CULTURAL ADAPTATIONS OF EVIDENCE-BASED HOME-VISITATION MODELS IN TRIBAL COMMUNITIES

Abstract

The Tribal Maternal, Infant, and Early Childhood Home Visiting (Tribal MIECHV) Program provides federal grants to tribes, tribal consortia, tribal organizations, and urban Indian organizations to implement evidence-based home-visiting services for American Indian and Alaska Native (AI/AN) families. To date, only one evidence-based home-visiting program has been developed for use in AI/AN communities. The purpose of this article is to describe the steps that four Tribal MIECHV Programs took to assess community needs, select a home-visiting model, and culturally adapt the model for use in AI/AN communities. In these four unique Tribal MIECHV Program settings, each program employed a rigorous needs-assessment process and developed cultural modifications in accordance with community strengths and needs. Adaptations occurred in consultation with model developers, with consideration of the conceptual rationale for the program, while grounding new content in indigenous cultures. Research is needed to improve measurement of home-visiting outcomes in tribal and urban AI/AN settings, develop culturally grounded home-visiting interventions, and assess the effectiveness of home visiting in AI/AN communities.

Keywords: American Indian and Alaska Native; Erziehung; Hausbesuche; Indianer und Ureinwohner Alaskas; Parentage; Visite à domicile; adaptación cultural; adaptation culturelle; amérindiens et autochtones d'Alaska; bajos recursos económicos; child development; contexte rural; contexte urbain; crianzarural setting; cultural adaptation; desarrollo del niño; développpement de l'enfant; escenario rural; escenario urbano; evidence-based program; evidenzbasiertes Programm; geringes Einkommen; home visiting; indígenas norteamericanos y nativos de Alaska; kindliche Entwicklung; kulturelle Anpassung; low income; ländliches Setting; milieux défavorisés; para-profesional; paraprofessional; paraprofessionell; paraprofessionnel; parenting; programa con base en la evidencia; programme factuel; rural setting; städtisches Setting; urban setting; visitas a casa; الابوه والامومه ، الامريكيون الهنود وسكان آلاسكا الاصليين ، نمو الطفل ، زيارة المنزل ، التكيف الثقافي ، البرنامج القائم علي الادله ، شبه المهنية ، البيئة الحضرية ، البيئة الريفية ، الدخل المنخفص; アメリカインディアンとアラスカ原住民; 低所得; 低收入; 兒童發展; 地方の環境; 城市環境; 子どもの発達; 家庭訪問; 専門職の助手; 循證程序; 文化適合; 文化適應; 根拠に基づくプログラム; 美洲印第安人和阿拉斯加原住民; 育児; 育兒; 輔助專業; 農村環境; 都会の環境.