Carol E Kaufman1, Kirsten Black2, Ellen M Keane2, Cecelia K Big Crow3, Carly Shangreau3, Ruth Arthur-Asmah2, Colette Keith3, Bradley Morse2, Greg Schaffer2, Nicole Tuitt4. 1. Centers for American Indian and Alaska Native Health, University of Colorado-Anschutz Medical Campus, Aurora, Colorado. Electronic address: carol.kaufman@ucdenver.edu. 2. Centers for American Indian and Alaska Native Health, University of Colorado-Anschutz Medical Campus, Aurora, Colorado. 3. Northern Plains Regional Field Office, Pine Ridge, South Dakota, Centers for American Indian and Alaska Native Health, University of Colorado-Anschutz Medical Campus, Aurora, Colorado. 4. Centers for American Indian and Alaska Native Health, University of Colorado-Anschutz Medical Campus, Aurora, Colorado; Center for Public Health Practice, Colorado School of Public Health, University of Colorado-Anschutz Medical Campus, Aurora, Colorado.
Abstract
PURPOSE: To describe lessons learned working with tribal communities in the Northern Plains to plan and implement a group randomized trial of multimedia Circle of Life (mCOL), a sexual risk reduction program designed for American Indian (AI) youth. METHODS: Project records including emails, travel reports, and meeting minutes were reviewed and synthesized to describe participatory development of the project. RESULTS: Several challenges were identified including: discussing sexual health interventions for preteens with communities; developing a culturally appropriate research design; managing costs of conducting research in remote and culturally distinct tribal communities; and building research infrastructure of partner organizations. Opportunities for strengthening research partnerships included transparency, openness to bi-directional learning, planning for change, flexibility, and strategic use of technology. CONCLUSIONS: Findings suggest that meaningful AI community participation in research trials is achievable and a critical step towards generating evidence for interventions in settings where they are most needed. Substantial investments in time, resources, and relationship-building are necessary.
PURPOSE: To describe lessons learned working with tribal communities in the Northern Plains to plan and implement a group randomized trial of multimedia Circle of Life (mCOL), a sexual risk reduction program designed for American Indian (AI) youth. METHODS: Project records including emails, travel reports, and meeting minutes were reviewed and synthesized to describe participatory development of the project. RESULTS: Several challenges were identified including: discussing sexual health interventions for preteens with communities; developing a culturally appropriate research design; managing costs of conducting research in remote and culturally distinct tribal communities; and building research infrastructure of partner organizations. Opportunities for strengthening research partnerships included transparency, openness to bi-directional learning, planning for change, flexibility, and strategic use of technology. CONCLUSIONS: Findings suggest that meaningful AI community participation in research trials is achievable and a critical step towards generating evidence for interventions in settings where they are most needed. Substantial investments in time, resources, and relationship-building are necessary.
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