Evidence suggests that this culturally focused health promotion intervention has a positive impact on alcohol use, alcohol abstinence self-efficacy, depressive symptoms, and self-esteem among American Indian women.
Involvement in creative expression has the potential of engaging individuals in personal and community level change through reflection, empowerment, and the facilitation of connectedness. It is a process that can be a powerful component of community based participatory research as it can facilitate and support the principles of co-learning, egalitarian relationships, and respect for nonacademic knowledge. It is also a valuable means of appreciating culture and strengthening identity, which enhances health. This article reviews and discusses methods and benefits of incorporating creative expression into health promotion programs and community based participatory research with Native Americans. Keywords health promotion; creative expression; community based participatory research; Native Americans; American IndiansCommunity based participatory methods have demonstrated potential to benefit communities faced with health disparities. 1 By being fully involved in developing and implementing health promotion programs, communities create culturally relevant and potentially sustainable methods of enhancing community health. Native American nations, and ethnic and racial groups that have been exploited as subjects of academic research, are rightfully insisting on a different approach to research in their communities. [2][3][4] The guiding principles of community based participatory research (CBPR) include the importance of developing a co-learning process that brings community members and researchers together to empower community participants to increase control and ownership over their lives and their health. [5][6][7] Thus, this
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