Digital Commons Network^™

Disparities Between Native Americans And White Individuals In Trajectories Of Community Participation Over The 5 Years After Traumatic Brain Injury, Jack Watson

Theses and Dissertations

Traumatic brain injury (TBI) disproportionately affects minoritized populations within the U.S., especially Native Americans who are more likely to experience a more severe or fatal TBI than White individuals. The current study used a subsample of 63 Native Americans with TBI from the TBI Model Systems (TBIMS) database matched by age, sex, and injury severity to 63 White individuals to examine disparities in community participation, as measured by the Participation Assessment with Recombined Tools—Objective (PART-O), over the five years following TBI. Analysis of variance (ANOVA) and chi-square tests revealed Native Americans were less likely to be employed prior to injury, …

Protective Factors In The Relationship Between Perceived Discrimination And Risky Drinking Among American Indian Adolescent, Ying Guo, Randall C. Swaim, W. Alex Mason

Department of Child, Youth, and Family Studies: Faculty Publications

Introduction: The relationship between perceived discrimination and risky drinking among American Indian (AI) youth is understudied, and the potential protective factors that may buffer this association are unknown. Therefore, the objective of this study was to examine protective factors across individual, family, school, peer, and cultural domains of the social ecology that might attenuate the relationship between perceived discrimination and risky drinking among AI adolescents.

Method: Data were from the Substance Use Among American Indian Youth Study (Swaim and Stanley, 2018, 2021). AI youth who have used alcohol in their lifetime (n = 2516 within 62 schools) …

Perceptions Of Disabilities Among Native Americans Within The State Of Utah, Erica Ficklin, Melissa Tehee, Sherry Marx, Eduardo Ortiz, Megan E. Golson, Tyus Roanhorse

Psychology Student Research

Currently, little research exists on disabilities among Native American communities and no research exists on how Native Americans perceive disabilities, services currently available, and unmet needs. Understanding these key areas is essential to providing efficacious and culturally relevant care. To address this gap in the literature, we used Indigenous research methodology through sharing circles throughout the state of Utah to listen and amplify the voices of the Native communities. Participants shared how they conceptualize "disability," what they thought of current services, and how they thought the needs of Native persons with disabilities should be addressed. Four major themes emerged in …

Precision Medicine Approaches To Alcohol Use Disorder For American Indians: Assessment And Phenotypic Differentiation Of Reward And Relief Drinking, Hanna M. Hebden

Psychology ETDs

American Indian (AI) communities endorse high rates of abstinence from alcohol and substance use, yet experience disparate rates of alcohol and substance-related consequences. Alcohol and substance use is conceptualized as interwoven with unique AI contextual factors, which are often not incorporated into examination of related constructs. Current knowledge gaps exist in study of precision medicine approaches to treatment for reward and relief drinking in AI. This study aimed to understand reward and relief substance use phenotypes in AI. We described a contextually-informed model of relief assessment and to compare this assessment to the original reward and relief models using latent …

Resilience, Spirituality And Cultural Connectiveness Within The Native American/American Indian Indigenous Population, Lindsay Price

Doctor of Psychology (PsyD)

Native Americans, also known as the American Indian or Indigenous population, were colonized over four centuries ago by Europeans who brought many diseases which decimated this population. This immense trauma continued for generations as the settlers continued to violate Native American life and identity on every level. Hundreds of indigenous tribes endured massacre, annihilation of traditional culture, forced religious assimilation, stolen land, broken treaties, betrayal of rights, removal of identity, neglect, and constant abuse without any recompense. These violations still widely occur, yet the strength and flourishing of Native Americans remain ever-present. Their deep-rooted protective factors within resilience, like cultural …

Using Intergenerational Photovoice To Understand Family Strengths Among Native American Children And Their Caregivers, Katie M. Edwards, Ramona Herrington, Marcey Edwards, Victoria Banyard, Natira Mullet, Skyler Hopfauf, Briana Simon, Emily A. Waterman

Department of Educational Psychology: Faculty Publications

The purpose of the current study was to examine Native American children and caregivers' perspectives of family and cultural strengths using photovoice and to identify lessons learned from the first‐ever implementation of intergenerational photovoice with Native Americans. Participants were Native American, low‐income caregivers (n = 6) and their children (n = 12) between the ages of 10 and 15 who participated in six photovoice sessions. The themes that emerged from photos and group discussion included myriad challenges faced by Native American families including exposure to community violence, substance abuse, and criminal offending and incarceration. Themes also emerged that highlighted …

Testing The Use Of A Social Networking App For American Indians Recovering From Addiction, Nicholas Guenzel, Dennis Mcchargue, Hongying Dai

Department of Psychology: Faculty Publications

Objectives: American Indians (AIs) have higher rates of addiction than most other groups. Social networking mobile apps are growing in popularity but their use has not been studied among AIs specifically. Methods: This paper describes a pilot program in which 27 AIs recovering from addiction were given access to a mobile app to support addiction recovery (Sober Grid) for up to six months. They completed a technology acceptability survey, monthly surveys of cravings, social connectedness, and quality of life, and a follow-up survey. Their use of the app was also tracked. Findings: We found that individuals in the sample often …

Reliability Analysis Of The Basc-3 Srp With American Indian/Alaska Native Adolescents, Nathan Higa

Doctor of Psychology (PsyD)

With a vastly growing diverse population, the current focus on diversity-informed assessment has led to research on whether established instruments are reliable to utilize with specific populations. The American Indian/Alaska Native population (AI/AN) is often a group that is underrepresented in various assessments. The BASC-3 is an important assessment in psychoeducational evaluations thus, the goal of the study is to determine whether the BASC-3 is a culturally reliable assessment to use with AI/AN in educational setting.

Utilizing the computer program Cocron we compared Cronbach alpha levels across three groups (Native Americans, White, manualized clinical sample) and conducted t-test to compare …

Historical Trauma Response Scores As A Function Of Unresolved Grief And Substance Use Disorder In American Indian Populations, Andrew R. Saunders

Undergraduate Research Symposium

Abstract

Researchers are interested in the outcomes of interventions, specifically, measuring historical trauma (HT) among American Indian/Alaska Native communities and the long-term distress and substance abuse as a result of historical trauma response (HTR). Previous literature has implicated limitations in the clinical conceptualization of the relationship between intergenerational transfer of HTR and substance abuse. The aim of the current study is to examine treatment efficacy of 50 homosexual, American Indian males randomized to a culturally-adapted juxtaposition of (1) Group Interpersonal Psychotherapy (IPT), (2) Cognitive Processing Therapy (CPT), and (3) Historical Trauma and Unresolved Grief Intervention (HTUG), or (4) waitlisted on …

Self-Efficacy And Health Perceptions, A Survey Of American Indian Obesity, Kristina L. Babbitt

Walden Dissertations and Doctoral Studies

Compared to other ethnicities, American Indians have higher rates of obesity and are disproportionately diagnosed with comorbid diseases such as diabetes, high blood pressure, and heart disease. While genetic, behavioral, and social risk factors contribute to health disparities and disease, the concept of self-efficacy, an element of Bandura’s social cognitive theory, influences the ability to overcome barriers and reduce risk. When combined with the health belief model, this theory also provides the foundation for understanding perceptions, attitudes, and beliefs about disease. Yet, research in these areas is limited for American Indians. Therefore, the purpose of this cross-sectional survey study was …

Autoethnography Of A Whitegirl Marriage And Family Therapist's Experience Working On The Rez, Andrea L. Cuva

Department of Family Therapy Dissertations and Applied Clinical Projects

Despite the abundance of literature regarding potentially effective treatment modalities for Native American clients, researchers have been unable to identify an empirically proven effective treatment modality for this population. Common recommendations/considerations for therapists working with Native clients have been identified throughout literature; however, such findings were gathered by insiders (i.e., Native researchers or trained Tribal staff), which has left questions regarding the efficacy of such recommendations when applied by non-Native therapists. Due to Native American history, elaborate IRB requirements were put in place to ensure ethical research with this population but impedes the research process. I conducted an analytic autoethnography …

Resilience In American Indian And Alaska Native Public Health: An Underexplored Framework, Nicolette I. Teufel-Shone, Julie A. Tippens, Hilary C. Mccrary, John E. Ehiri, Priscilla R. Sanderson

Department of Child, Youth, and Family Studies: Faculty Publications

Objective: To conduct a systematic literature review to assess the conceptualization, application, and measurement of resilience in American Indian and Alaska Native (AIAN) health promotion.

Data Sources: We searched 9 literature databases to document how resilience is discussed, fostered, and evaluated in studies of AIAN health promotion in the United States.

Study Inclusion and Exclusion Criteria: The article had to (1) be in English; (2) peer reviewed, published from January 1, 1980, to July 31, 2015; (3) identify the target population as predominantly AIANs in the United States; (4) describe a nonclinical intervention or original research that identified resilience as …

A Community Well-Being Model: Considering Audit Scores And Social Class In Non-Hispanic White And American Indian College Students, Violette Marie Cloud

Psychology ETDs

Although American Indian (AI) ethnic/racial identity and lack of social support have been linked with alcohol use problems in AI populations, little research has examined the impact of socioeconomic status, or the protective benefits of high ethnic identity with strong social connection in AI samples. This study developed and investigated a latent construct labeled community well-being (CWB) and tested it as a predictor of scores on the Alcohol Use Disorder Identification Test (AUDIT) in a sample of non-Hispanic White (NHW) and AI college students with consideration of self-reported childhood social class (birth to 18). Using structural equation modeling (SEM) this …

Navajo Nation Brain Drain: An Exploration Of Returning College Graduates' Perspectives, Quintina Ava Adolpho

Theses and Dissertations

American Indian tribes face the phenomenon known across the world as the brain drain. They invest millions of dollars in educating their members, only to have little return on their investments. Many nation members leave reservations to get postsecondary education but never return, contributing to the brain drain. Those who get education off the reservation and choose to return are the exceptions to this rule. Although there is an abundance of literature regarding the brain drain across the world, there has been little research done with American Indians. In order to begin to understand the brain drain phenomenon this study …

Resilience Through Adversity And Aging: Historical Loss And Resilience In Adults From A Northern Plains Tribe, Desiree L. Fox

Graduate Student Theses, Dissertations, & Professional Papers

Historical loss is a primary contributor to the well-being of American Indian people and their communities. Research has shown that these losses have contributed to modern-day physical and mental health disparities. Research has also shown that adverse experiences, such as historical loss, are associated with the development of resilience. Additionally, increased age has been found to be related to increased levels of resilience. An informal survey of members of a Northern Plains tribal community identified grief as a major area of concern. The present study is a secondary analysis of data that was collected from two culturally-anchored grief retreats. Participants …

Spiritual Practices Among Northern Plains Tribal Members As A Protective Factor In The Relationship Between Unexpected Deaths And Traumatic Grief, Ciara D. Hansen

Graduate Student Theses, Dissertations, & Professional Papers

Background: Grief is an important and potentially misunderstood construct in Indian country. Past research has shown that the experience of unexpected deaths has been associated with intense and maladaptive grief responses. Active participation in religion or spirituality has been shown to buffer against the negative effects of bereavement. Given the well-documented premature mortality rates and generally lowered life expectancy in American Indian communities, this study examined the relationships between spirituality, unexpected deaths, and traumatic grief, as measured by the Inventory of Traumatic Grief – Revised (ITG-R). Method: A secondary multiple regression analysis was used to test the hypothesis that …

The Service And Re-Entry Needs Of Juvenile Offenders: American Indian Girls Impacted By Sexual Trauma, Rae Anne Marie Frey

Theses and Dissertations

American Indian (AI) youth experience incarceration (Bureau of Justice Statistics, 2011; Easy Access to the Census of Juveniles in Residential Placement, 1997-2010) and sexual abuse (Bachman, Zaykowski, Lanier, Poteyeva, & Kallmyer, 2010; Ellison, 2005; Hamby, 2008; Robin, 1997) at disparate rates in the United States. The present qualitative project utilized Extended Case Method to explore the service and re-entry needs of AI girls who are juvenile offenders and have been impacted by sexual abuse. This project includes secondary data detailing 58 cases of detained AI girls at a state-run female juvenile detention facility in the Midwest. Results indicated 26 of …

Influence Of Family On Native American Students, Lisa Jeannette Fox

Theses and Dissertations

Native American* postsecondary education students encounter several barriers to academic persistence including cultural assimilation issues, limited access to career information services, and an individual sense of duty and responsibility to remain tied to traditional spiritual values and beliefs systems, joined with family pressure to stay home. While the presence of Native American students in postsecondary education has increased, the number of students persisting through to graduation remains alarmingly low. Much of the research on Native American academic persistence has focused on acculturation and assimilation issues, leaving the influence of family largely unexplored. To help enrich this aspect of Native …

Biculturalism Among Indigenous College Students, Colton Duane Miller

Theses and Dissertations

Indigenous* college students in both Canada and the United States have the lowest rates of obtaining postsecondary degrees, and their postsecondary dropout rates are higher than for any other minority (Freeman & Fox, 2005; Mendelson, 2004; Reddy, 1993). There has been very little research done to uncover possible reasons for such low academic achievement and high dropout rates for Indigenous students. Some of the research that has been done indicates that one challenge for Indigenous students is the difficulty in navigating the cultural differences between higher education and their Indigenous cultures. Biculturalism is the ability of an individual to …

Secondary Analysis Of Diabetes And Psychological Distress In American Indian Women From The California Health Interview Survey (Chis)., Audry Marie Greenwell

Electronic Theses and Dissertations

Since European settlers arrived to the United States (U.S.), American Indians (AI) have been separate and unequal members of society. After a long history of discrimination, ethnocide, genocide, and distrust, the AI have become a population with severe disparities, having the highest rates of diabetes, depression, suicide, tuberculosis, and alcoholism than any other minority or majority population in the U.S. The author's purpose for conducting this study was to explore a possible relationship between depression or psychological distress and diabetes in AI women.

AI women are the most under studied group in the country; therefore, a secondary analysis of the …

Longitudinal And Reciprocal Effects Of Ethnic Identity And Experiences Of Discrimination On Psychosocial Adjustment Of Navajo (Diné) Adolescents, Matthew D. Jones

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study examined the relationships among ethnic identity, cultural identity, experiences of discrimination, their interactions, and their effects on various psychosocial outcomes (self-esteem, depression, sense of school membership, social functioning, substance abuse, substance related problems, delinquent behaviors, and grade point average [GPA]). Data were collected twice over a 2-year period.

Change across time was observed in male adolescents' experiences of discrimination. Affirmation and belonging to Navajo culture was the strongest protective predictor at Time 1, but at Time 2 less consistent patterns of association emerged. Also at Time 2, experiences of discrimination emerged as a powerful negative predictor of psychosocial …

Acculturation, Family Variables, And Cognition Of A Subgroup Of American Indian Children Ages 3-9, Michael Alan Cummings

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

A study was conducted to examine the relationship between specific family variables and measures of cognitive abilities for preschool and young school-aged children of an American Indian ancestry. More specifically, the study used two cognitive measures, the Kaufman Assessment Battery for Children and the Embedded Figures Test, and examined the influence that 23 family variables and cultural background (acculturation) had on measures of spatial abilities.

Past studies suggested that American Indian children, as a group, perform above the standardization sample on measures of visual-spatial skills, have higher simultaneous processing skills, and are more field independent. It was anticipated that at …