IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i21p6989-d1269350.html
   My bibliography  Save this article

Developing and Implementing a Culturally Consonant Treatment Fidelity Support Plan with the Apsáalooke Nation

Author

Listed:
  • Shannen Keene

    (Department of Human Development & Community Health, Montana State University, Bozeman, MT 59717, USA)

  • Sarah Allen

    (Department of Family Life & Human Development, Southern Utah University, Cedar City, UT 84720, USA)

  • Alma Knows His Gun McCormick

    (Messengers for Health, Crow Agency, MT 59022, USA)

  • Coleen Trottier

    (Department of Human Development & Community Health, Montana State University, Bozeman, MT 59717, USA)

  • Brianna Bull Shows

    (Department of Human Development & Community Health, Montana State University, Bozeman, MT 59717, USA)

  • John Hallett

    (Petaluma Health Center, Petaluma, CA 94954, USA)

  • Rae Deernose

    (Department of Human Development & Community Health, Montana State University, Bozeman, MT 59717, USA)

  • Suzanne Held

    (Department of Human Development & Community Health, Montana State University, Bozeman, MT 59717, USA)

Abstract

Treatment fidelity remains underreported in health intervention research, particularly among Indigenous communities. One explanation for this gap is the lack of culturally consonant strategies listed in the National Institutes of Health (NIH) Behavior Change Consortium (BCC) treatment fidelity framework, the gold standard for understanding and measuring fidelity. This paper focuses on the development and implementation of a culturally consonant treatment fidelity support plan across two of the five BCC fidelity areas, provider training and treatment delivery, within a chronic illness self-management program for the Apsáalooke (Crow) Nation. Our team selected and adapted strategies from, and added strategies to, the BCC framework, that centered on relational accountability and the Apsáalooke culture. To be culturally consonant, we approached treatment fidelity as supporting Aakbaabaaniilea (Apsáalooke program facilitators) rather than monitoring them. This resulted in the development of a fifth treatment fidelity area: building and fostering relationships. We propose that fidelity to relational accountability is the foundation of successful programs in Indigenous communities. This suggests an important shift from tracking what was conducted in an intervention to prioritizing how things were conducted. We encourage others to view the BCC framework as a starting point in developing fidelity strategies that are consonant with local cultures.

Suggested Citation

  • Shannen Keene & Sarah Allen & Alma Knows His Gun McCormick & Coleen Trottier & Brianna Bull Shows & John Hallett & Rae Deernose & Suzanne Held, 2023. "Developing and Implementing a Culturally Consonant Treatment Fidelity Support Plan with the Apsáalooke Nation," IJERPH, MDPI, vol. 20(21), pages 1-16, October.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:21:p:6989-:d:1269350
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/21/6989/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/21/6989/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Simonds, V.W. & Christopher, S., 2013. "Adapting western research methods to indigenous ways of knowing," American Journal of Public Health, American Public Health Association, vol. 103(12), pages 2185-2192.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Held, Suzanne & Hallett, John & Schure, Mark & Knows His Gun McCormick, Alma & Allen, Sarah & Milne-Price, Shauna & Trottier, Coleen & Bull Shows, Brianna & Other Medicine, Lucille & Inouye, Jillian, 2019. "Improving chronic illness self-management with the Apsáalooke Nation: Development of the Báa nnilah program," Social Science & Medicine, Elsevier, vol. 242(C).
    2. Brubacher, Laura Jane & Dewey, Cate E. & Cunsolo, Ashlee & Humphries, Sally & Healey Akearok, Gwen K. & Gong, Crystal & Harper, Sherilee L., 2020. "Mapping the maternal health research landscape in Nunavut: A systematic search & critical review of methodology," Social Science & Medicine, Elsevier, vol. 262(C).
    3. Meenakshi Richardson & Sara F. Waters, 2023. "Indigenous Voices Against Suicide: A Meta-Synthesis Advancing Prevention Strategies," IJERPH, MDPI, vol. 20(22), pages 1-19, November.
    4. Jamie Donatuto & Larry Campbell & Robin Gregory, 2016. "Developing Responsive Indicators of Indigenous Community Health," IJERPH, MDPI, vol. 13(9), pages 1-16, September.
    5. Houghtaling, Bailey & Byker Shanks, Carmen & Ahmed, Selena & Rink, Elizabeth, 2018. "Grandmother and health care professional breastfeeding perspectives provide opportunities for health promotion in an American Indian community," Social Science & Medicine, Elsevier, vol. 208(C), pages 80-88.
    6. Nicolette I. Teufel-Shone & Carmenlita Chief & Jennifer R. Richards & Rebecca J. Clausen & Alfred Yazzie & Manley A. Begay & Nathan Lothrop & Janene Yazzie & Andria B. Begay & Paloma I. Beamer & Karle, 2021. "Development of a Culturally Anchored Qualitative Approach to Conduct and Analyze Focus Group Narratives Collected in Diné (Navajo) Communities to Understand the Impacts of the Gold King Mine Spill of ," IJERPH, MDPI, vol. 18(17), pages 1-16, September.
    7. Julie A. Beans & Bobby Saunkeah & R. Brian Woodbury & Terry S. Ketchum & Paul G. Spicer & Vanessa Y. Hiratsuka, 2019. "Community Protections in American Indian and Alaska Native Participatory Research—A Scoping Review," Social Sciences, MDPI, vol. 8(4), pages 1-18, April.
    8. Christine Martin & Vanessa W. Simonds & Sara L. Young & John Doyle & Myra Lefthand & Margaret J. Eggers, 2021. "Our Relationship to Water and Experience of Water Insecurity among Apsáalooke (Crow Indian) People, Montana," IJERPH, MDPI, vol. 18(2), pages 1-20, January.
    9. Toyin Ajibade Adisa & Chima Mordi & Andrew R Timming, 2024. "Employment Discrimination against Indigenous People with Tribal Marks in Nigeria: The Painful Face of Stigma," Work, Employment & Society, British Sociological Association, vol. 38(3), pages 787-808, June.
    10. Jessica E. Taylor & Cristina Poleacovschi & Michael A. Perez, 2023. "Climate change adaptation trends among Indigenous peoples: a systematic review of the empirical research focus over the last 2 decades," Mitigation and Adaptation Strategies for Global Change, Springer, vol. 28(6), pages 1-28, August.
    11. Alexandra Sawatzky & Ashlee Cunsolo & Andria Jones-Bitton & Jacqueline Middleton & Sherilee L. Harper, 2018. "Responding to Climate and Environmental Change Impacts on Human Health via Integrated Surveillance in the Circumpolar North: A Systematic Realist Review," IJERPH, MDPI, vol. 15(12), pages 1-37, November.
    12. Neil Renwick & Darren R. Reid & Jorge Alejandro Santos & Leonel Piovezana, 2020. "Indigenous People and The Sustainable Development Goals in Brazil: A Study of the Kaingang People," Journal of Developing Societies, , vol. 36(4), pages 390-414, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:21:p:6989-:d:1269350. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.