health, Education, and Rights · Opioid Use Disorder Treatment

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  • A pilot study of virtual Harm Reduction Talking Circles for American Indian and Alaska Native adults with alcohol use disorder

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  • American Indian Health Policy

    Donald Warne, Linda Bane Frizzell•American Journal of Public Health•2014

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