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A Framework for Culturally Relevant Online Learning: Lessons from Alaska's Tribal Health Workers.

https://arctichealth.org/en/permalink/ahliterature290623
Source
J Cancer Educ. 2018 Mar 22; :
Publication Type
Journal Article
Date
Mar-22-2018
Author
Katie Cueva
Melany Cueva
Laura Revels
Anne P Lanier
Mark Dignan
K Viswanath
Teresa T Fung
Alan C Geller
Author Affiliation
Institute of Social and Economic Research, University of Alaska Anchorage, 3211 Providence Dr., Anchorage, AK, 99508, USA. kcueva@alaska.edu.
Source
J Cancer Educ. 2018 Mar 22; :
Date
Mar-22-2018
Language
English
Publication Type
Journal Article
Abstract
Culturally relevant health promotion is an opportunity to reduce health inequities in diseases with modifiable risks, such as cancer. Alaska Native people bear a disproportionate cancer burden, and Alaska's rural tribal health workers consequently requested cancer education accessible online. In response, the Alaska Native Tribal Health Consortium cancer education team sought to create a framework for culturally relevant online learning to inform the creation of distance-delivered cancer education. Guided by the principles of community-based participatory action research and grounded in empowerment theory, the project team conducted a focus group with 10 Alaska Native education experts, 12 culturally diverse key informant interviews, a key stakeholder survey of 62 Alaska Native tribal health workers and their instructors/supervisors, and a literature review on distance-delivered education with Alaska Native or American Indian people. Qualitative findings were analyzed in Atlas.ti, with common themes presented in this article as a framework for culturally relevant online education. This proposed framework includes four principles: collaborative development, interactive content delivery, contextualizing learning, and creating connection. As an Alaskan tribal health worker shared "we're all in this together. All about conversations, relationships. Always learn from you/with you, together what we know and understand from the center of our experience, our ways of knowing, being, caring." The proposed framework has been applied to support cancer education and promote cancer control with Alaska Native people and has motivated health behavior change to reduce cancer risk. This framework may be adaptable to other populations to guide effective and culturally relevant online interventions.
PubMed ID
29569143 View in PubMed
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Strengths and Challenges of the Alaska WIC Breastfeeding Peer Counselor Program: A Qualitative Study of Program Implementation.

https://arctichealth.org/en/permalink/ahliterature291564
Source
J Nutr Educ Behav. 2017 Nov - Dec; 49(10):858-866.e1
Publication Type
Journal Article
Author
Katie Cueva
Sarah Shimer
Dana Kent
Alan C Geller
K Viswanath
Teresa T Fung
Author Affiliation
Institute of Social and Economic Research, University of Alaska Anchorage, Anchorage, AK. Electronic address: kcueva@alaska.edu.
Source
J Nutr Educ Behav. 2017 Nov - Dec; 49(10):858-866.e1
Language
English
Publication Type
Journal Article
Keywords
Alaska
Breast Feeding
Community health workers
Counseling
Female
Food Assistance
Humans
Peer Group
Program Evaluation
Self Efficacy
Abstract
To explore the implementation of a breastfeeding (BF) peer counselor (BFPC) program with Alaska Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
The study used focus groups, surveys, and interviews, with transcripts analyzed in Atlas.ti and survey data summarized in Microsoft Excel.
Respondents included 33 interviewed WIC staff and BFPCs, 25 clients in focus groups, and 129 surveyed clients. Common themes included BFPCs' innovative use of texting and online support groups assisting WIC clients' BF success. The BFPCs' knowledge, accessibility, and relatability were identified as positive program elements. Challenges included BFPCs' limited hours, funding, and in-person contact with clients, and confusion about the BFPCs' role. The BFPCs and staff also described unique documentation strategies, BF training, and perceived supports and barriers to WIC clients' BF.
The implementation of a BFPC program in Alaska WIC revealed novel documentation and outreach strategies, including texting and online support groups. Findings may be translatable to other peer counseling programs.
PubMed ID
28917491 View in PubMed
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