Online Program

Using a Culturally Relevant Measure for Community Change in Six American Indian Communities

Tuesday, November 3, 2015

May Yamate, MS, WESTAT, Rockville, MD
Craig Love, PhD, WESTAT, Rockville, MD
Bethany Fatupaito, MPH, Montana Wyoming Tribal Leaders Council, Billings, MT
The Montana Wyoming Tribal Leaders Council’s Rocky Mountain Tribal Wellness Initiative (RMTWI) is an underage drinking prevention program targeted at bringing culturally humble and tribally specific prevention strategies to the American Indian tribes of Montana and Wyoming.

One of the tools used to measure prevention strategies in Indian Country is the Community Readiness: A Handbook for Successful Change (Plestad, B.A., Edwards, R.W., and Jumper-Thurman, P.; April 2006).   In the community assessment, six dimensions are measured: community efforts, community knowledge of efforts, leadership, community climate, knowledge about underage drinking, and resources for prevention efforts.  The data for each dimension is assessed through a semi-structured interview which is systematically scored.  Each of the six domains are scored and a combined readiness score is provided.

The results of a Program Participant Survey administered at each program event was combined with the CRA  results to formulate the best practices for implementation of prevention programs targeting the needs of each specific tribe.  The survey was also used to assess the participants' perception of the program features and the likely impact it will have on their behavior.  The survey results revealed strong support for the common perspective of tribal peoples: "culture is prevention."

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture

Learning Objectives:
Discuss the importance of cultural humility and tribal specificity in substance abuse prevention data collection Discuss the commonly held principle among American Indian prevention practitioners that "culture is prevention"

Keyword(s): Native Americans, Cultural Competency

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Various projects that I have worked on have been Native American tribes in the United States in the areas of substance abuse and mental health. With this project, I have been specifically working with Native American tribes in Montana and Wyoming.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.