title: Lessons learned conducting breastfeeding intervention research in two northern plains tribal communities.
abstract: OBJECTIVE
  The overall purpose of this article was to describe the challenges and benefits of conducting breastfeeding intervention research with two Native American Tribal communities.
  
  
  METHODS
  A focus group with an interpretive approach was used to collect data within this qualitative study as a means of incorporating a complex, holistic, subjective interpretation of the case managers' perceptions and experiences. In addition, researchers' field notes were used. Findings are discussed in relation to Rogers' Diffusion of Innovation Framework.
  
  
  RESULTS
  Themes that emerged during the focus group discussions were related to innovation, relative advantage, complexity, compatibility, trialability, and observability.
  
  
  CONCLUSIONS
  Conducting research in Native American Tribal communities was both enriching and challenging. The research protocol needs to be culturally appropriate, and complex components need to be videotaped for review on an ongoing basis. Time constraints of case managers need to be examined prior to development of the research protocol.
authors: College of Nursing, University of Nebraska, Scottsbluff, 69361, USA. slwilhel@unmc.edu
authors: Susan
authors: S
authors: Wilhelm
authors: Kim
authors: K
authors: Rodehorst-Weber
authors: Trina
authors: T
authors: Aguirre
authors: Mary Beth
authors: MB
authors: Stepans
authors: Melody
authors: M
authors: Hertzog
authors: Manda
authors: M
authors: Clarke
authors: Amy
authors: A
authors: Herboldsheimer
mesh_terms: D000328:Adult; D001294:Attitude to Health / Q000208:ethnology*; D001942:Breast Feeding / Q000208:ethnology / Q000523:psychology / Q000706:statistics & numerical data; D055812:Community-Based Participatory Research; D004059:Diffusion of Innovation; D005260:Female; D017144:Focus Groups; D006266:Health Education / Q000458:organization & administration*; D006801:Humans; D007198:Indians, North American / Q000208:ethnology / Q000523:psychology; D007231:Infant, Newborn; D008297:Male; D008910:Minnesota / Q000453:epidemiology; D009042:Motivation; D009329:Nebraska / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology / Q000706:statistics & numerical data*; D011247:Pregnancy; D036301:Qualitative Research; D035502:Trust