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"I believe in God and I believe in our own powers and the Native ways'': understanding the significance of culture and tradition to Alaska Native cancer survivorship

https://arctichealth.org/en/permalink/ahliterature284439
Source
Pages 389-390 in N. Murphy and A. Parkinson, eds. Circumpolar Health 2012: Circumpolar Health Comes Full Circle. Proceedings of the 15th International Congress on Circumpolar Health, Fairbanks, Alaska, USA, August 5-10, 2012. International Journal of Circumpolar Health 2013;72 (Suppl 1):389-390
Publication Type
Article
Date
2013
Native food cancer surviving thing." Natural healing Several participants described using natural remedies (plants and herbs) to complement their medical treat- ments. For some, such remedies were a connection to family and past traditions. One participant explained: "I remember when my late
  1 document  
Author
Ellen D.S. Lopez
Freda M. Williams
Dinghy Kristine B. Sharma
Alaina Ctibor
Christopher R. Decou
Valerie Hewell
Author Affiliation
Department of Psychology and Center for Alaska Native Health Research, University of Alaska Fairbanks, AK, USA
Fairbanks Native Association, Fairbanks, AK, USA
Department of Psychology, Idaho State University, Pocatello, ID, USA
Source
Pages 389-390 in N. Murphy and A. Parkinson, eds. Circumpolar Health 2012: Circumpolar Health Comes Full Circle. Proceedings of the 15th International Congress on Circumpolar Health, Fairbanks, Alaska, USA, August 5-10, 2012. International Journal of Circumpolar Health 2013;72 (Suppl 1):389-390
Date
2013
Language
English
Geographic Location
U.S.
Publication Type
Article
Digital File Format
Text - PDF
Physical Holding
University of Alaska Anchorage
Abstract
Cancer is the leading cause of death among Alaska Native People. Community leaders are voicing intense concerns about the impact of cancer on their people. In response, health and service providers are striving to develop culturally responsive cancer prevention and support programs. Yet little is known about how Alaska Native people experience cancer, or the role culture plays in cancer survivorship.
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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
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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
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"Healthy mind is a healthy life": Alaska Native experiences of coping in a cultural context

https://arctichealth.org/en/permalink/ahliterature284344
Source
Pages 987-988 in N. Murphy and A. Parkinson, eds. Circumpolar Health 2012: Circumpolar Health Comes Full Circle. Proceedings of the 15th International Congress on Circumpolar Health, Fairbanks, Alaska, USA, August 5-10, 2012. International Journal of Circumpolar Health 2013;72 (Suppl 1):987-988
Publication Type
Article
Date
2013
joined a boxing gym in Anchorage ... I just dealt with it, I mean, I didn't tum to drugs or drinking. Discussion Consistent with the current literature, many of the par- ticipants found strength and healing in cultural traditions and ways of life such as subsistence and seek ing help from Elders
  1 document  
Author
Jessica McKay
Angel R. Vasquez
Christopher R. Decou
Ellen D.S. Lopez
Monica C. Skewes
Author Affiliation
Center for Alaska Native Health Research, University of Alaska Fairbanks, Fairbanks, AK, USA
Department of Psychology, Idaho State University, Pocatello, ID, USA
Source
Pages 987-988 in N. Murphy and A. Parkinson, eds. Circumpolar Health 2012: Circumpolar Health Comes Full Circle. Proceedings of the 15th International Congress on Circumpolar Health, Fairbanks, Alaska, USA, August 5-10, 2012. International Journal of Circumpolar Health 2013;72 (Suppl 1):987-988
Date
2013
Language
English
Publication Type
Article
Digital File Format
Text - PDF
Physical Holding
University of Alaska Anchorage
Abstract
Dropout rates of American Indian and Alaska Native (AI/AN) college students are among the highest of any ethnic group in the United States (1). Appropriate academic preparation and orientation to an urban, college lifestyle is extremely important for AI/AN students' academic achievement (2). Students who migrate from rural areas have protective factors that may help them succeed in the transition to college in an urban setting (1). Nevertheless, the move to attend school may distance these students from their cultures and rural villages, contributing stress that may be coped with by engaging in maladaptive behaviors, or result in dropping out of school (1). Little research exists concerning how AI/AN students themselves perceive the rural-to-urban transition often required for tertiary education. Understanding AI/AN students' perspectives on coping while transitioning to college may shed light on how to better engage with these students, and provide targets for intervention aimed at facilitating the transition to college life.
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Commonalities in coping with stressful situations across Alaska Native culture, geography and context

https://arctichealth.org/en/permalink/ahliterature284440
Source
Pages 391-392 in N. Murphy and A. Parkinson, eds. Circumpolar Health 2012: Circumpolar Health Comes Full Circle. Proceedings of the 15th International Congress on Circumpolar Health, Fairbanks, Alaska, USA, August 5-10, 2012. International Journal of Circumpolar Health 2013;72 (Suppl 1):391-392
Publication Type
Article
Date
2013
: Seeking levity 1n one's situation. Spirituality: Drawing on one's faith in a higher power. Traditional ways: Connecting to the past and present through subsistence and natural healing. Helping others: Finding a purpose in one 's stress as gaining empathy and experti se to help others
  1 document  
Author
Ellen D.S. Lopez
Inna D. Rivkin
Samuel Johnson
Author Affiliation
Department of Psychology and Center for Alaska Native Health Research, University of Alaska Fairbanks, Fairbanks, AK, USA
Source
Pages 391-392 in N. Murphy and A. Parkinson, eds. Circumpolar Health 2012: Circumpolar Health Comes Full Circle. Proceedings of the 15th International Congress on Circumpolar Health, Fairbanks, Alaska, USA, August 5-10, 2012. International Journal of Circumpolar Health 2013;72 (Suppl 1):391-392
Date
2013
Language
English
Geographic Location
U.S.
Publication Type
Article
Digital File Format
Text - PDF
Physical Holding
University of Alaska Anchorage
Abstract
Alaska Native communities experience a disproportionate burden of health disparities as evidenced by high mortality and morbidity rates associated with behavioral and chronic health issues. It is well established that interventions aimed toward addressing health disparities and the stressors they engender for Alaska Native people should be strength-based and culturally grounded. Co-developing successful interventions requires a keen understanding of how stressors and coping responses relate to a Native community's unique history, culture and geography. Nevertheless, a synthesis of results engendering new knowledge across Native communities, assessments and interventions is also valuable. Such cross-cultural and cross-contextual understanding may harness collective power residing within and across communities. Objective: Here we present findings from 2 interview projects conducted by co-authors within a community-based participatory research framework. Specifically, we discuss the similar coping strategies reported by participants dealing with stress.
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