Community Based Participatory Research (CBPR): A Dynamic Process of Health care, Provider Perceptions and American Indian Patients' Resilience

J Health Care Poor Underserved. 2019;30(1):221-237. doi: 10.1353/hpu.2019.0017.

Abstract

American Indians are disproportionately affected by factors that lead to health disparities, however many Native people demonstrate resilience when faced with health risks. Study objectives were to use a resilience framework to identify wellness strategies among American Indian people and to assess health care provider perceptions of American Indian wellness. Participants included 39 American Indian adults who self-reported resilient change and 22 health care providers who served American Indian patients. Thematic categories across American Indian and health care provider data were identified: 1) relationships inform resilience; 2) prejudice stymies resilience; and 3) place shapes resilience. Results indicated the salience of relationships in demonstrating resilience. Identified challenges and supporters of resilience are discussed.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Community-Based Participatory Research / organization & administration*
  • Female
  • Focus Groups
  • Health Personnel / psychology*
  • Humans
  • Indians, North American / psychology*
  • Indians, North American / statistics & numerical data
  • Male
  • Resilience, Psychological*
  • Social Determinants of Health