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Community Based Participatory Research (CBPR): A Dynamic Process of Health care, Provider Perceptions and American Indian Patients' Resilience
Author(s) -
Elizabeth Hulen,
Lisa J. Hardy,
Nicolette I. Teufel-Shone,
Priscilla R. Sanderson,
Anna L. Schwartz,
R. Cruz Begay
Publication year - 2019
Publication title -
journal of health care for the poor and underserved
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.511
H-Index - 59
eISSN - 1548-6869
pISSN - 1049-2089
DOI - 10.1353/hpu.2019.0017
Subject(s) - thematic analysis , health care , health equity , community based participatory research , prejudice (legal term) , psychological resilience , resilience (materials science) , gerontology , participatory action research , psychology , medicine , qualitative research , nursing , public health , social psychology , sociology , political science , social science , physics , anthropology , law , thermodynamics
American Indians are disproportionately affected by factors that lead to health disparities, however many Native people demonstrate resilience when faced with health risks. Study objectives were to use a resilience framework to identify wellness strategies among American Indian people and to assess health care provider perceptions of American Indian wellness. Participants included 39 American Indian adults who self-reported resilient change and 22 health care providers who served American Indian patients. Thematic categories across American Indian and health care provider data were identified: 1) relationships inform resilience; 2) prejudice stymies resilience; and 3) place shapes resilience. Results indicated the salience of relationships in demonstrating resilience. Identified challenges and supporters of resilience are discussed.

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