“…Researchers have also identified links between Indigenous health outcomes and low income, poor housing, low levels of formal education, high unemployment, and lack of social supports (Andermann, 2016;Rotenberg, 2016), as well as tobacco use and a lack of physical activity (Joseph et al, 2012). Many strategies used to improve these conditions in Indigenous communities have not been successful in adapting to and implementing Indigenous values and culture (Griffiths, Coleman, Lee, & Madden, 2016;Nesdole, Voigts, Lepnurm, & Roberts, 2014). And so there is growing recognition that elements such as identity, culture, spirituality, and wellbeing should be foundational to the development and implementation of new strategies if prevention and treatment are to be successful (Ashing-Giwa, 2005;King et al, 2009).…”