title: Honoring Indigenous culture-as-intervention: Development and validity of the Native Wellness AssessmentTM.
abstract: There is a need for Indigenous-centered research to appraise culture's role in wellness. Researchers described the development and validity of the Native Wellness Assessment (NWATM). The NWA has culture-as-intervention at its apex. Wellness, culture, and cultural intervention practices (CIPs) are explored from an Indigenous perspective. Indigenous clients completed matching self-report and observer versions of the NWA at three time points during addictions treatment. Statistically and psychometrically, the NWA content and structure performed well, demonstrating that culture is an effective and fair intervention for Indigenous peoples with addictions. The NWA can inform Indigenous health and community-based programs and policy.
authors.affiliation: a ePsy Consultancy , Toronto , Ontario , Canada.
authors.forename: Carina
authors.initials: C
authors.lastname: Fiedeldey-Van Dijk
authors.affiliation: b Rowan Research and Evaluation , Ottawa , Ontario , Canada.
authors.forename: Margo
authors.initials: M
authors.lastname: Rowan
authors.affiliation: c Department of Sociology & School of Public Health/Canadian Centre on Substance Abuse , University of Saskatchewan , Saskatoon , Saskatchewan , Canada.
authors.forename: Colleen
authors.initials: C
authors.lastname: Dell
authors.affiliation: d Department of Psychology and Northen Ontario School of Medicine , Lakehead University , Thunderbay , Ontario , Canada.
authors.forename: Chris
authors.initials: C
authors.lastname: Mushquash
authors.affiliation: e Thunderbird (National Native Addictions) Partnership Foundation , Bothwell , Ontario , Canada.
authors.forename: Carol
authors.initials: C
authors.lastname: Hopkins
authors.affiliation: f Department of Sociology & School of Public Health , University of Saskatchewan , Saskatoon , Saskatchewan , Canada.
authors.forename: Barb
authors.initials: B
authors.lastname: Fornssler
authors.affiliation: g Centre for Humanities Research and Creativity , Laurentian University , Greater Sudbury , Ontario.
authors.forename: Laura
authors.initials: L
authors.lastname: Hall
authors.affiliation: h Department of Educational Psychology and Special Education , College of Education, University of Saskatchewan , Saskatoon , Saskatchewan , Canada.
authors.forename: David
authors.initials: D
authors.lastname: Mykota
authors.affiliation: i School of Public Health , University of Saskatchewan , Saskatoon , Saskatchewan , Canada.
authors.forename: Marwa
authors.initials: M
authors.lastname: Farag
authors.affiliation: j Clinical Epidemiology Program , Ottawa Hospital Research Institute , Ottawa , Ontario , Canada.
authors.forename: Bev
authors.initials: B
authors.lastname: Shea
mesh_terms: D000293:Adolescent; D000328:Adult; D002170:Canada / Q000208:ethnology; D065246:Culturally Competent Care / Q000379:methods* / Q000592:standards / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007198:Indians, North American / Q000208:ethnology*; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000379:methods* / Q000592:standards; D016730:Program Development; D011594:Psychometrics / Q000295:instrumentation*; D015203:Reproducibility of Results; D016320:Substance Abuse Treatment Centers / Q000379:methods* / Q000592:standards / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000208:ethnology* / Q000628:therapy*; D055815:Young Adult
keywords: Addiction; Indigenous peoples; NWA; Native wellness; assessment; cultural intervention practices; culture; fairness; intervention; reliability; treatment; validity