Developing Indigenous Health Indicators to Reflect Community Health Priorities

说明(申请人提供)：该项目的总体目标是测试一种在制定土著健康指标(IHIS)时结合定性和定量措施的新方法，以便更好地评估土著社区的文化健康和福祉。其具体目标是：1)与美国四个具有不同文化特色的土著社区合作，建立一套广泛、通用的土著健康指标，以准确反映社区成员对健康的不同含义和优先次序；2)通过促进每个社区的小组讨论，测试土著健康指标的准确性和接受性；3)将在每个社区收集的口头信息与对每个社区健康意味着什么的定量和定性、口头和视觉混合尺度的描述结合起来；以及4)通过审查与每个参与社区的测试结果，评估多尺度土著健康指标的有用性。IHIS的早期工作已经产生了初步的集合 六项健康指标反映了太平洋西北部几个部落的情况。拟议的项目力求通过与四个地理和文化截然不同的土著社区合作，制定一个综合的国际卫生倡议，从而扩大迄今形成的叙述。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。测试将在便利的小组讨论中进行，使用结构化的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，同时如果参与者选择这样做，也鼓励口头表达想法。来自小群体的定性数据将被编码，这使得难以量化、较不有形的信息可以分组，并以可理解的方式(例如，从低到高)与量化和叙述性描述量表的结果进行比较。将举行摄影会议，以便直观地描绘每个社区健康的意义和优先顺序，作为捕捉难以量化的健康考虑的另一种方法。具体结果将提交给每个参与社区的理事机构，供审查和批准，然后才能传播。

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.