Developing Indigenous Health Indicators to Reflect Community Health Priorities

描述（由申请人提供）：该项目的总体目标是测试一种新的方法，该方法将定性和定量措施结合在土著健康指标（IHI）的制定中，以更好地评估土著社区的文化健康和福祉。具体目标是：（1）与美国各地四个文化不同的土著社区合作，建立一套广泛、通用的土著健康指标，从中可以准确地反映社区成员对健康的不同含义和优先次序;（2）通过在每个社区进行小组讨论，测试土著健康指标的准确性和可接受性; 3）将每个社区收集的口头信息与定量和定性、口头和视觉混合尺度描述的健康对每个社区的意义相结合;以及4）通过审查每个参与社区的测试结果来评估多尺度IHI的有用性。关于IHI的早期工作已经产生了一套初步的 六项健康指标反映了太平洋西北部的几个部落。拟议的项目旨在通过与四个地理和文化上不同的土著社区合作，扩大迄今为止制定的叙述，以制定一个普遍的IHI。这是一个可以定制的模板，以反映每个社区的文化健康信仰和价值观。测试将在促进小组讨论中进行，使用结构化审议和手持投票设备，允许个人社区成员匿名记录他们的意见，同时鼓励参与者选择口头表达想法。将对来自小组的定性数据进行编码，以便将难以量化、不太有形的信息分组，并以可理解的方式与定量和叙述性描述量表的结果进行比较（例如，从低到高）。将举行摄影会议，以直观地描绘每个社区健康的意义和优先次序，作为捕捉难以量化的健康考虑因素的另一种方法。具体结果将提交给每个参与社区的理事机构，供其在传播之前审查和批准。

DESCRIPTION (provided by applicant): The overall objective of this project is to test a new method that combines qualitative and quantitative measures in the development of Indigenous Health Indicators (IHIs), with which to better evaluate the cultural health and well being of Indigenous communities. The specific aims are: 1) To work with four culturally distinct Indigenous communities across the United States to establish a broad, common set of Indigenous Health Indicators (IHIs) that can be drawn from to accurately represent community members' diverse meanings and prioritizations of health; 2) To test the accuracy and acceptance of the IHIs through facilitated small group discussions in each of the communities; 3) To couple the verbal information gathered in each community with a quantitative and qualitative, verbal and visual mixed-scale depiction of what health means to each community; and 4) To evaluate the usefulness of the multi-scaled IHIs by reviewing the results of the tests with each of the participating communities. Earlier work on the IHIs has resulted in an initial set of six health indicators reflective of several Tribes in the Pacific Northwest. The proposed project seeks to broaden the narratives developed to date by working with four geographically and culturally distinct Indigenous communities to develop a generalized IHI. template that can be tailored to reflect each community's cultural health beliefs and values. Testing will occur in facilitated small group discussions using structured deliberations and hand-held polling devices that allow individual community members to anonymously record their opinions while also encouraging thoughts to be voiced verbally if the participant chooses to do so. The qualitative data from small groups will be coded, which allows for difficult-to-quantify, less tangible information to be grouped and compared with results from quantitative and narrative descriptive scales in a comprehensible manner (e.g., low to high). Photography sessions will occur in order to visually depict meanings and prioritizations of health in each community as an additional method to capture difficult-to-quantify health considerations. The specific results will be presented to the governing bodies of each participating community for review and approval prior to dissemination.