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在制定土著居民健康指标方面试验一种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。具体目标是：1)与美国四个文化上不同的土著社区合作，建立一套广泛、共同的土著健康指标，这些指标可以从中得出，准确地代表社区成员对健康的不同含义和优先事项；2)通过促进每个社区的小组讨论，测试IHIs的准确性和可接受性；3)将在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的描述结合起来，说明健康对每个社区意味着什么；4)通过审查每个参与社区的测试结果，评估多尺度卫生保健系统的有用性。关于IHIs的早期工作产生了一组初始数据

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.