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Rural Health
Resources by Topic: Culture and cultural competency

Strategies to Support Healthy Relationships for American Indian and Alaska Native Fathers
Provides strategies that can be utilized by American Indian and Alaskan Native (AI/AN) fathers to develop strong coparenting and familial relationships that are based on AI/AN cultural values. Discusses benefits of supporting the fatherhood role, such as increased health and emotional benefits and a decrease in substance abuse and domestic violence in AI/AN communities. Includes strategies based on interviews with experts and fathers, a scan of available research, and an awareness of the historical trauma present in AI/AN communities.
Author(s): April Wilson, Isabel Griffith, Deana Around Him, et al.
Date: 04/2022
Type: Document
Sponsoring organizations: Administration for Children and Families, Child Trends
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Precious Moments: Tribal Home Visiting Programs Support Families During Pregnancy and Postpartum
Provides an overview of how 7 Tribal Home Visiting grantees provide support to American Indian and Alaskan Native (AIAN) families during pregnancy and postpartum. Focuses on providing culturally competent care related to AIAN traditions, addressing historical and personal trauma in caregiving, improving maternal health outcomes, and providing education on breastfeeding, postpartum depression, healthy diet, and more.
Date: 04/2022
Type: Document
Sponsoring organizations: Administration for Children and Families, Tribal Home Visiting
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Building a Culturally Aware Native Hawaiian Health Professions Workforce
Highlights the Native Hawaiian Health Scholarship Program's efforts to build the Native Hawaiian health workforce. Describes the development of the program and changes to make the program more culturally aware and to integrate Native Hawaiian values into workforce training and professional development.
Author(s): Donna-Marie Palakiko, Kai'olu DeFries, Kilohana Haitsuka, Lisa L. Ka'anoi
Citation: Hawaii Journal of Health and Social Welfare, 81(4), Supplement 2, 15-19
Date: 04/2022
Type: Document
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Healthcare Accessibility for the Deaf and Hard of Hearing: A Descriptive Study of Rural Health Care Systems
Reports on survey results from 18 hospitals associated with rural healthcare systems regarding accessibility tools for deaf or hard of hearing patients. Presents information on tools for communication, perspectives on available tools, and types of available education for healthcare workers caring for deaf and hard of hearing patients.
Author(s): Amanda Reinhart
Date: 04/2022
Type: Document
Sponsoring organization: Illinois Critical Access Hospital Network
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A Qualitative Study of Rural Healthcare Providers' Views of Social, Cultural, and Programmatic Barriers to Healthcare Access
Examines barriers to healthcare access in rural populations based on semi-structured interviews with 12 healthcare providers practicing in Montana. Focuses on domains of cultural considerations, patient-provider communication, and provider-provider communication.
Author(s): Nicholas C. Coombs, Duncan G. Campbell, James Caringi
Citation: BMC Health Services Research, 22, 438
Date: 04/2022
Type: Document
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Building Trust in Public Health Emergency Preparedness and Response (PHEPR) Science: Proceedings of a Workshop—in Brief
Summarizes findings from a March 2022 workshop focused on trustworthiness of Public Health Emergency Preparedness and Response (PHEPR) institutions and researchers. Discusses how to promote trust in public health agencies and establishing communication strategies to address misinformation. Includes cultural issues related to rural and tribal communities.
Additional links: Read Online
Date: 03/2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Codesigning a Community-Based Participatory Research Project to Assess Tribal Perspectives on Privacy and Health Data Sharing: A Report from the Strong Heart Study
Presents findings from a workshop on health data privacy and sharing preferences with 14 tribal leaders whose communities are involved in the Strong Hearts Study. Discusses protocol for consulting tribal communities prior to engaging in biomedical research, issues of data safety, and respecting the distinct preferences of communities.
Author(s): Cynthia Triplett, Burgundy J. Fletcher, Riley I Taitingfong, et al.
Citation: Journal of the American Medical Informatics Association, ocac038
Date: 03/2022
Type: Document
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Strategies and Interventions to Reduce Suicide: Proceedings of a Workshop
Summarizes insights from a two-part virtual public workshop focused on suicide prevention interventions. Includes discussion of suicide trends for specific populations. Addresses a wide range of strategies and approaches to meet the needs of different groups, including rural and tribal populations.
Additional links: Read Online
Author(s): Forum on Mental Health and Substance Use Disorders
Date: 02/2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Food Insecurity among American Indian and Alaska Native People: A Scoping Review to Inform Future Research and Policy Needs
Presents a literature review focused on food insecurity in American Indian and Alaska Native (AI/AN) populations. Analyzes 34 studies and synthesizes major issues across the research such as prevalence of food insecurity, cultural foods and food sovereignty, strategies to improve food access, and the need for cultural competency when studying food insecurity in AI/AN populations.
Author(s): Cassandra J Nikolaus, Selisha Johnson, Tia Benally, et al.
Citation: Advances in Nutrition, 13(5), 1566-1583
Date: 01/2022
Type: Document
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Medi-Cal Specialty Mental Health External Quality Review: FY 2020-21 Statewide Report
Reports on an external review of all 56 county Mental Health Plans (MHPs) that are contracted to provide specialty mental health services to California Medicaid beneficiaries, including breakdowns for rural areas. Discusses challenges meeting demand and recruiting and retaining healthcare providers. Highlights access to services through telehealth, bilingual providers, and culturally responsive services; timeliness of providing service and tracking timeliness; and quality management.
Date: 01/2022
Type: Document
Sponsoring organization: California Department of Health Care Services
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