TY - JOUR
T1 - Understanding the resilience of children living on an American Indian reservation
T2 - A mixed methods participatory study
AU - Hodgson, Christine
AU - Taylor-Piliae, Ruth
AU - Rainbow, Jessica
N1 - Funding Information:
This research was supported by grants from: the Agnese Nelms Haury Program's Native Pathways Award from the University of Arizona Foundation; the Frederick Lange Memorial Endowment from the University of Arizona College on Nursing; the Graduate and Student Council Research and Project Grant from the University of Arizona; and the Beta Mu Chapter of Sigma Theta Tau International Honour Society of Nursing. None of these grants had grant numbers.
Publisher Copyright:
© 2023 John Wiley & Sons Ltd.
PY - 2023
Y1 - 2023
N2 - Aim: To explore the resilience of children, six to thirteen years old, living on a Northern Plains American Indian Reservation using a situation specific nursing theory. Background: American Indian and Alaska Native children experience mental health inequities compared to their white peers, including substance use, suicide, depression, and anxiety. Resilience is a strength of children that can be leveraged to improve their mental health. Design: A parallel convergent mixed methods design. Methods: A community advisory board culturally adapted resilience instruments. During two weeks in summer 2022, forty-seven children/caregiver dyads completed surveys about the child's resilience. Descriptive statistics gave the scores of each child's personal, relational, and total resilience. A subset of 20 children participated in a semi-structured interview. Results: Children scored high on overall resilience, and higher on the relational subscale than the personal subscale. Caregiver survey scores were not significantly correlated with their child's scores and were higher than the children's scores. Qualitative coding revealed six themes of resilience. Integration of data showed a concordance and expansion of the quantitative data across themes. Conclusion: The children reported high resilience supported by a strong ecosystem of relationships. Resilience, as explained through children's voices, corroborated with findings from the surveys. Implications for Nursing: Findings will help nurses across sectors of primary, secondary, and tertiary care create resilience-enhancing interventions and prevent mental health crises in this community. Impact Statement: This findings from this study will inform local mental health interventions on the Reservation. The study provides a reproducible design to adapt to other Indigenous communities. Public Contribution: A community advisory board was a partner in every stage of the study. Children and caregivers participated in data collection. Contribution to the Wider Clinical Community: This research provides knowledge that will further social justice efforts within nursing to promote health equity across diverse populations.
AB - Aim: To explore the resilience of children, six to thirteen years old, living on a Northern Plains American Indian Reservation using a situation specific nursing theory. Background: American Indian and Alaska Native children experience mental health inequities compared to their white peers, including substance use, suicide, depression, and anxiety. Resilience is a strength of children that can be leveraged to improve their mental health. Design: A parallel convergent mixed methods design. Methods: A community advisory board culturally adapted resilience instruments. During two weeks in summer 2022, forty-seven children/caregiver dyads completed surveys about the child's resilience. Descriptive statistics gave the scores of each child's personal, relational, and total resilience. A subset of 20 children participated in a semi-structured interview. Results: Children scored high on overall resilience, and higher on the relational subscale than the personal subscale. Caregiver survey scores were not significantly correlated with their child's scores and were higher than the children's scores. Qualitative coding revealed six themes of resilience. Integration of data showed a concordance and expansion of the quantitative data across themes. Conclusion: The children reported high resilience supported by a strong ecosystem of relationships. Resilience, as explained through children's voices, corroborated with findings from the surveys. Implications for Nursing: Findings will help nurses across sectors of primary, secondary, and tertiary care create resilience-enhancing interventions and prevent mental health crises in this community. Impact Statement: This findings from this study will inform local mental health interventions on the Reservation. The study provides a reproducible design to adapt to other Indigenous communities. Public Contribution: A community advisory board was a partner in every stage of the study. Children and caregivers participated in data collection. Contribution to the Wider Clinical Community: This research provides knowledge that will further social justice efforts within nursing to promote health equity across diverse populations.
KW - American Indian/Alaska native
KW - children
KW - community advisory board
KW - community-based participatory research
KW - culturally adapted instruments
KW - mental health disparities
KW - mixed methods
KW - resilience
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U2 - 10.1111/jan.15734
DO - 10.1111/jan.15734
M3 - Article
AN - SCOPUS:85162882056
SN - 0309-2402
JO - Journal of advanced nursing
JF - Journal of advanced nursing
ER -