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Use of biomedical services and traditional healing options among American Indians: sociodemographic correlates, spirituality, and ethnic identity.

https://arctichealth.org/en/permalink/ahliterature179513
Source
Med Care. 2004 Jul;42(7):670-9
Publication Type
Article
Date
Jul-2004
Author
Douglas K Novins
Janette Beals
Laurie A Moore
Paul Spicer
Spero M Manson
Author Affiliation
douglas.novins@uchsc.edu
Source
Med Care. 2004 Jul;42(7):670-9
Date
Jul-2004
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Female
Health Care Surveys
Health Services, Indigenous - utilization
Humans
Indians, North American - psychology - statistics & numerical data
Logistic Models
Male
Medicine, Traditional
Mental Disorders - ethnology - therapy
Middle Aged
Multivariate Analysis
Socioeconomic Factors
Southwestern United States
United States
Abstract
The objective of this study was to describe the use of biomedical services and traditional healing options among a reservation-based sample of American Indians from 2 culturally distinct tribes
Participants were 2595 American Indian adolescents and adults ages 15 to 57 randomly selected to represent 2 tribes living on or near their rural reservations. First, we examined the prevalence and correlates of use of biomedical services and traditional healing for both physical health and psychiatric problems. Second, we developed logistic regression models predicting the independent and combined use of biomedical services and traditional healing
The prevalence of combined and independent use of biomedical services and traditional healing varied by tribe. The prevalence of biomedical service use ranged from 40.9% to 59.1% for physical health problems and 6.4% to 6.8% for psychiatric problems. The prevalence of the use of traditional healing ranged from 8.4% to 22.9% for physical health problems and 3.2% to 7.8% for psychiatric problems. Although combined use of both types of services was common (10.4-22.6% of service users), many used only traditional healing (3.5-40.0%). Correlates of service use included age, educational level, and ethnic identity. For example, use of traditional healing was correlated with higher scores on a scale measuring identification with American Indian culture
Both biomedical services and traditional healing are important sources of care in American Indian communities, and are used both independently and in combination with one another.
PubMed ID
15213492 View in PubMed
Less detail

"There are more things in heaven and earth!" How knowledge about traditional healing affects clinical practice: interviews with conventional health personnel.

https://arctichealth.org/en/permalink/ahliterature294709
Source
Int J Circumpolar Health. 2017; 76(1):1398010
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
2017
Author
Anette Langås-Larsen
Anita Salamonsen
Agnete Egilsdatter Kristoffersen
Torunn Hamran
Bjørg Evjen
Trine Stub
Author Affiliation
a The National Research Center in Complementary and Alternative Medicine (NAFKAM), Department of Community Medicine, Faculty of Health Sciences , UiT, the Arctic University of Norway , Tromsø , Norway.
Source
Int J Circumpolar Health. 2017; 76(1):1398010
Date
2017
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Adult
Arctic Regions
Attitude of Health Personnel
Christianity
Cultural Competency
European Continental Ancestry Group
Female
Focus Groups
Health Knowledge, Attitudes, Practice
Health Personnel - psychology
Humans
Interviews as Topic
Male
Medicine, Traditional - psychology
Middle Aged
Norway
Qualitative Research
Abstract
People with Sami and Norwegian background are frequent users of traditional folk medicine (TM). Traditional healing, such as religious prayers of healing (reading) and the laying on of hands, are examples of commonly used modalities. The global aim of this study is to examine whether health personnel's knowledge, attitudes and experiences of traditional healing affect their clinical practice. Semi-structured individual interviews (n=32) and focus group interviews (n=2) were conducted among health personnel in two communities in Northern Norway. The text data was transcribed verbatim and analysed based on the criteria for content analysis. Six themes were identified. The participants had acquired their knowledge of traditional healing through their childhood, adolescence and experience as health personnel in the communities. They all expressed that they were positive to the patients' use of traditional healing. They justified their attitudes, stating that "there are more things in heaven and earth" and they had faith in the placebo effects of traditional healing. The health personnel respected their patients' faith and many facilitated the use of traditional healing. In some cases, they also applied traditional healing tools if the patients asked them to do so. The health personnel were positive and open-minded towards traditional healing. They considered reading as a tool that could help the patients to handle illness in a good way. Health personnel were willing to perform traditional healing and include traditional tools in their professional toolkit, even though these tools were not documented as evidence-based treatment. In this way they could offer their patients integrated health services which were tailored to the patients' treatment philosophy.
Notes
Cites: Scand J Public Health. 2012 Dec;40(8):795-805 PMID 23221918
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PubMed ID
29130420 View in PubMed
Less detail

"There are more things in heaven and earth!" How knowledge about traditional healing affects clinical practice: interviews with conventional health personnel.

https://arctichealth.org/en/permalink/ahliterature287106
Source
Int J Circumpolar Health. 2017;76(1):1398010
Publication Type
Article
Date
2017
Author
Anette Langås-Larsen
Anita Salamonsen
Agnete Egilsdatter Kristoffersen
Torunn Hamran
Bjørg Evjen
Trine Stub
Source
Int J Circumpolar Health. 2017;76(1):1398010
Date
2017
Language
English
Publication Type
Article
Abstract
People with Sami and Norwegian background are frequent users of traditional folk medicine (TM). Traditional healing, such as religious prayers of healing (reading) and the laying on of hands, are examples of commonly used modalities. The global aim of this study is to examine whether health personnel's knowledge, attitudes and experiences of traditional healing affect their clinical practice. Semi-structured individual interviews (n=32) and focus group interviews (n=2) were conducted among health personnel in two communities in Northern Norway. The text data was transcribed verbatim and analysed based on the criteria for content analysis. Six themes were identified. The participants had acquired their knowledge of traditional healing through their childhood, adolescence and experience as health personnel in the communities. They all expressed that they were positive to the patients' use of traditional healing. They justified their attitudes, stating that "there are more things in heaven and earth" and they had faith in the placebo effects of traditional healing. The health personnel respected their patients' faith and many facilitated the use of traditional healing. In some cases, they also applied traditional healing tools if the patients asked them to do so. The health personnel were positive and open-minded towards traditional healing. They considered reading as a tool that could help the patients to handle illness in a good way. Health personnel were willing to perform traditional healing and include traditional tools in their professional toolkit, even though these tools were not documented as evidence-based treatment. In this way they could offer their patients integrated health services which were tailored to the patients' treatment philosophy.
PubMed ID
29130420 View in PubMed
Less detail

"The prayer circles in the air": a qualitative study about traditional healer profiles and practice in Northern Norway.

https://arctichealth.org/en/permalink/ahliterature298068
Source
Int J Circumpolar Health. 2018 12; 77(1):1476638
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
12-2018
Author
Anette Langås-Larsen
Anita Salamonsen
Agnete Egilsdatter Kristoffersen
Trine Stub
Author Affiliation
a The National Research Center in Complementary and Alternative Medicine (NAFKAM), Department of Municipality Medicine, Faculty of Health Sciences , UiT, the Arctic University of Norway , Tromsø , Norway.
Source
Int J Circumpolar Health. 2018 12; 77(1):1476638
Date
12-2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Adult
Arctic Regions
Ethnic Groups
Female
Focus Groups
Humans
Interviews as Topic
Male
Medicine, Traditional
Middle Aged
Norway
Qualitative Research
Shamanism
Abstract
In Northern Norway, traditional healing has been preserved by passing down the knowledge through generations. Religious prayers of healing (reading) and Sami rituals (curing) are examples of methods that are used. We have examined traditional healers' understanding of traditional healing, the healing process and their own practice, as well as what characteristics healers should have. Semi-structured individual interviews and focus group interviews were conducted among 15 traditional healers in two coastal Sami municipalities in Norway. The traditional healers understood traditional healing as the initiation of the patient's self-healing power. This power was initiated through healing rituals and explained as the power of God and placebo effect. During the healing ritual, the doctor's medical diagnoses, the patient's personal data and a prayer in the name of The Father, The Son and The Holy Spirit were used in combination with steel and elements from the nature. The traditional healers stated that they had to be trustworthy, calm and mentally strong. Healers who claimed that they had supernatural abilities (clairvoyant or warm hands) were regarded as extra powerful. According to the participants in this study, the healers must be trustworthy, calm and mentally strong. Moreover, these traditional healers drew on information from conventional medicine when performing their rituals.
PubMed ID
29848221 View in PubMed
Less detail

"The prayer circles in the air": a qualitative study about traditional healer profiles and practice in Northern Norway.

https://arctichealth.org/en/permalink/ahliterature292037
Source
Int J Circumpolar Health. 2018 Dec; 77(1):1476638
Publication Type
Journal Article
Date
Dec-2018
Author
Anette Langås-Larsen
Anita Salamonsen
Agnete Egilsdatter Kristoffersen
Trine Stub
Author Affiliation
a The National Research Center in Complementary and Alternative Medicine (NAFKAM), Department of Municipality Medicine, Faculty of Health Sciences , UiT, the Arctic University of Norway , Tromsø , Norway.
Source
Int J Circumpolar Health. 2018 Dec; 77(1):1476638
Date
Dec-2018
Language
English
Publication Type
Journal Article
Abstract
In Northern Norway, traditional healing has been preserved by passing down the knowledge through generations. Religious prayers of healing (reading) and Sami rituals (curing) are examples of methods that are used. We have examined traditional healers' understanding of traditional healing, the healing process and their own practice, as well as what characteristics healers should have. Semi-structured individual interviews and focus group interviews were conducted among 15 traditional healers in two coastal Sami municipalities in Norway. The traditional healers understood traditional healing as the initiation of the patient's self-healing power. This power was initiated through healing rituals and explained as the power of God and placebo effect. During the healing ritual, the doctor's medical diagnoses, the patient's personal data and a prayer in the name of The Father, The Son and The Holy Spirit were used in combination with steel and elements from the nature. The traditional healers stated that they had to be trustworthy, calm and mentally strong. Healers who claimed that they had supernatural abilities (clairvoyant or warm hands) were regarded as extra powerful. According to the participants in this study, the healers must be trustworthy, calm and mentally strong. Moreover, these traditional healers drew on information from conventional medicine when performing their rituals.
Notes
Cites: Soc Sci Med. 2007 Sep;65(6):1260-73 PMID 17521791
Cites: BMC Complement Altern Med. 2017 May 12;17 (1):262 PMID 28499371
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Cites: Soc Sci Med. 2012 Apr;74(7):1029-36 PMID 22336733
Cites: Ann Intern Med. 2001 Aug 7;135(3):189-95 PMID 11487486
PubMed ID
29848221 View in PubMed
Less detail

Rehabilitation challenges for Aboriginal clients recovering from brain injury: a qualitative study engaging health care practitioners.

https://arctichealth.org/en/permalink/ahliterature152713
Source
Brain Inj. 2009 Mar;23(3):250-61
Publication Type
Article
Date
Mar-2009
Author
Michelle L Keightley
Ruwan Ratnayake
Bruce Minore
Mae Katt
Anita Cameron
Randy White
Alice Bellavance
Claudine Longboat-White
Angela Colantonio
Author Affiliation
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada. michelle.keightley@utoronto.ca
Source
Brain Inj. 2009 Mar;23(3):250-61
Date
Mar-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Attitude of Health Personnel - ethnology
Brain Injuries - epidemiology - ethnology - rehabilitation
Continuity of Patient Care
Cultural Diversity
Female
Health Services, Indigenous - standards
Humans
Male
Middle Aged
Patient compliance
Qualitative Research
Young Adult
Abstract
To explore the experiences of health care practitioners working with Aboriginal clients recovering from acquired brain injury (ABI).
Participatory research design using qualitative methods.
Fourteen in-depth, semi-structured interviews were conducted. The Framework Method of analysis was used to uncover emerging themes.
Five main categories emerged: practitioners' experience with brain injury, practitioners' experience with Aboriginal clients, specialized needs of Aboriginal clients recovering from brain injury, culturally sensitive care and traditional healing methods. These categories were then further divided into emergent themes and sub-themes where applicable, with particular emphasis on the specialized needs of Aboriginal clients.
Each emergent theme highlighted key challenges experienced by Aboriginal peoples recovering from ABI. A key challenge was that protocols for rehabilitation and discharge planning are often lacking for clients living on reserves or in remote communities. Other challenges included lack of social support; difficulty of travel and socio-cultural factors associated with post-acute care; and concurrent disorders.
Results suggest that developing reasonable protocols for discharge planning of Aboriginal clients living on reserves and/or remote communities should be considered a priority.
PubMed ID
19205962 View in PubMed
Less detail

From health care to home community: an Aboriginal community-based ABI transition strategy.

https://arctichealth.org/en/permalink/ahliterature138013
Source
Brain Inj. 2011;25(2):142-52
Publication Type
Article
Date
2011
Author
Michelle Keightley
Victoria Kendall
Shu-Hyun Jang
Cindy Parker
Sabrina Agnihotri
Angela Colantonio
Bruce Minore
Mae Katt
Anita Cameron
Randy White
Claudine Longboat-White
Alice Bellavance
Author Affiliation
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada. michelle.keightley@utoronto.ca
Source
Brain Inj. 2011;25(2):142-52
Date
2011
Language
English
Publication Type
Article
Keywords
Attitude of Health Personnel
Brain Injuries - ethnology - rehabilitation
Community Health Services - standards
Continuity of Patient Care - standards
Female
Focus Groups
Health Services Accessibility
Health Services, Indigenous - standards
Humans
Longitudinal Studies
Male
Ontario
Patient Discharge
Prospective Studies
Qualitative Research
Self Report
Abstract
To explore the barriers and enablers surrounding the transition from health care to home community settings for Aboriginal clients recovering from acquired brain injuries (ABI) in northwestern Ontario.
Participatory research design using qualitative methods.
Focus groups conducted with clients with ABI, their caregivers and hospital and community health-care workers. The Framework Method of analysis was used to uncover emerging themes.
Six main categories emerged: ABI diagnosis accuracy, acute service delivery and hospital care, transition from hospital to homecare services, transition from hospital to community services, participant suggestions to improve service delivery and transition, and views on traditional healing methods during recovery.
A lack of awareness, education and resources were acknowledged as key challenges to successful transitioning by clients and healthcare providers. Geographical isolation of the communities was highlighted as a barrier to accessibility of services and programmes, but the community was also regarded as an important source of social support. The development of educational and screening tools and needs assessments of remote communities were identified to be strategies that may improve transitions.
Findings demonstrate that the structure of rehabilitation and discharge processes for Aboriginal clients living on reserves or in remote communities are of great concern and warrants further research.
PubMed ID
21219087 View in PubMed
Less detail

Rural American Indian and Alaska Native veterans' telemental health: A model of culturally centered care.

https://arctichealth.org/en/permalink/ahliterature285035
Source
Psychol Serv. 2017 Aug;14(3):270-278
Publication Type
Article
Date
Aug-2017
Author
Cynthia W Goss
W J Buck Richardson
Nancy Dailey
Byron Bair
Herbert Nagamoto
Spero M Manson
Jay H Shore
Source
Psychol Serv. 2017 Aug;14(3):270-278
Date
Aug-2017
Language
English
Publication Type
Article
Abstract
American Indian and Alaska Native (AI/AN) veterans living in rural areas have unique health care needs and face numerous barriers to accessing health care services. Among these needs is a disproportionate prevalence of posttraumatic stress disorder and other mental illnesses. Since 2001, 14 rural communities have partnered with the U.S. Department of Veterans Affairs and the Centers for American Indian and Alaska Native Health at the University of Colorado Anschutz Medical Campus to extend telemental health clinics to American Indian veterans. Administrative and, to some extent, clinical considerations of these clinics have been reviewed previously. This paper describes a model of care, evolved over a 14-year period, that weaves together evidence-based Western treatment, traditional Native healing, and rural Native communities into 4 main components: mental health care, technology, care coordination, and cultural facilitation. We delineate improvements to care made by addressing barriers such as system transference, provider-patient trust, and videoconferencing. Similarly, the discussion notes ways that the care model leverages strengths within Native communities, such as social cohesion and spirituality. Future steps include selection of appropriate performance indicators for systematic evaluation. The identification of key constructs of this care model will facilitate comparisons with other models of care in underserved populations with chronic and complex health conditions, and eventually advance the state of care for our warriors. (PsycINFO Database Record
PubMed ID
28805411 View in PubMed
Less detail

Sami yoik, Sami history, Sami health: a narrative review.

https://arctichealth.org/en/permalink/ahliterature298090
Source
Int J Circumpolar Health. 2018 12; 77(1):1454784
Publication Type
Historical Article
Journal Article
Research Support, Non-U.S. Gov't
Review
Date
12-2018
Author
Soile Hämäläinen
Frauke Musial
Anita Salamonsen
Ola Graff
Torjer A Olsen
Author Affiliation
a National Research Center in Complementary and Alternative Medicine, Departement of Community Medicine, Faculty of Health Sciences , UiT The Arctic university of Norway , Tromsø , Norway.
Source
Int J Circumpolar Health. 2018 12; 77(1):1454784
Date
12-2018
Language
English
Publication Type
Historical Article
Journal Article
Research Support, Non-U.S. Gov't
Review
Keywords
Allostasis
Culture
Emotions
Ethnic groups - history
Health
History, 19th Century
History, 20th Century
Humans
Music - history
Resilience, Psychological
Scandinavian and Nordic Countries
Singing
Abstract
Music as a possible health-promoting agent has attained increasing academic and scientific interest over the last decades. Nonetheless, possible connections between indigenous singing traditions and health beyond traditional ceremonial healing practices are still under-researched worldwide. The Sami, the indigenous people living in Northern Fennoscandia, have a distinct ancient vocal music tradition called "yoik" practiced from immemorial times. The Sami share a history of assimilation with many indigenous people. During this period of nearly 400 years, yoik alongside other cultural markers was under hard pressure and even banned at times. Compared to other indigenous people in the Arctic, Sami public health shows few significant unfavourable differences to the majority population. The potential role of yoik as a protective health and resilience factor within the Sami culture is the topic of this review. We suggest a two stage model for the health promoting effects of yoik through i) emotion regulation and stress relief on the level of the individual, and ii) as a socio-cultural resilience factors within the Sami population. This review is to be understood as theory-building review article striving for a scholarly review of the literature.
PubMed ID
29580190 View in PubMed
Less detail

Rural American Indian and Alaska Native veterans' telemental health: A model of culturally centered care.

https://arctichealth.org/en/permalink/ahliterature291579
Source
Psychol Serv. 2017 Aug; 14(3):270-278
Publication Type
Journal Article
Date
Aug-2017
Author
Cynthia W Goss
W J Buck Richardson
Nancy Dailey
Byron Bair
Herbert Nagamoto
Spero M Manson
Jay H Shore
Author Affiliation
Veterans Rural Health Resource Center.
Source
Psychol Serv. 2017 Aug; 14(3):270-278
Date
Aug-2017
Language
English
Publication Type
Journal Article
Keywords
Alaska Natives
Culturally Competent Care
Health Services Accessibility
Health services needs and demand
Humans
Indians, North American
Mental health services
Models, Theoretical
Rural Population
Stress Disorders, Post-Traumatic - psychology - therapy
Telemedicine
United States
United States Department of Veterans Affairs
Veterans - psychology
Veterans Health
Abstract
American Indian and Alaska Native (AI/AN) veterans living in rural areas have unique health care needs and face numerous barriers to accessing health care services. Among these needs is a disproportionate prevalence of posttraumatic stress disorder and other mental illnesses. Since 2001, 14 rural communities have partnered with the U.S. Department of Veterans Affairs and the Centers for American Indian and Alaska Native Health at the University of Colorado Anschutz Medical Campus to extend telemental health clinics to American Indian veterans. Administrative and, to some extent, clinical considerations of these clinics have been reviewed previously. This paper describes a model of care, evolved over a 14-year period, that weaves together evidence-based Western treatment, traditional Native healing, and rural Native communities into 4 main components: mental health care, technology, care coordination, and cultural facilitation. We delineate improvements to care made by addressing barriers such as system transference, provider-patient trust, and videoconferencing. Similarly, the discussion notes ways that the care model leverages strengths within Native communities, such as social cohesion and spirituality. Future steps include selection of appropriate performance indicators for systematic evaluation. The identification of key constructs of this care model will facilitate comparisons with other models of care in underserved populations with chronic and complex health conditions, and eventually advance the state of care for our warriors. (PsycINFO Database Record
PubMed ID
28805411 View in PubMed
Less detail

Sami yoik, Sami history, Sami health: a narrative review.

https://arctichealth.org/en/permalink/ahliterature290827
Source
Int J Circumpolar Health. 2018 Dec; 77(1):1454784
Publication Type
Journal Article
Date
Dec-2018
Author
Soile Hämäläinen
Frauke Musial
Anita Salamonsen
Ola Graff
Torjer A Olsen
Author Affiliation
a National Research Center in Complementary and Alternative Medicine, Departement of Community Medicine, Faculty of Health Sciences , UiT The Arctic university of Norway , Tromsø , Norway.
Source
Int J Circumpolar Health. 2018 Dec; 77(1):1454784
Date
Dec-2018
Language
English
Publication Type
Journal Article
Abstract
Music as a possible health-promoting agent has attained increasing academic and scientific interest over the last decades. Nonetheless, possible connections between indigenous singing traditions and health beyond traditional ceremonial healing practices are still under-researched worldwide. The Sami, the indigenous people living in Northern Fennoscandia, have a distinct ancient vocal music tradition called "yoik" practiced from immemorial times. The Sami share a history of assimilation with many indigenous people. During this period of nearly 400 years, yoik alongside other cultural markers was under hard pressure and even banned at times. Compared to other indigenous people in the Arctic, Sami public health shows few significant unfavourable differences to the majority population. The potential role of yoik as a protective health and resilience factor within the Sami culture is the topic of this review. We suggest a two stage model for the health promoting effects of yoik through i) emotion regulation and stress relief on the level of the individual, and ii) as a socio-cultural resilience factors within the Sami population. This review is to be understood as theory-building review article striving for a scholarly review of the literature.
Notes
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PubMed ID
29580190 View in PubMed
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11 records – page 1 of 1.