American Indians (Als) have succeeded in the face of adversity. Yet their successes and paths of resilience largely have been ignored by public health and health research communities. The goal of this Exploratory Center of Excellence, namely The Center for American Indian Resilience (CAIR) is to reduce health disparities by identifying, assessing, applying and teaching models of resilience associated with positive health outcomes in American Indians (Als). This effort will build upon existing community-academic partnerships and expand the capacity and competence of Northern Arizona University (NAU), University of Arizona (UA) and Dine College (Navajo Nation Tribal College) independently and collectively to conduct resilience health sciences research that addresses health disparities. CAIR research activities will deepen our scientific knowledge of resilience and health. CAIR community engagement and training activities will translate this knowledge from research to practice to transform public health education, practice and policy.
Specific aims of CAIR are to: 1) Provide the administrative structure, coordination and resources for a transdisciplinary, multi-institutional team to collectively advance resilience research, education and application for the purpose of reducing health disparities specifically in Als;2) Use a community-based participatory research approach (CBPR) to identify, assess, translate and apply models of resilience associated with positive health outcomes in Als;3) Use a summer research enhancement program that provides intensive research coursework and field experiences, graduate research assistantships and seminars to guide and cultivate the exploration and application of resilience models among predominantly Al undergraduate and graduate students at NAU, UA and Dine College;and 4) Leverage existing and new tribal and institutional partnerships to establish an advisory board with expertise in community-based Al public health practice to build local capacity to integrate evidence-based models of resilience in 9-12 science education, health promotion practice and health policy.

Public Health Relevance

Als suffer disproportionately from diabetes, substance abuse, unintentional injury/motor vehicle accidents and suicide. Applying a deficient approach to health challenges discourages Al students and communities and leaves Al populations conflicted about health research. CAIR's engagement of sustained parterships, skills in CBPR and assets based strategy offers an innovative approach to health disparities research.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Exploratory Grants (P20)
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Special Emphasis Panel (ZMD1-RN (01))
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Mcclure, Shelia A
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Northern Arizona University
Schools of Allied Health Profes
United States
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Henson, Michele; Sabo, Samantha; Trujillo, Aurora et al. (2017) Identifying Protective Factors to Promote Health in American Indian and Alaska Native Adolescents: A Literature Review. J Prim Prev 38:5-26
(2016) Anthropologists address health equity: recognizing barriers to care. Pract Anthropol 38:15-17
Hardy, Lisa J; Hughes, Amy; Hulen, Elizabeth et al. (2016) Hiring the experts: best practices for community-engaged research. Qual Res 16:592-600
Hardy, Lisa J; Hughes, Amy; Hulen, Elizabeth et al. (2016) Implementing Qualitative Data Management Plans to Ensure Ethical Standards in Multi-Partner Centers. J Empir Res Hum Res Ethics 11:191-8
Whitewater, Shannon; Reinschmidt, Kerstin M; Kahn, Carmella et al. (2016) Flexible Roles for American Indian Elders in Community-Based Participatory Research. Prev Chronic Dis 13:E72
Chico-Jarillo, Tara M; Crozier, Athena; Teufel-Shone, Nicolette I et al. (2016) A Brief Evaluation of a Project to Engage American Indian Young People as Agents of Change in Health Promotion Through Radio Programming, Arizona, 2009-2013. Prev Chronic Dis 13:E23
Trotter 2nd, Robert T; Laurila, Kelly; Alberts, David et al. (2015) A diagnostic evaluation model for complex research partnerships with community engagement: the partnership for Native American Cancer Prevention (NACP) model. Eval Program Plann 48:10-20
Hardy, Lisa; Figueroa, Alejandra; Hughes, Amy et al. (2014) Toolkit for Community-engaged Wellness Mapping. CES4healthinfo 2014:W5CFPHW8