Building a Tribal-Academic Partnership to Address PTSD, Substance Misuse, and HIV Among American Indian Women

Health Promot Pract. 2019 Jan;20(1):48-56. doi: 10.1177/1524839918762122. Epub 2018 Mar 5.

Abstract

Objectives: To describe our partnership and research infrastructure development strategies and discuss steps in developing a culturally grounded framework to obtain data and identify a trauma-informed evidence-based intervention.

Method: We present funding strategies that develop and maintain the partnership and tools that guided research development. We share how a community research committee was formed and the steps taken to clarify the health concern and develop a culturally tailored framework. We present results from our needs/assets assessment that led to the selection of a trauma-informed intervention. Finally, we describe the agreements and protocols developed.

Results: We produced a strong sustainable research team that brought program and research funding to the community. We created a framework and matrix of program objectives grounded in community knowledge. We produced preliminary data and research and publication guidelines that have facilitated program and research funding to address community-driven concerns.

Conclusions: This study highlights the importance of bidirectional collaboration with American Indian communities, as well as the time and funding needed to maintain these relationships. A long-term approach is necessary to build a sustainable research infrastructure. Developing effective and efficient ways to build culturally based community research portfolios provides a critical step toward improving individual and community health outcomes.

Keywords: American Indian and Alaskan Native; CBPR; CPT; HIV; PTSD; cognitive processing therapy; community-based participatory research; partnership development; posttraumatic stress disorder.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Community Networks / organization & administration*
  • Community-Based Participatory Research / organization & administration
  • Female
  • HIV Infections / therapy*
  • Humans
  • Indians, North American / statistics & numerical data*
  • Stress Disorders, Post-Traumatic / therapy*
  • Substance-Related Disorders / therapy*
  • United States
  • United States Indian Health Service / organization & administration*