Community Engagement as a Process and an Outcome of Developing Culturally Grounded Health Communication Interventions: An Example from the DECIDE Project

Palmer-Wackerly, Angela L.; Krok, Jessica L.; Dailey, Phokeng M.; Kight, Linda; Krieger, Janice L.

doi:10.1007/s10464-013-9615-1

Cited by 27 publications

(14 citation statements)

References 43 publications

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“…However, few studies have been specifically tailored to rural populations or have adapted existing protocols to include the rural experience (see Colby et al 2013;Palmer-Wackerly et al 2014, for notable exceptions). Researchers should recognize this potential association and tailor their health interventions to include both in-group and broader societal identities to reduce potential stereotype threat and increase positive health behaviors.…”

Section: Discussionmentioning

confidence: 99%

The Conceptualization of Self-Identity among Residents of Appalachia Ohio

Krok-Schoen¹,

Palmer-Wackerly²,

Dailey³

et al. 2015

Journal of Appalachian Studies

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Section: Discussionmentioning

confidence: 99%

The Conceptualization of Self-Identity among Residents of Appalachia Ohio

Krok-Schoen¹,

Palmer-Wackerly²,

Dailey³

et al. 2015

Journal of Appalachian Studies

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“…Efforts were made to interview participants in a separate private location; however, for five interviews, the referring patient was present. On completion of the interview, participants completed a demographic survey and were remunerated $30.00 (see Palmer-Wackerly, Krok, Dailey, Kight, & Krieger, 2014, for in-depth description of methods). All procedures were approved by the institutional review board.…”

Section: Methodsmentioning

confidence: 99%

Caregiver Perceptions of Their Influence on Cancer Treatment Decision Making

Krieger

Palmer-Wackerly

Krok‐Schoen

et al. 2015

Journal of Language and Social Psychology

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Serious illness of a loved one can disrupt a caregiver's sense of self and relationships. We examined the language caregivers use to describe the cancer treatment decision making of a loved one to understand how caregivers frame their own identity relative to a patient's illness. We analyzed transcripts from in-depth interviews conducted with caregivers (N = 58) of cancer patients to examine the intersection among language, identity, and illness. Caregivers with a patient-level personal identity frame used phrases such as their body, their decision. Caregivers with a relational identity frame used plural pronouns such as we or our when describing the treatment decision. Importantly, some caregivers perceived an illness identity gap in that the patients' perceptions of their illness identity differed from their own. Illness identity gaps are theorized to be associated with treatment decision making more closely aligned with intergroup, rather than interpersonal, processes.

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“…Cultural grounded approaches are those in which the sociocultural context is at the core of the intervention and elements of the program are based on the worldviews, beliefs, and customs of the target population (Lauricella et al 2016; Palmer-Wackerly et al 2014). These types of interventions are referred to as originating from the “ground-up” because they emerge from the cultural group’s own worldviews and preferred practices rather than relying solely on Western notions of health promotion (Walters et al in press).…”

Section: Culturally Responsive Approaches To Health Interventionmentioning

confidence: 99%

Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders

Kaholokula

Ing

Look

et al. 2018

Annals of Human Biology

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Context Obesity, diabetes, and cardiovascular disease (CVD) have reached epidemic proportions among Native Hawaiians/Pacific Islanders (NHPI). Culturally responsive interventions that account for their interpersonal, sociocultural, and socioeconomic realities is a public health priority. Objective To describe cultural adaptation and cultural grounded approaches to developing health interventions for NHPI and to review the culturally responsive approaches used by, and outcomes from, two long-standing community-based participatory research projects (CBPR) in Hawai‘i: PILI ‘Ohana and KāHOLO Projects. Methods A literature review of 14 studies from these two projects were done to exemplify the methods applied to culturally adapting existing evidence-based interventions and to developing novel interventions from the “ground up” to address health disparities in NHPI. Of the 14 studies reviewed, 11 were studies of the clinical and behavioral outcomes of both types of interventions. Results Both cultural adapted and cultural grounded approaches using community-based assets and NHPI cultural values/practices led to establishing sustainable and scalable interventions that significantly improved clinical measures of obesity, diabetes, and hypertension. Conclusion Several recommendations are provided based on the lessons learned from the PILI ‘Ohana and KāHOLO Projects. Multidisciplinary and transdisciplinary research using CBPR approaches are needed to elucidate how human biology is impacted by societal, environmental, and psychological factors that increase the risk for cardiometabolic diseases among NHPI to develop more effective health promotion interventions and public health policies.

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Community Engagement as a Process and an Outcome of Developing Culturally Grounded Health Communication Interventions: An Example from the DECIDE Project

Cited by 27 publications

References 43 publications

The Conceptualization of Self-Identity among Residents of Appalachia Ohio

The Conceptualization of Self-Identity among Residents of Appalachia Ohio

Caregiver Perceptions of Their Influence on Cancer Treatment Decision Making

Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders

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