Damian M Chase-Begay | University of Montana (original) (raw)

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Papers by Damian M Chase-Begay

Research paper thumbnail of Association between Caregiver-perceived Health Care Provider Cultural Sensitivity and Child Health Status in the National Survey of Children's Health: 2016-2020

Journal of Health Care for the Poor and Underserved, 2024

Objectives. To examine the association between caregiver- perceived cultural sensitivity of healt... more Objectives. To examine the association between caregiver- perceived cultural sensitivity of health care providers and child health status in the United States. Methods. We analyzed National Survey of Children’s Health data (n = 145,226) from 2016– 2020. Using logistic regression, we determined odds of reporting a better health status by level of caregiver- perceived provider cultural sensitivity while controlling for potential confounders. Results. Children with providers perceived as more culturally sensitive by their caregivers had 2.38 times the odds (95% confidence interval: 1.73, 3.28) of enjoying a better caregiver- assessed health status compared with children whose providers were perceived as less culturally sensitive. Caregivers of BIPOC children in our sample were 1.99 times
more likely (95% CI: 1.89, 2.10) to report their provider as only sometimes or never culturally sensitive. Conclusions. Cultural sensitivity of health care providers, as perceived by caregivers, was associated with caregiver-assessed child health status in our study. This association remained significant when controlling for various sociodemographic variables. Our findings highlight the need for more research around the potential positive impact that improving provider cultural sensitivity could have on the health of children who are Black, Indigenous, or other People of Color (BIPOC).

Research paper thumbnail of Traditional Ceremonial Practices as a Strategy to Reduce Problem Substance Use in American Indian Communities: A Systematic Review

Journal of Integrative and Complementary Medicine

Objective: This systematic review assessed the feasibility of American Indian traditional ceremon... more Objective: This systematic review assessed the feasibility of American Indian traditional ceremonial practices (TCPs) to address problem substance use in both reservation and urban settings. Methods: Between September 24, 2021, and January 14, 2022, culturally specific review protocols were applied to articles retrieved from over 160 electronic databases-including PubMed, Global Health, Global Health Archive, CINAHL Complete, PsychInfo, Web of Science, Health and Wellness (Gale), Sage Online Journals, and ScienceDirect. Results: A total of 10 studies met the criteria for inclusion in the review. Studies were conducted with both urban (n = 7) and reservation (n = 3) American Indian and Alaska Native (AIAN) populations. The most common TCP activities reported were drumming (n = 9), sweat lodge (n = 7), and talking circles (n = 6). All 10 studies reported some type of quantitative data showing a reduction of substance use associated with TCP interventions or activities. Conclusions: The current status of the literature is emerging and does not allow for meta-analysis of existing studies. However, the existing literature does indicate promise for the use of TCPs to address problem substance use in AIAN communities in a way that is effective and also culturally congruent.

Research paper thumbnail of Traditional Ceremonial Practices as a Strategy to Reduce Problem Substance Use in American Indian Communities: A Systematic Review

Journal of Integrative and Complementary Medicine, 2023

Objective: This systematic review assessed the feasibility of American Indian traditional ceremon... more Objective: This systematic review assessed the feasibility of American Indian traditional ceremonial practices (TCPs) to address problem substance use in both reservation and urban settings. Methods: Between September 24, 2021, and January 14, 2022, culturally specific review protocols were applied to articles retrieved from over 160 electronic databases-including PubMed, Global Health, Global Health Archive, CINAHL Complete, PsychInfo, Web of Science, Health and Wellness (Gale), Sage Online Journals, and ScienceDirect. Results: A total of 10 studies met the criteria for inclusion in the review. Studies were conducted with both urban (n = 7) and reservation (n = 3) American Indian and Alaska Native (AIAN) populations. The most common TCP activities reported were drumming (n = 9), sweat lodge (n = 7), and talking circles (n = 6). All 10 studies reported some type of quantitative data showing a reduction of substance use associated with TCP interventions or activities. Conclusions: The current status of the literature is emerging and does not allow for meta-analysis of existing studies. However, the existing literature does indicate promise for the use of TCPs to address problem substance use in AIAN communities in a way that is effective and also culturally congruent.

Research paper thumbnail of The Six Rs of Indigenous Research

Tribal College Journal, 2022

Our purpose is to develop and propose a conceptual framework based on respect, relationship, repr... more Our purpose is to develop and propose a conceptual framework based on respect, relationship, representation, relevance, responsibility, and reciprocity (the Six Rs), to be applied in studies using Indigenous research methodologies (IRMs). This conceptual framework builds upon the extensive work of numerous Indigenous scholars who brought this conversation into the literature and research enterprise. Our goal is to synthesize the Six Rs, describe how they complement and inform one another, and explain our process for their implementation and interpretation as a framework to develop and answer research questions. The Six Rs provide a representative research framework and can be a powerful guideline.

Research paper thumbnail of D'Shane Barnett Interview, June 16, 2020

Research paper thumbnail of SOCI 325.01: Social Stratification

Course Description Social stratification is the study of social divisions based on class, power, ... more Course Description Social stratification is the study of social divisions based on class, power, status, rank, and a host of other factors. Sociologists, social critics, policymakers, and social activists have long been concerned with inequalities that exist in society, how they are generated, and what consequences they have for society and for individuals. Stratification is a broad topic that encompasses complex theories and various methodologies. It is also a dynamic area of sociological research, since systems of inequality change over time in response to changes in the economy, politics, social policies, and attitudes.

Thesis Chapters by Damian M Chase-Begay

Research paper thumbnail of American Indian Traditional Ceremonial Practices: Addressing Problem Substance Use in a Multi-tribal Urban Community

Background: Traditionally, American Indian and Alaska Native (AIAN) communities and individuals h... more Background: Traditionally, American Indian and Alaska Native (AIAN) communities and individuals held ecological knowledge that supported holistic wellness for their tribal members through a variety of medicines and ceremonies. Contemporary Western healthcare systems have largely alienated AIAN people from access to traditional ceremonial practices (TCPs). Despite decades of cultural adaptation of evidence-based practices (EBPs), the deleterious effects of historical and intergenerational trauma are widely documented. This includes disproportionately high rates of problem substance use in both reservation and urban AIAN community settings.

Purpose: In contrast to deficit-based paradigms, Reziliency posits that protective factors, approaches, and methods used within AIAN communities when faced with adversity or trauma create an environment for individuals to demonstrate resiliency. This study explored the potential for an intervention that draws on the protective role of TCPs to reduce problem substance use within an urban, multi-tribal setting.

Methods: We developed a sequential, mixed-methods study design in partnership with an urban Indian health center. Study One was a systematic review of the literature that identified existing evidence and knowledge about TCP-based substance use interventions in AIAN communities. Study Two was a cross-sectional investigation of TCP-related factors and substance use behaviors in the urban AIAN community. Study Three was a qualitative descriptive investigation in which members of the target AIAN community were interviewed about their experience and background with TCPs as well as their thoughts about how to design an effective TCP-based substance use intervention in an urban, multi-tribal setting.

Results: The systematic review yielded 10 eligible articles with quantitative evidence highlighting the association between TCPs and substance use reduction. In the cross-sectional survey (N = 194), 54.6% of respondents reported positive TCP protective factors and 36.7% reported high levels of intent to participate in TCPs. Respondents with more positive protective factors or greater intent to participate in TCPs were significantly less likely to report alcohol or other drug use. Interview (N = 11) themes highlight a strong belief that TCP-based interventions can be successful at reducing problem substance use in an urban, multi-tribal setting, that tribal elders should guide a process in identifying which ceremonies and spiritual practitioners should be employed, and that variation in ceremonies and tribal perspectives is important.

Conclusions: This research project demonstrates the potential for a community-informed, TCP-based problem substance intervention to be effective in an urban, multi-tribal setting, while underscoring the need for greater research in this area.

Research paper thumbnail of Association between Caregiver-perceived Health Care Provider Cultural Sensitivity and Child Health Status in the National Survey of Children's Health: 2016-2020

Journal of Health Care for the Poor and Underserved, 2024

Objectives. To examine the association between caregiver- perceived cultural sensitivity of healt... more Objectives. To examine the association between caregiver- perceived cultural sensitivity of health care providers and child health status in the United States. Methods. We analyzed National Survey of Children’s Health data (n = 145,226) from 2016– 2020. Using logistic regression, we determined odds of reporting a better health status by level of caregiver- perceived provider cultural sensitivity while controlling for potential confounders. Results. Children with providers perceived as more culturally sensitive by their caregivers had 2.38 times the odds (95% confidence interval: 1.73, 3.28) of enjoying a better caregiver- assessed health status compared with children whose providers were perceived as less culturally sensitive. Caregivers of BIPOC children in our sample were 1.99 times
more likely (95% CI: 1.89, 2.10) to report their provider as only sometimes or never culturally sensitive. Conclusions. Cultural sensitivity of health care providers, as perceived by caregivers, was associated with caregiver-assessed child health status in our study. This association remained significant when controlling for various sociodemographic variables. Our findings highlight the need for more research around the potential positive impact that improving provider cultural sensitivity could have on the health of children who are Black, Indigenous, or other People of Color (BIPOC).

Research paper thumbnail of Traditional Ceremonial Practices as a Strategy to Reduce Problem Substance Use in American Indian Communities: A Systematic Review

Journal of Integrative and Complementary Medicine

Objective: This systematic review assessed the feasibility of American Indian traditional ceremon... more Objective: This systematic review assessed the feasibility of American Indian traditional ceremonial practices (TCPs) to address problem substance use in both reservation and urban settings. Methods: Between September 24, 2021, and January 14, 2022, culturally specific review protocols were applied to articles retrieved from over 160 electronic databases-including PubMed, Global Health, Global Health Archive, CINAHL Complete, PsychInfo, Web of Science, Health and Wellness (Gale), Sage Online Journals, and ScienceDirect. Results: A total of 10 studies met the criteria for inclusion in the review. Studies were conducted with both urban (n = 7) and reservation (n = 3) American Indian and Alaska Native (AIAN) populations. The most common TCP activities reported were drumming (n = 9), sweat lodge (n = 7), and talking circles (n = 6). All 10 studies reported some type of quantitative data showing a reduction of substance use associated with TCP interventions or activities. Conclusions: The current status of the literature is emerging and does not allow for meta-analysis of existing studies. However, the existing literature does indicate promise for the use of TCPs to address problem substance use in AIAN communities in a way that is effective and also culturally congruent.

Research paper thumbnail of Traditional Ceremonial Practices as a Strategy to Reduce Problem Substance Use in American Indian Communities: A Systematic Review

Journal of Integrative and Complementary Medicine, 2023

Objective: This systematic review assessed the feasibility of American Indian traditional ceremon... more Objective: This systematic review assessed the feasibility of American Indian traditional ceremonial practices (TCPs) to address problem substance use in both reservation and urban settings. Methods: Between September 24, 2021, and January 14, 2022, culturally specific review protocols were applied to articles retrieved from over 160 electronic databases-including PubMed, Global Health, Global Health Archive, CINAHL Complete, PsychInfo, Web of Science, Health and Wellness (Gale), Sage Online Journals, and ScienceDirect. Results: A total of 10 studies met the criteria for inclusion in the review. Studies were conducted with both urban (n = 7) and reservation (n = 3) American Indian and Alaska Native (AIAN) populations. The most common TCP activities reported were drumming (n = 9), sweat lodge (n = 7), and talking circles (n = 6). All 10 studies reported some type of quantitative data showing a reduction of substance use associated with TCP interventions or activities. Conclusions: The current status of the literature is emerging and does not allow for meta-analysis of existing studies. However, the existing literature does indicate promise for the use of TCPs to address problem substance use in AIAN communities in a way that is effective and also culturally congruent.

Research paper thumbnail of The Six Rs of Indigenous Research

Tribal College Journal, 2022

Our purpose is to develop and propose a conceptual framework based on respect, relationship, repr... more Our purpose is to develop and propose a conceptual framework based on respect, relationship, representation, relevance, responsibility, and reciprocity (the Six Rs), to be applied in studies using Indigenous research methodologies (IRMs). This conceptual framework builds upon the extensive work of numerous Indigenous scholars who brought this conversation into the literature and research enterprise. Our goal is to synthesize the Six Rs, describe how they complement and inform one another, and explain our process for their implementation and interpretation as a framework to develop and answer research questions. The Six Rs provide a representative research framework and can be a powerful guideline.

Research paper thumbnail of D'Shane Barnett Interview, June 16, 2020

Research paper thumbnail of SOCI 325.01: Social Stratification

Course Description Social stratification is the study of social divisions based on class, power, ... more Course Description Social stratification is the study of social divisions based on class, power, status, rank, and a host of other factors. Sociologists, social critics, policymakers, and social activists have long been concerned with inequalities that exist in society, how they are generated, and what consequences they have for society and for individuals. Stratification is a broad topic that encompasses complex theories and various methodologies. It is also a dynamic area of sociological research, since systems of inequality change over time in response to changes in the economy, politics, social policies, and attitudes.

Research paper thumbnail of American Indian Traditional Ceremonial Practices: Addressing Problem Substance Use in a Multi-tribal Urban Community

Background: Traditionally, American Indian and Alaska Native (AIAN) communities and individuals h... more Background: Traditionally, American Indian and Alaska Native (AIAN) communities and individuals held ecological knowledge that supported holistic wellness for their tribal members through a variety of medicines and ceremonies. Contemporary Western healthcare systems have largely alienated AIAN people from access to traditional ceremonial practices (TCPs). Despite decades of cultural adaptation of evidence-based practices (EBPs), the deleterious effects of historical and intergenerational trauma are widely documented. This includes disproportionately high rates of problem substance use in both reservation and urban AIAN community settings.

Purpose: In contrast to deficit-based paradigms, Reziliency posits that protective factors, approaches, and methods used within AIAN communities when faced with adversity or trauma create an environment for individuals to demonstrate resiliency. This study explored the potential for an intervention that draws on the protective role of TCPs to reduce problem substance use within an urban, multi-tribal setting.

Methods: We developed a sequential, mixed-methods study design in partnership with an urban Indian health center. Study One was a systematic review of the literature that identified existing evidence and knowledge about TCP-based substance use interventions in AIAN communities. Study Two was a cross-sectional investigation of TCP-related factors and substance use behaviors in the urban AIAN community. Study Three was a qualitative descriptive investigation in which members of the target AIAN community were interviewed about their experience and background with TCPs as well as their thoughts about how to design an effective TCP-based substance use intervention in an urban, multi-tribal setting.

Results: The systematic review yielded 10 eligible articles with quantitative evidence highlighting the association between TCPs and substance use reduction. In the cross-sectional survey (N = 194), 54.6% of respondents reported positive TCP protective factors and 36.7% reported high levels of intent to participate in TCPs. Respondents with more positive protective factors or greater intent to participate in TCPs were significantly less likely to report alcohol or other drug use. Interview (N = 11) themes highlight a strong belief that TCP-based interventions can be successful at reducing problem substance use in an urban, multi-tribal setting, that tribal elders should guide a process in identifying which ceremonies and spiritual practitioners should be employed, and that variation in ceremonies and tribal perspectives is important.

Conclusions: This research project demonstrates the potential for a community-informed, TCP-based problem substance intervention to be effective in an urban, multi-tribal setting, while underscoring the need for greater research in this area.