文章基本信息

标题：Community-Based Participatory Research: Conducting a Formative Assessment of Factors that Influence Youth Wellness in the Hualapai Community
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作者：Nicolette I. Teufel-Shone ; Thomas Siyuja ; Helen J Watahomigie 等
期刊名称：American journal of public health
印刷版ISSN：0090-0036
出版年度：2006
卷号：96
期号：9
页码：1623-1628
DOI：10.2105/AJPH.2004.054254
语种：English
出版社：American Public Health Association
摘要：Objectives. Using a community-based participatory research approach, a tribe–university team conducted a formative assessment of local factors that influence youth wellness to guide the design of a culturally and locally relevant health promotion program. Methods. Open-ended interviews with key informants, a school self-assessment using the Centers for Disease Control’s School Health Index, and a locally generated environmental inventory provided data that were triangulated to yield a composite of influential factors and perceived need within the community. Results. Family involvement and personal goal setting were identified as key to youth wellness. Supportive programs were described as having consistent adult leadership, structured activities, and a positive local and regional image. Availability of illicit drugs and alcohol, poor teacher attitude, and lack of adult involvement were significant negative factors that impact youth behavior. Conclusions. Local/native ( emic ) and university/nonnative ( etic ) perspectives and abilities can be combined to yield a culturally relevant formative assessment that is useful to public health planning. In this collaborative effort, standard means of data collection and analysis were modified in some cases to enhance and build upon the knowledge and skills of community researchers. Historically, health research and intervention studies in indigenous communities have been designed according to an etic (outsider’s) perspective. 1 This approach is reminiscent of the long-standing, paternalistic federal policies designed to change and marginalize native people and is largely responsible for native people’s distrust of research. 2 ^, 3 Recent studies of indigenous communities in the United States, Canada, and Australia have demonstrated the value of participatory research to support and engage the emic (insider’s) perspective in public health research and intervention. 4 ^– 7 In 2001, the Hualapai Tribal Health Department and the University of Arizona (UA) Mel and Enid Zuckerman College of Public Health used a community-based participatory research (CBPR) approach to assess the sociocultural context of youth wellness and community perception of local youth programs. This research was the initial phase of a primary prevention–intervention program that was being developed to reduce chronic disease risk factors in local elementary-school children.