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              <text>&lt;a href="https://doi.org/10.1007/s40615-025-02328-6"&gt;https://doi.org/10.1007/s40615-025-02328-6&lt;/a&gt;</text>
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              <text>Aline I. Palimaru, Nipher Malika, Ryan A. Brown, Pierce Holmes, Daniel L. Dickerson, Anthony Rodriguez, Carrie L. Johnson, Virginia Arvizu Sanchez, Elizabeth J. D'Amico</text>
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              <text>Centuries of trauma, displacement, and discrimination have taken a toll on American Indian/Alaska Native (AI/AN) life expectancy and health outcomes. Despite resilience, AI/AN emerging adults (EAs) face mental and behavioral health disparities, including substance use, posttraumatic stress, and suicide. Research has consistently shown that AI/AN EAs are at risk of experiencing discrimination, which can range from linguistic taunts to physical threats and violence, as well as institutional discrimination. Discrimination is a key driver of health, and yet, there has been limited research to understand what types of discrimination events occur in this population, and how these experiences may be perceived and processed by AI/AN EAs. Interviews with a subsample of 20 participants from a larger clinical trial explored dimensions of discrimination, including types of experiences; perceived motivation and impact; and how participants coped. Results highlight nuances in experienced discrimination, including vivid accounts of verbal and physical aggression. Some participants identified teachers or highly educated colleagues who were perceived to contribute to the problem. A surprising finding was the experience of discrimination in social interactions with tribal communities and other minority groups. This complements prior evidence of discrimination in and around AI/AN areas, suggesting that additional mechanisms of discrimination should be studied further. Results also highlight how participants were resilient, for example, by accessing support in the form of tribal workshops or professional mentoring. This study highlights opportunities for additional research, as well as actionable details that could inform programming to help AI/AN EAs cope with discrimination.</text>
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                <text>"Am I Not Native Enough?" A Qualitative Exploration of Experienced Discrimination Among American Indian/Alaska Native Emerging Adults</text>
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              <text>Victoria M. O'Keefe, Tara L. Maudrie, Fiona Grubin, Miigis B. Gonzalez, Jessica Saniguq Ullrich, Maria Crouch, Evan White, Monica M. Desjardins, Lisa Martin, Melissa Lewis, Mary HorseChief, Angela Fernandez, Angelina Phoebe Keryte, Melissa L. Walls</text>
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              <text>Intergenerational connectedness broadly encompasses relations among humans, lands, and all living and spiritual beings, and functions as an important part of Indigenous well-being. Many public health campaigns and interventions aim to promote connectedness to support holistic wellness and reduce health inequities. Currently, however, there are no measurement tools to assess intergenerational connectedness to support culturally grounded research and program evaluation. The purpose of this qualitative study is to understand and describe Indigenous intergenerational connectedness as part of a larger community-based participatory research study to develop a measure of Indigenous intergenerational connectedness. We convened a community advisory board and an Indigenous measurement development group to steer the project. We conducted N = 23 interviews with 21 Indigenous participants to learn about intergenerational connectedness. An inductive, thematic analysis yielded three primary themes: (1) dimensions of intergenerational connectedness, (2) facilitators of intergenerational connectedness, and (3) qualities and outcomes of intergenerational connectedness. These findings highlight the profound importance of intergenerational connectedness for Indigenous communities and its role in promoting health, mental health, and well-being. This study adds to the growing field of American Indian/Alaska Native strengths-based public health and mental health research promoting Indigenous values, worldviews, cosmologies, and epistemologies to promote healthy, thriving Indigenous communities.</text>
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                <text>"Someday, I'll Be An Ancestor:" Understanding indigenous intergenerational connectedness through qualitative research to inform measure development</text>
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              <text>Spurred by the discovery of a “forgotten” Native massacre, the author utilizes transformative learning and critical Indigenous theories to implement a decolonization education project with non-Native people. The methodology incorporated Indigenous Worldviews and ceremonial processes. Specifically, interweaving transformative learning processes with Indigenous elements such as a traditional Shoshone sweat lodge, visiting the massacre site, and listening to a Shoshone elder. These facilitated their experiential shift into Indigenous worldviews and ceremonial center. Participants in this project reported a transformation in their perspectives on the Bear River Massacre, the Shoshone-Bannock people, and the loss of their own Indigenous roots. They reported sustained behavioral change in relation to the topic and a desire to get to know Native people and their culture better.</text>
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              <text>Maria Qureshi</text>
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              <text>Native American and Indigenous populations around the world face disproportionately higher rates of disease and mortality. There are many nuanced factors that contribute to this, but a common underlying theme is that they’ve all dealt with some form of oppression by colonialism. Native people today still feel the effects of historical trauma as it reverberates through generations that have directly experienced loss of land, language and culture. It’s important to examine the ways different tribal groups experience and perceive historical loss and trauma today in order to teach the next generation of tribal youth to carry on traditions and Indigenous knowledge.&#13;
&#13;
In this study we conducted four focus groups in a Midwestern Anishnaabe tribe to examine the research question: What characteristics enable Native American people to cope with historical loss and trauma? Using a survey to supplement the focus group data, we also examined relationships among five variables: historical loss, historical loss associated symptoms, resilience, coping and sense of control.&#13;
Results showed three over-arching themes that allowed our sample to make sense of historical loss and trauma, and trauma that is ongoing: Adaptations to Loss and Trauma, the Legacy Burden, and a Marked Protective Identity. Additionally, the survey results indicated that historical loss was significantly positively related to historical loss associated symptoms. Higher scores of resilience, percentage of adaptive coping, and perceived control were significantly related to lower scores on historical loss associated symptoms.&#13;
&#13;
The findings from this study indicate that loss and trauma are present within this community and having a collective Native identity provides strength in the form of resilience for multiple generations. Using the themes and relationships from this study the community can expand resources to facilitate growth of cultural reclamation and traditional knowledge.</text>
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              <text>Geographical remoteness, limited resources, and socioeconomic disparities contribute to the migration of rural Alaska Native Elders to urban areas to access medical services and resources, improve economic situations, or reunite with family. We compared the discourse of 12 Elders in Anchorage who previously lived in four remote traditional villages in the Norton Sound region (ages 60–84) and 13 Elders in those villages (ages 48–80). Using Gee’s discourse analysis framework, two patterns emerged detailing cultural effects on identity and Eldership, illuminating differences in the self-evaluation of successful aging based on cultural influences and the role of contextual factors.</text>
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              <text>Background&#13;
Suicide among young people in Alaska Native (AN) communities was nearly unheard of through the establishment of statehood in 1959, but from 1960–1995, the suicide rate increased by approximately 500% during this period of rapid, imposed social transition. These disruptions increased conditions associated with suicide risk (e.g., substance use disorders, cultural disconnection), and challenged the community-level social safety net of youth protective factors. The purpose of this paper is to outline development and evaluation methodology for a comparative effectiveness trial of two virtual, culturally grounded, brief interventions to address suicide prevention among AN young people. The proposed study addresses significant gaps in culturally appropriate evidence-based programming to address suicide prevention among AN young people by comparing effectiveness of these two interventions. Findings from this study have potential to expand the range of accessible, critically important services to this population.&#13;
&#13;
Methods&#13;
Our interventions will be targeted toward AN young people ages 14–24 who present with suicide attempt, ideation, or associated risk behaviors, including alcohol-related injury in the Yukon-Kuskokwim region or the Interior of Alaska. In this randomized controlled comparative effectiveness trial, 14–24-year-old AN individuals will receive either BeWeL (Because We Love You) which will comprise a 45-min virtual wisdom talk addressing family strengths and increasing protective factors (n = 185), or BeWeL + MISN (plus motivational interviewing about social networks), which will include an additional 15 min focused on discussion of the individual’s social networks (n = 185). Both interventions will have two follow-up visits at 2 and 6 weeks. We will evaluate changes in both intervention groups from the baseline survey at 3, 6, and 12 months on primary outcomes of suicide-intent risk, depression, anxiety, frequency of alcohol use, and alcohol consequences and compare effectiveness between the two interventions. In our secondary aim, we will evaluate changes in both groups from the baseline survey at 3, 6, and 12 months on individual and community protective factors, social networks, and awareness of connectedness and compare effectiveness between the two interventions.&#13;
&#13;
Discussion&#13;
This project has the potential to expand the range and effectiveness of suicide prevention services for AN young people and will help meet the need in Alaska to link clinical behavioral health services to AN community-based networks, and to engage local cultural resources in aftercare for individuals at risk for suicide. Findings have potential to provide practical information to advance the field of suicide prevention and enhance protective factors and resiliency among this population.&#13;
&#13;
Trial registration&#13;
ClinicalTrials.gov Identifier: NCT05360888; Registered December 22, 2022. https://clinicaltrials.gov/study/NCT05360888.</text>
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                <text>A Protocol for a Randomized Controlled Comparative Effectiveness Trial of Two Brief Interventions Focused on Social and Cultural Connectedness to Reduce Risk for Suicide and Substance Misuse in Young Alaska Native People</text>
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              <text>The present study explored how racism-related stress was characterized by respondents&#13;
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influenced coping behaviors. These findings suggest that appropriate and effective&#13;
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attitudes and customs of a Native American worldview that recognizes the central&#13;
importance of belongingness/interconnectedness. However given that this study did not&#13;
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questioning since it is quite possible that specific questions regarding respondents‘&#13;
experiences with racism could lead to different and/or more complete responses.</text>
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              <text>Background&#13;
Prevention of alcohol-exposed pregnancy (AEP) involves reducing risky alcohol consumption among women at-risk for pregnancy, using effective contraception among women drinking at risky levels to prevent pregnancy, or both. This study presents the outcomes of a randomized controlled trial assessing the efficacy of Native CHOICES, a culturally tailored adaptation of the CHOICES intervention, among American Indian/Alaska Native (AI/AN) women.&#13;
&#13;
Methods&#13;
AI/AN women aged 18–44 who were at-risk for an AEP were randomly assigned in a 1:1 ratio to either the Native CHOICES intervention or a waitlist control group. Native CHOICES comprised two sessions of motivational interviewing and an elective contraception counseling session. Data were collected at baseline, and 6 weeks, 3 months, and 6 months postbaseline. Due to the pandemic, the intervention was at times delivered remotely.&#13;
&#13;
Results&#13;
A total of 404 women participated: 199 in the control group and 205 in the intervention group. Sixty-seven percent of the intervention group received the intervention in-person, and 33% participated by telephone or video call. Sixty-four percent of women completed all follow-up visits. At the six-month follow-up, the intervention did not demonstrate a significant impact on AEP risk compared with the control arm when analyzing all the data (RR = 0.94; 95% confidence interval [CI]: 0.83–1.07). However, an exploratory subgroup analysis showed evidence of a reduction in AEP risk among participants who completed the study in-person before the COVID-19 pandemic (RR = 0.79; 95% CI: 0.63–0.98), which was not observed during or after the pandemic (RR = 1.06; 95% CI: 0.91–1.24).&#13;
&#13;
Conclusions&#13;
The Native CHOICES intervention did not show evidence of effectiveness overall. However, exploratory analyses offer some evidence that the intervention was effective prior to the pandemic.</text>
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              <text>Objective: This study investigated associations between social network characteristics and alcohol and cannabis use among non–reservation-living American Indian/Alaska Native (AI/AN) emerging adults (18–25 years old), with a focus on the potential protective influence of AI/AN traditional practices (e.g., dancing, storytelling, beading). Method: The study used a multilevel, multivariable dyadic approach to analyze personal network composition and network connectivity (centrality and density) from 470 AI/AN emerging adults living in nonreservation areas across the United States. Eligible participants completed an online survey, which included questions about social networks and alcohol and cannabis use. Results: Findings indicated that network members who were similar in age, perceived to be friends, and lived nearby were more likely to be alcohol and cannabis use partners. Network members who shared AI/AN identity but did not engage in traditional practices were more likely to be alcohol and cannabis use partners than non-AI/AN network members. Analysis of network density demonstrated that having highly connected networks was associated with lower odds of respondents engaging in alcohol and cannabis use with members of their networks. However, highly central network members had higher odds of alcohol and cannabis use with respondents than those who were less central. Findings were robust when controlling for respondent and network alcohol and cannabis use. Conclusions: The study underscores the significance of the network context of alcohol and cannabis use for nonreservation AI/AN emerging adults. The protective role of traditional AI/AN practices highlights the importance of strength-based intervention approaches that promote healthy social connections and traditional practices. Future research should test hypotheses longitudinally to inform more effective prevention strategies.</text>
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              <text>This study investigated the communicative dialectical tensions and paradoxical situations faced by Native researchers in the academy and in research with their own communities or with other Native communities. Thematic analysis was conducted on narratives from 12 semi-structured interviews from participants across the country. Three major themes emerged regarding communicative struggles for the participants when conducting research with Native communities: a dialectic of insider/outsider; challenge of developing positive communication; and concerns of appropriate and inappropriate behavior. Four major themes emerged with regards to communication challenges for the participants while working in the academy: insider-outsider dialectic, paradox of walking the talk, navigating the academy, and open and honest communication. This study also examined the successes encountered by the participants. Overall, the participants deemed success in the community as simply engaging in research with the community. Success in the academy centered on issues of support.&#13;
&#13;
Two important implications emerged from this study, one theoretical and one practical. First, the study identified two dialectics not previously discussed in dialectic approach/theory and thus makes a contribution to research/theorizing about dialectics. Specifically, there was the dialectic of insider/outsider related to spiritual identity and the dialectic of insider/outsider related to cultural knowledge. Second, the study illustrates the challenges that Native researchers face in conducting community research and in navigating the academy. The findings point to the importance of mentoring Native researchers in managing the dialectics and paradoxes by senior researchers who are sensitive to indigenous research. The key appears to be developing a mentoring program utilizing a CBPR approach.</text>
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              <text>Kristen Walker</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="11293">
                <text>An Examination of Communicative Dialectical Tensions and Paradoxes Encountered by Native American Researchers in the Field and in the Academy</text>
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            </elementTextContainer>
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            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>Indigenous peoples</text>
              </elementText>
            </elementTextContainer>
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    <tagContainer>
      <tag tagId="309">
        <name>American Indians</name>
      </tag>
      <tag tagId="615">
        <name>Communication</name>
      </tag>
      <tag tagId="456">
        <name>Community-Based Participatory Research (CBPR)</name>
      </tag>
      <tag tagId="616">
        <name>Dialects</name>
      </tag>
      <tag tagId="614">
        <name>Native American Communities</name>
      </tag>
      <tag tagId="241">
        <name>Native Americans</name>
      </tag>
      <tag tagId="131">
        <name>United States</name>
      </tag>
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  </item>
  <item itemId="777" public="1" featured="0">
    <fileContainer>
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        <src>https://library.icmglt.org/files/original/7e8024de6c0b2e85326af7a3a64ce982.pdf</src>
        <authentication>8a24c98a1c1641f771e25ad546d2bfb6</authentication>
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          <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="3959">
                  <text>Multigenerational Legacies of Trauma of American Indians</text>
                </elementText>
              </elementTextContainer>
            </element>
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        </elementSet>
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      <name>Electronic Resource</name>
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          <name>View Source</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9730">
              <text>&lt;a href="https://doi.org/10.5820/aian.3204.2026.57"&gt;https://doi.org/10.5820/aian.3204.2026.57&lt;/a&gt;</text>
            </elementText>
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              <text>Journal article</text>
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        <element elementId="74">
          <name>Author(s)</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9733">
              <text>Damian M. Chase-Begay, Julie Cahoon, Jeffery C. Peterson, Annie Belcourt, Curtis Noonan, Blakely Brown</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="58">
          <name>Volume</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9734">
              <text>Vol. 32</text>
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        <element elementId="59">
          <name>Issue</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9735">
              <text>No. 4</text>
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        </element>
        <element elementId="54">
          <name>Publisher</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9736">
              <text>Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus (Aurora, Colo.)</text>
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        </element>
        <element elementId="57">
          <name>Journal Name</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9737">
              <text>American Indian and Alaska Native Mental Health Research</text>
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          </elementTextContainer>
        </element>
        <element elementId="53">
          <name>Publication Date</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9738">
              <text>2026</text>
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        </element>
        <element elementId="69">
          <name>ISBN</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9739">
              <text>15337731</text>
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          </elementTextContainer>
        </element>
        <element elementId="67">
          <name>Region</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9741">
              <text>Montana, United States</text>
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        <element elementId="75">
          <name>Language</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9743">
              <text>English</text>
            </elementText>
          </elementTextContainer>
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          <name>Access</name>
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        <element elementId="78">
          <name>Abstract</name>
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            <elementText elementTextId="9745">
              <text>American Indian and Alaska Native (AI/AN) communities have&#13;
relied on traditional ceremonial practices (TCPs) for survival and&#13;
resilience for generations. Research examining the role of TCPs on&#13;
wellness in urban, multi-tribal communities, however, has only recently&#13;
emerged over the last several decades. This study explored the association&#13;
between TCP-related variables and substance use in an urban AI/AN&#13;
community in Montana. Specifically, participant knowledge, attitudes, and&#13;
beliefs (KAB) regarding TCPs, their level of intent to participate in TCPs,&#13;
and past year substance use were measured. This cross-sectionalstudy used&#13;
survey data from 194 AI/AN adults (66% female, 5% nonbinary; M age =&#13;
44). Positive KAB toward TCPs was found in 56.4% of respondents.&#13;
Greater level of intent to participate in TCPs was found in 36.7% of&#13;
respondents. Multivariate logistic regression showed individuals with&#13;
positive KAB were less likely to report past year alcohol [adjusted odds&#13;
ratio (AOR): 0.49; 95% confidence interval (95% CI): 0.26, 0.93] or other&#13;
drug use (AOR: 0.30; 95% CI: 0.11, 0.76). Individuals who reported a&#13;
greater level of intent to participate in TCPs were also less likely to report&#13;
past year alcohol (AOR: 0.51; 95% CI: 0.26, 0.98) or other drug use (AOR:&#13;
0.31; 95% CI: 0.08, 0.91). The findings highlight a need for further&#13;
examination of the potential effectiveness of substance use interventions for&#13;
urban AI/AN adults that incorporate TCP-related factors.</text>
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          <name>Cataloger</name>
          <description/>
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            <elementText elementTextId="9746">
              <text>Haley Lesemann</text>
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      <elementSet elementSetId="1">
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="9731">
                <text>Assessing American Indian Traditional Ceremonial Practices and Substance Use Behaviors in an Urban, Multi-Tribal Setting: Results from a Community Survey</text>
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            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9740">
                <text>Substance abuse--Montana--Prevention</text>
              </elementText>
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          </element>
        </elementContainer>
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      <tag tagId="475">
        <name>Addiction</name>
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      <tag tagId="137">
        <name>Alcohol Abuse</name>
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      <tag tagId="33">
        <name>Indigenous Communities</name>
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      <tag tagId="3">
        <name>Indigenous peoples</name>
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      <tag tagId="86">
        <name>Substance Abuse</name>
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  </item>
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