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Rural Health
Resources by Topic: Culture and cultural competency

Important Factors To Consider When Developing Rural Healthcare Systems: Suggestions From A Moloka'i Native
Highlights a number of factors to consider when developing healthcare systems for rural indigenous communities in Hawaii. Discusses community factors, workforce education, and material factors important to providing healthcare to the Moloka'i people.
Author(s): Luke Kikukawa
Citation: Hawaii Journal of Medicine and Public Health, 76(3), 47-48
Date: 03/2017
Type: Document
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Native Children's Policy Agenda
Presents a report detailing policy recommendations for the health and well-being of Native American youth. Discusses the challenges facing Native children, such as lack of access to healthcare and healthy food, environmental hazards, and affordable housing, among others. Makes corresponding recommendations for tribal governments and federal policymakers.
Date: 03/2017
Type: Document
Sponsoring organizations: First Kids 1st Initiative, National Congress of American Indians, National Indian Child Welfare Association, National Indian Education Association, National Indian Health Board
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Tribal Nursing Homes: Best Practices for Patients with Dementia and Alzheimer's Disease
Details a report on tribal nursing homes' best practices for treatment of Dementia and Alzheimer's disease. Discusses cultural considerations and risk factors in caring for Native American elders. Includes related organizations, resources, and webinars.
Date: 03/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Cultural Dance Program Improves Hypertension Management for Native Hawaiians and Pacific Islanders: a Pilot Randomized Trial
Results of a 12-week hula-based intervention coupled with self-care education on blood pressure management, done in Honolulu in 2012-2013. Features demographic statistics with breakdowns by ethnic group, and intervention effects on blood pressure from baseline to 3-month follow-up.
Author(s): Joseph Keawe'aimoku Kaholokula, Mele Look, Tricia Mabellos, et al.
Citation: Journal of Racial and Ethnic Health Disparities, 4(1), 35-46
Date: 02/2017
Type: Document
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Reclaiming What is Sacred: Addressing Harm to Indigenous Elders and Developing a Tribal Response to Abuse in Later Life
Presents strategies and information for preventing elder abuse in American Indian and Alaska Native communities. Discusses the prevalence of elder abuse, as well as cultural considerations for prevention policies and programs.
Additional links: Tools, Webinar Recording
Author(s): Lauren J. Litton, Victoria Ybanez
Date: 02/2017
Type: Document
Sponsoring organization: National Clearinghouse on Abuse in Later Life
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Toolkit: Cross-Jurisdictional Sharing Between Tribes and Counties for Emergency Management
Contains checklists, templates, case studies, resources for educational training, laws and policies for emergency management, and cultural resources. Developed at the request of California tribal and county representatives, though most of the materials have national scope.
Author(s): Maureen A. Wimsatt, Michael Mudgett, Cassandra Call, Al Hernandez-Santana, Kathleen Greer
Date: 02/2017
Type: Document
Sponsoring organizations: California Rural Indian Health Board, Inc., California Tribal Epidemiology Center
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OPREVENT2: Design of a Multi-institutional Intervention for Obesity Control and Prevention for American Indian Adults
Presents a study of a multi-level, multi-component (MLMC) intervention designed to control and prevent obesity in American Indian communities. Analyzes data based on intervention type. process evaluation measure, and impact/outcome measure.
Author(s): Joel Gittelsohn, Brittany Jock, Leslie Redmond, et al.
Citation: BMC Public Health, 17, 105
Date: 01/2017
Type: Document
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A Community-Developed, Culturally-Based Palliative Care Program for African American and White Rural Elders with a Life-Limiting Illness: A Program By The Community for the Community
Describes the development of a culturally-based palliative care program in Beaufort, South Carolina. Discusses different preferences for care between African American and White focus group participants, such as the involvement of family members and the role of hospice and palliative care.
Author(s): Ronit Elk
Citation: Narrative Inquiry in Bioethics, 7(1), 36-40
Date: 2017
Type: Document
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Mental Health Disparities: American Indians and Alaska Natives
Details the mental health disparities that exist among American Indian and Alaska Native populations. Discusses barriers to care, service utilization, and cultural beliefs.
Date: 2017
Type: Document
Sponsoring organization: American Psychiatric Association
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Decolonizing Knowledge Development in Health Research Cultural Safety Through the Lens of Hawaiian Homestead Residents
Highlights a study on the concept of cultural safety as a means of conducting effective health research within Native Hawaiian communities. Focuses on practices that facilitate cross-cultural respect and understanding.
Author(s): Lana Sue I. Ka'opua, Suresh Tamang, Adrienne Dillard, B. Puni Kekauoha
Citation: Journal of Indigenous Social Development, 5(2), 20-42
Date: 2017
Type: Document
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