Citation

Kaufman CE, Black K, Keane EM, Big Crow CK, Shangreau C, Arthur-Asmah R, Keith C, Morse B, Schaffer G, Tuitt N. J. Adolesc. Health 2014; 54(3 Suppl): S59-S63.

Affiliation

Centers for American Indian and Alaska Native Health, University of Colorado-Anschutz Medical Campus, Aurora, Colorado; Center for Public Health Practice, Colorado School of Public Health, University of Colorado-Anschutz Medical Campus, Aurora, Colorado.

Copyright

(Copyright © 2014, Elsevier Publishing)

DOI

10.1016/j.jadohealth.2013.12.028

PMID

24560078

Abstract

PURPOSE: To describe lessons learned working with tribal communities in the Northern Plains to plan and implement a group randomized trial of multimedia Circle of Life (mCOL), a sexual risk reduction program designed for American Indian (AI) youth. METHODS: Project records including emails, travel reports, and meeting minutes were reviewed and synthesized to describe participatory development of the project. RESULTS: Several challenges were identified including: discussing sexual health interventions for preteens with communities; developing a culturally appropriate research design; managing costs of conducting research in remote and culturally distinct tribal communities; and building research infrastructure of partner organizations. Opportunities for strengthening research partnerships included transparency, openness to bi-directional learning, planning for change, flexibility, and strategic use of technology. CONCLUSIONS: Findings suggest that meaningful AI community participation in research trials is achievable and a critical step towards generating evidence for interventions in settings where they are most needed. Substantial investments in time, resources, and relationship-building are necessary.

Language: en