CULTURAL ADAPTATIONS OF EVIDENCE‐BASED HOME‐VISITATION MODELS IN TRIBAL COMMUNITIES

Vanessa Y. Hiratsuka · Myra Parker · Jenae Sanchez · Debra Heath · Julianna C. Chomo · Moushumi Beltangady +1 more

39 citations0/0 files storedInfant Mental Health Journal

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Indigenous Health, Education, and Rights Maternal and Neonatal Healthcare Cultural Competency in Health Care

Abstract

The Tribal Maternal, Infant, and Early Childhood Home Visiting (Tribal MIECHV) Program provides federal grants to tribes, tribal consortia, tribal organizations, and urban Indian organizations to implement evidence-based home-visiting services for American Indian and Alaska Native (AI/AN) families. To date, only one evidence-based home-visiting program has been developed for use in AI/AN communities. The purpose of this article is to describe the steps that four Tribal MIECHV Programs took to assess community needs, select a home-visiting model, and culturally adapt the model for use in AI/AN communities. In these four unique Tribal MIECHV Program settings, each program employed a rigorous needs-assessment process and developed cultural modifications in accordance with community strengths and needs. Adaptations occurred in consultation with model developers, with consideration of the conceptual rationale for the program, while grounding new content in indigenous cultures. Research is needed to improve measurement of home-visiting outcomes in tribal and urban AI/AN settings, develop culturally grounded home-visiting interventions, and assess the effectiveness of home visiting in AI/AN communities.

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2009Cultural adaptation of treatments: A resource for considering culture in evidence-based practice.1999Cultural sensitivity in public health: defined and demystified.2008Historical Trauma in American Indian/Native Alaska Communities 2010Issues and Challenges in the Design of Culturally Adapted Evidence-Based Interventions 2002Cultural Sensitivity and Adaptation in Family-Based Prevention Interventions 2008Poverty and Health Disparities for American Indian and Alaska Native Children 2013Looking across three generations of Alaska Natives to explore how culture fosters indigenous resilience 2012“We’re Still in a Struggle”

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2020Promoting First Relationships®: Implementing a Home Visiting Research Program in Two American Indian Communities 2018CONTEXTUAL ISSUES FOR IMPLEMENTATION AND EVALUATION OF HOME‐VISITATION PROGRAMS FOR AMERICAN INDIAN AND ALASKA NATIVE COMMUNITIES: AN INTRODUCTION TO THE TRIBAL MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAM 2025Parent-provider relationships in home visiting: An introduction to relational-cultural theory and critical race theory frameworks

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