Ka‘akālai Kū Kanaka: A Call for Strengths-based Approaches from a Native Hawaiian Perspective

Kanaiaupuni, Shawn Malia

doi:10.3102/0013189x033009026

Cited by 25 publications

(19 citation statements)

References 16 publications

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“…Research provides the opportunity to understand and resolve disparities, yet research involving Indigenous communities has been linked to research fatigue, 1 the misuse of genetic samples from Indigenous peoples 2 and an approach that is rooted in community deficits rather than strengths. 3 Perhaps it is for these reasons that many communities have developed a fear of the term ‘research’, 4 and have viewed this process as an extension of colonialism. 5 Negative examples of research being conducted in Indigenous communities overshadow positive ones, and have prompted the establishment of guidelines for Indigenous health research by the tri-council research bodies in Canada, 6 enactment of the Ownership, Control, Access and Possession principles for research involving First Nations People of Canada, 7 and institutional review boards by various tribal regions in the USA.…”

Section: Introductionmentioning

confidence: 99%

Community engagement approaches for Indigenous health research: recommendations based on an integrative review

et al. 2020

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ObjectiveCommunity engagement practices in Indigenous health research are promoted as a means of decolonising research, but there is no comprehensive synthesis of approaches in the literature. Our aim was to assemble and qualitatively synthesise a comprehensive list of actionable recommendations to enhance community engagement practices with Indigenous peoples in Canada, the USA, Australia and New Zealand.DesignIntegrative review of the literature in medical (Medline, Cumulative Index to Nursing and Allied Health Literature and Embase) and Google and WHO databases (search cut-off date 21 July 2020).Article selectionStudies that contained details regarding Indigenous community engagement frameworks, principles or practices in the field of health were included, with exclusion of non-English publications. Two reviewers independently screened the articles in duplicate and reviewed full-text articles.AnalysisRecommendations for community engagement approaches were extracted and thematically synthesised through content analysis.ResultsA total of 63 studies were included in the review, with 1345 individual recommendations extracted. These were synthesised into a list of 37 recommendations for community engagement approaches in Indigenous health research, categorised by stage of research. In addition, activities applicable to all phases of research were identified: partnership and trust building and active reflection.ConclusionsWe provide a comprehensive list of recommendations for Indigenous community engagement approaches in health research. A limitation of this review is that it may not address all aspects applicable to specific Indigenous community settings and contexts. We encourage anyone who does research with Indigenous communities to reflect on their practices, encouraging changes in research processes that are strengths based.

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Section: Introductionmentioning

confidence: 99%

Community engagement approaches for Indigenous health research: recommendations based on an integrative review

et al. 2020

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“…Perpetuation of the 'deficit discourse' has political significance as a core means of preserving the colonial project and reproducing inequality. 19 Indeed, Macoun notes: "the problematisation of Aboriginality is a colonial practice, relying on an implied opposition between a problematized Aboriginality and an idealised 'civilised' settler order". 20 Strengths-based practice that resists oppression, as eloquently expressed by the health practitioners in this study, gives voice, insight and political power.…”

Section: Discussionmentioning

confidence: 99%

Closing the gap between rhetoric and practice in strengths‐based approaches to Indigenous public health: a qualitative study

Askew

Brady

Mukandi

et al. 2020

Australian and New Zealand Journal of Public Health

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Objective: To understand strengths‐based practice as articulated by urban Indigenous community workers and to consider its application for public health approaches to Australian Indigenous health advancement. Methods: Semi‐structured interviews with community workers from an urban Indigenous community. Interviews were video and audio recorded and transcribed verbatim. Data were analysed using thematic analysis, using an Indigenist research framework. Results: For our participants (11 Indigenous and one non‐Indigenous), a strengths‐based approach was fundamental to their practice. This approach reconfigured the usual relationship of client and service provider to fellow community member. They understood the strength of Indigeneity that empowers individuals and communities. They were not blinkered to the challenges in the community but resisted defining themselves, their community or their community practice by these deficits. Conclusions: Our participants had a sophisticated experiential understanding that a strengths‐based practice is not simply a ‘culturally acceptable’ way for non‐Indigenous peoples to work for Indigenous peoples, but rather it is the only way of working with Indigenous people. Implications for public health: Strengths‐based practice requires a reconfiguring of relationships of power, of attending to structure over stereotypes, and privileging Indigenous ways of knowing, being and doing. This reconfiguration is an ethical prerequisite for an approach that is genuinely strengths‐based.

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“…Perhaps the editors should not be faulted for this omission, as there is little data out there of the kind I have described -although that is changing (see, for instance, Kana'iaupuni 2005). Public health has for many years now been focused on changing people's bad behaviours, which is perhaps why so many contributors are psychologists and psychiatrists.…”

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confidence: 89%

Book Review

2009

Culture, Health & Sexuality

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Ka‘akālai Kū Kanaka: A Call for Strengths-based Approaches from a Native Hawaiian Perspective

Cited by 25 publications

References 16 publications

Community engagement approaches for Indigenous health research: recommendations based on an integrative review

Community engagement approaches for Indigenous health research: recommendations based on an integrative review

Closing the gap between rhetoric and practice in strengths‐based approaches to Indigenous public health: a qualitative study

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