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Community-Engaged Development of Strengths-Based Nutrition Measures: The Indigenous Nourishment Scales

Author

Listed:
  • Tara L. Maudrie

    (Center for Indigenous Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Laura E. Caulfield

    (Program in Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Cassandra J. Nguyen

    (Department of Nutrition, University of California Davis, Davis, CA 95616, USA)

  • Melissa L. Walls

    (Center for Indigenous Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Emily E. Haroz

    (Center for Indigenous Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Laura R. Moore

    (Alexandria City Public Schools, Alexandria, VA 22314, USA)

  • Rachel G. Dionne-Thunder

    (Indigenous Protector Movement, Minneapolis, MN 55404, USA)

  • Joe Vital

    (East Phillips Neighborhood Institute, Minneapolis, MN 55404, USA)

  • Brook LaFloe

    (Niniijaanis One of Ones, St. Paul, MN 55106, USA)

  • Alanna Norris

    (Center for Indigenous Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Vincent Dionne

    (Indigenous Protector Movement, Minneapolis, MN 55404, USA)

  • Virgil Pain On Hip

    (Native American Lifelines, Baltimore, MD 21202, USA)

  • Jessica Dickerson

    (Native American Lifelines, Baltimore, MD 21202, USA)

  • Kerry Hawk Lessard

    (Native American Lifelines, Baltimore, MD 21202, USA)

  • Antony L. Stately

    (Native American Community Clinic, Minneapolis, MN 55404, USA)

  • Valarie Blue Bird Jernigan

    (Center for Indigenous Health Research and Policy, Oklahoma State University Center for Health Sciences, Tulsa, OK 74135, USA)

  • Victoria M. O’Keefe

    (Center for Indigenous Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

Abstract

Mainstream approaches to nutrition typically focus on diet consumption, overlooking multi-dimensional aspects of nutrition that are important to American Indian/Alaska Native (AI/AN) communities. To address health challenges faced by AI/AN communities, strengths-based measures of nutrition grounded in community worldviews are needed. In collaboration with AI/AN communities in Baltimore and Minneapolis, we developed the Indigenous Nourishment Scales through three phases. Phase 1 involved focus group discussions with nine community-research council (CRC) members ( n = 2) and four in-depth interviews ( n = 4) to gather perspectives on existing models of nutrition. Phase 2 refined scales through two additional focus group discussions ( n = 2) with a total of nine participants and two in-depth interviews ( n = 2). Finally, in Phase 3, we held ten ( n = 10) cognitive interviews with AI/AN community members to refine the scales. Participants appreciated the measures’ ability to provoke reflection on their relationship with nutrition and suggested adjustments to better capture cultural nuances, such as incorporating concepts like “being a good relative” to land. The Indigenous Nourishment Scales represent a departure from conventional approaches by encompassing multiple dimensions of nourishment, offering a framework that addresses epistemic injustices in nutrition measurement and grounds health measurement efforts directly in community perspectives and worldviews.

Suggested Citation

  • Tara L. Maudrie & Laura E. Caulfield & Cassandra J. Nguyen & Melissa L. Walls & Emily E. Haroz & Laura R. Moore & Rachel G. Dionne-Thunder & Joe Vital & Brook LaFloe & Alanna Norris & Vincent Dionne &, 2024. "Community-Engaged Development of Strengths-Based Nutrition Measures: The Indigenous Nourishment Scales," IJERPH, MDPI, vol. 21(11), pages 1-18, November.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:11:p:1496-:d:1518430
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    References listed on IDEAS

    as
    1. Edwina Mingay & Melissa Hart & Serene Yoong & Alexis Hure, 2021. "Why We Eat the Way We Do: A Call to Consider Food Culture in Public Health Initiatives," IJERPH, MDPI, vol. 18(22), pages 1-10, November.
    2. Maria Christina Crouch & Jordan Skan & E. J. R. David & Ellen D. S. Lopez & Judith J. Prochaska, 2021. "Indigenizing Quality of Life: The Goodness of Life for Every Alaska Native Research Study," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 16(3), pages 1123-1143, June.
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