This pilot resources page is in progress.
The interdisciplinary scholarship and deep wisdom connecting culturally and regionally relevant physical activity to wellbeing is vast and wide, across the world. A project goal is to amplify this scholarship.
We wish to showcase the tremendous existing evidence base on the importance of these topics. We hope this will help connect, support, and inspire more of this work and also support grassroots programs and policies for these practices.
This resources page is a work in progress to this goal, currently sharing a small sample of this work. You are able to search by Categories like: Activity Type, Region, Where Activity Is Practiced (Land, Water, Ice/Snow). New tags and categories will be added as we grow this resources page.
Archives for this research will be shared on the Open Science Framework (OSF), coming soon.
We welcome your feedback about how these resources could be most useful at PHResonance@gmail.com

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How soccer brings a Bhutanese community together in Harrisburg, PA
Maansi Srivastava
NPR, The Picture Show
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Guide for Financing Prevention and Health Promotion
EuroHealthNet
About
EuroHealthNet’s new online Guide on Financing Prevention and Health Promotion addresses this persistent underinvestment, offering practical guidance for developing and implementing smarter, more sustainable financing approaches.
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Delivering Culture as Medicine in Native Hawaiian Health
Alex Branch
American College of Lifestyle Medicine, 2026
About
On the rural Hawaiian Islands he serves, Dr. Landon Opunui uses culture as a clinical tool that blends lifestyle medicine with Indigenous healing, storytelling, and traditional foods to support whole-person health. His work highlights how culturally grounded care can help rebuild trust, improve engagement, and confront some of the most enduring inequities in health.
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Culturally and regionally relevant physical activity for public health promotion in a global context
Nature of the evidence and definition development from a narrative review
Sentell TL, Pirkle CM, Grout L, Ylli A, Heil DP, Schmid SM, et al.
BMJ Public Health. 2026;4:e002572
About
A strong and growing evidence base across multiple dimensions of health and wellness supports the value of physical activity with cultural or regional relevance, such as ethnic dance and traditional games. Greater inclusion of culturally and regionally relevant physical activity (CURE-PA) into health promotion is concordant with international public health goals, yet CURE-PAs have traditionally been underused in health and physical activity promotion especially at the population level. The specificity of deep community and cultural context of these activities, an important strength for public health promotion, can obscure communalities in approaches, synergies and outcomes across locations, programmes and populations. Following a narrative review method by a multinational expert team as preparation for the development of formal search protocols in this vast, multidisciplinary literature, this paper: (1) provides a preliminary assessment of the potential size and nature of relevant research, (2) develops a definition of CURE-PA and (3) delineates relevant characteristics supporting inclusion of CURE-PA in population level health promotion. Numerous articles and scientific disciplines with vital evidence on CURE-PA were identified, including nature and health, sport(s), dance, Indigenous health, physical literacy, sociology, political science, youth leadership development, resilience models, community design, ecology, leisure studies, cultural revitalisation and decolonialisation in sports. In formal searches, 100 000s of relevant articles would be found, highlighting the importance of clarifying CURE-PA boundaries, definitions and conceptual models in advance of formal search protocols. A synthesising literature about CURE-PA from a global health promotion perspective can guide future work and support engagement, planning, study, uptake, funding and implementation of CURE-PA in population-level public health. Greater inclusion of CURE-PA in health promotion can help to address physical inactivity as well as chronic disease, mental health concerns, loneliness and other global public health challenges, building from community strengths, preferences and knowledge systems.
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Health literacy: A fundamental goal across a connected/divided planet
Tetine Sentell, Kelvin Wai Kit Ling, Gillian Rowlands
Public Health, Special Issue: Health Literacy, 255:106259
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Dance for health impact in a rural Scottish island community
Understanding Stakeholder Experiences
Emily Davis, Bethany Whiteside, Tiffany Stott, Lorna Paul
Health Promotion International, 41(3), daag069, 2026
About
Research and practice around dance for promoting health and well-being are rapidly expanding, especially dance for chronic neurological conditions. Yet, research has primarily focused on assessing individual-level therapeutic outcomes, providing limited insight into broader stakeholder voices and community-level health impacts. In response, a longitudinal qualitative interview study was conducted to explore stakeholder perspectives on the community impact of a collaborative, community-centred dance for multiple sclerosis (MS) initiative in a rural Scottish island community. Repeated semi-structured interviews were undertaken with 19 participants, recruited purposively across three fieldwork visits. Participants included organizational partners, dance practitioners, musicians, volunteers, and dancers with MS. Interviews were transcribed verbatim and analysed using reflexive thematic analysis. Three themes were developed: (i) amplifying specialist community dance capacity, supporting individual practitioners and the island’s wider dance industry; (ii) promoting social capital and inclusion among the diverse local stakeholders involved, especially those living with MS; and (iii) providing a holistic well-being resource for participant dancers with MS, affording regular opportunities for physical, joyful, and meaningful activity through dance. By adopting a broader health promotion perspective, findings show that community-centred dance for health initiatives can generate a range of impacts in rural contexts both among and beyond the primary target participant group (i.e. people with MS), supporting capacity, inclusion, and well-being. Given the breadth of community impacts reported, findings also highlight the importance of maintaining such changes locally, suggesting the need for further consideration around organizational planning, support, and investment in the long-term sustainability of dance for health in rural contexts.
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Engagement in Culturally and Regionally Relevant Physical Activity
(Hula, Outrigger Paddling, Spearfishing, and Surfing) in the State of Hawai’i Over the Lifecourse: A Cross-Sectional Analysis
Pirkle, C. M., Thompson, M. D., Rodericks, R., Schmid, S. M., Ching, L. K., Look, M. A., Wu, Y. Y., Phillips, M. M., & Sentell, T. L.
Journal of Physical Activity & Health, 1–13, 2026
About
Background: Culturally and regionally relevant physical activities (CRRPA) show promise for disease prevention and strengths-based public health promotion. Understanding engagement across the lifecourse can support effective public health policy, research, and practice. This study examined: (1) factors associated with lifetime CRRPA participation; (2) contexts of practice and the frequency and duration of engagement; and (3) lifetime participation in 4 CRRPA in Hawai’i (Hula, outrigger canoe paddling, spearfishing, and surfing).
Methods: A cross-sectional analysis was conducted among 1044 English-speaking adults in Hawai’i. Native Hawaiians (NH) and residents of primarily rural islands (not O’ahu) were oversampled for representation. Lifetime participation in each CRRPA was self-reported and dichotomized. Engagement was characterized by sociodemographic and health-related variables. Frequency, context, and duration were summarized for the total sample and for NH (n = 425). Engagement patterns over the lifecourse are also presented.
Results: 69.3% of respondents reported lifetime engagement in at least one CRRPA: 44.9% engaged in Hula, 41.4% in surfing, 34.9% in spearfishing, and 33.9% in outrigger canoe paddling. Most respondents participated in multiple CRRPA; 12.4% engaged in all 4 at some point in their lives. Among NH, family-based participation was common, especially for spearfishing and surfing. The mean session duration for all activities was 2 hours or more, with more frequent engagement reported among NH. Engagement was highest during earlier life stages and declined with age. Trends varied notably by generation.
Conclusions: Engagement in CRRPA is widespread across Hawai’i, underscoring opportunities to advance strengths-based public health promotion, planning, and policy for health equity.
Keywords: Pacific; exercise; lifetime.
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Tribal Practices for Wellness in Indian Country (TPWIC)
About
CDC’s TPWIC seeks to reduce illness and death from chronic diseases in American Indian and Alaska Native (AI/AN) communities by promoting wellness, resilience, and use of cultural practices.
Background: In close collaboration with tribal cultural leaders, CDC identified traditional and cultural practices that:
- Strengthen community, family, and cultural connections.
- Support physical, mental, emotional, and spiritual health.
- Improve well-being within AI/AN communities.
These practices have served as the foundations of the TPWIC program since 2018.
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Integrating Physical Literacy Into Blue Physical Activity Promotion, Drowning Prevention and Aquatic Education
Dora M. Carolo, Dean Dudley, Ana Catarina Queiroga, and João Martins
Quest, 1–27
About
Physical literacy (PL) is a foundational concept in physical education, physical activity, and long-term sports development. It is a human capability nurtured through learning processes and interactions with varied environments through movement and physical activity. Blue spaces can support the development of PL, health, quality of life, and environmental sustainability. However, PL research has centered on land-based PA settings. This critical review aims to provide a theoretical background and to reflect on expanding and integrating PL into blue physical activity promotion, drowning prevention, and aquatic education. It stresses the importance of pedagogical quality, professional training, and program design, calling for collaboration among practitioners, researchers, and policymakers to advance PL’s value in aquatic settings.
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Arts, Health and Climate Policy Brief
Nisha Sajnani, Nils Fietje, Ameer Shaheed (WHO/Europe)
Jameel Arts & Health Lab | World Health Organization European Region
About
This policy brief explores the vital role of the arts in addressing the health impacts of climate change. It offers practical, evidence-based recommendations for integrating artistic practice into climate and health policy, communication, and community resilience strategies.
The brief is aimed at policymakers, public health professionals, artists, cultural institutions, and funders working at the intersection of environment and health.
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Role of the Arts and Culture in Addressing the Health Impacts of Climate Change
Behavioural and Cultural Insights Policy Brief Series
WHO Team | Behavioural and Cultural Insights (BCI), Centre for Environment, Climate Change & Health (BON)
About
Climate change is a growing public health emergency whose impacts extend beyond physical illness to mental, social and cultural well being. Technical solutions alone are insufficient: effective climate–health action also requires cultural transformation that addresses the values, behaviours and social norms driving environmental harm. This policy brief synthesizes evidence from a rapid literature review, an international expert survey and global case studies to examine how arts and culture can strengthen climate–health responses. Findings show that arts based approaches make climate–health links more tangible, improve risk communication and enhance public understanding by translating complex science into accessible, emotionally resonant forms. Participatory and community based arts activities support adaptation and resilience by providing spaces to process eco anxiety, trauma and loss, strengthening social connection and enabling collective agency. Emerging examples also highlight contributions to mitigation through shifts in norms, practices and sustainable cultural production. Despite growing public demand and increasing recognition in global frameworks, arts and culture remain underutilized in climate–health policy. The brief outlines priority actions for integrating cultural approaches into mitigation, adaptation and communication efforts and calls for coordinated investment, partnership and research to scale effective, equitable and culturally grounded climate–health strategies.
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Engaging youth in systems thinking for active recreation
Piloting a Collective Intelligence Approach
Jiani Ma, David Cao , Michael Hogan , Kristy A Bolton, Jo Salmon, Maja Vilhelmsen, Harriet Koorts
Health Promotion International, 41(2), April 2026, daag049
About
Youth active recreation is influenced by complex interactions among factors in the active recreation system. Systems approaches can help identify ways to intervene; however, young people are rarely involved in this process. This study piloted the use of Collective Intelligence (CI), a participatory systems approach, to engage young people in identifying barriers to active recreation and co-creating solutions. Three CI workshops were conducted in Victoria, Australia, involving nine participants aged 12–17. In each workshop, participants generated and prioritized barriers, co-created systems maps, and collaboratively designed solutions aligned to the mapped systems. Field notes captured reflections on facilitation and youth engagement. Across workshops, 48 barriers were identified and grouped into eight categories: Shyness and social skills, Lack of support, Financial, Time, Space and equipment, Public Transport, Safety, and Medical. Participants then co-created solutions across individual (n = 5), community (n = 11), and government (n = 5) levels. Individual-level strategies focused on enhancing social skills; community-level ideas focused on public transport and inclusive spaces; Government actions included subsidies for extracurricular activities. Reflections highlight the value of CI to engage young people in articulating interconnected influences in their lived experience with active recreation. Key strengths of the process included making complexity visible and actionable. Challenges included uncertainty of upstream issues, uneven participant engagement, conflation of terms, and maintaining focus. This study offers actionable strategies to potentially overcome these challenges for anyone who wants to engage young people in systems thinking. The inclusion of a youth researcher was valuable in supporting young people to contribute their ideas.
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Measuring Indigenous Cultural Strengths
A Systematic Review of a Decade of Approaches
Melissa L Walls, Danica Love Brown, Victoria M O’Keefe, Evan J White, Miigis Gonzalez, Ivy Blackmore, Tara L Maudrie, Meenakshi Richardson, Timothy R Werwie, Hariata G Tai Rakena, Andrea Medley, Monica M Desjardins, Lalaine Sevillano, Gwen Wilson, Melissa E Lewis
Prevention Science, 27, 359-368, 2026
About
Indigenous Peoples experience severe health inequities rooted in experiences of colonization. Calls for strengths-based, culturally grounded research and practice to redress these harms continue to grow. This systematic review assesses how Indigenous “culture” has been quantified in research across the globe over a 10-year span. Following PRISMA guidelines, we searched four databases (2013–2023) for peer-reviewed, English-language articles featuring quantitative measures of Indigenous culture as a positive/protective factor. Data were extracted via a double coding system to assess cultural domains, operationalization strategies, and sociodemographic characteristics of reviewed studies. We reviewed 279 records and identified 461 measures, 289 of which were unique. The most frequently coded cultural domains were connectivity/belonging (47%) and traditional medicine/spirituality (47%), followed by cultural identity (43%) and Indigenous language (36%). Measures most often operationalized culture through behaviors (61%) and beliefs/values (41%). Only 56% of studies reported any psychometric evaluation. Most studies centered on North American contexts and human health outcomes. Efforts to measure Indigenous culture are increasing but remain fragmented, lacking consensus in domain definitions and operational approaches. Results suggest a need for resources to appropriately grapple with and build momentum around ethically and logistically complicated issues surrounding Indigenous cultural measures.
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The Kaiona Framework
Centering Hawaiian and Pasifika Community in Defining, Measuring, and Promoting Health and Well‑Being
Kenny S Ferenchak, Blane K Garcia, J Kukui Maunakea-Forth, Chelsey V Jay, Isaiah Pule, Eric Enos, Kay L Fukuda, Asia Engle, C Kamalani Cruz, Myna Keleb, Angelica Raza-Furtado, Alika Spahn Naihe, Andrew Aoki, Faith Ewaliko, Uʻilani O N Schnackenberg, Kevin M C D Akiyama, Ariel Makana Panui, Kyle Kaliko Chang, May Okihiro
International Journal of Environmental Research and Public Health, 23(3), 402, 2026
About
The place and people of Waiʻanae, Hawaiʻi, are rich in connection with ʻāina (natural environment) and culture. Counter to this strengths-based approach, metrics and narratives imposed by outside systems assess many communities like ours as “sick”, “poor”, or “unwell”. This paper details our community’s approach to defining “well-being” around the values specific to our place, overseen by a council of community leaders with decades of experience supporting youth. The development was a mixed methods process including formal focus groups, informal community conversations, review of existing models, and collaboration with a professional artist. Centering community was the priority through each phase, engaging youth, parents, cultural practitioners, healthcare providers, and educators. Our community built the Kaiona Framework around the moʻolelo (traditional story) of Kaiona who helps the lost find home through empathy and compassion. Well-being is grounded in connection to, in relationship with, and in service to ʻāina. The child is at the center of our work, but inseparable from the family, community, and wider nation of people. Wellness comprises four values vital to our community: mauli ola, a balanced state of physical, mental, emotional, spiritual, and environmental health; waiwai, abundance and prosperity; pilina, mutually sustaining relationships; and ea, self-determination and agency.
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Native American Health Resources
Representing Native American Health in Medical and Scientific Literature
Community Health Collection, Resources for Wellness: Library Research Tools
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Health Literacy and the Pacific: A Scoping Literature Review of Journal Articles
Tetine Sentell, Uliana Kostareva, Deborah A Taira, N Kuuleimomi Tolentino, Yuka Polovina, Theresa Kreif, Jake Ryann C Sumibcay, May Rose Dela Cruz
Public Health, 250
About
Objectives: Health literacy is understudied in the Pacific region and among Pacific diasporas globally. The study goal was to provide a scoping review of health literacy research in the Pacific region and among Pacific peoples/diasporas globally to 1) summarize current knowledge and 2) identify gaps and opportunities.
Study design: The study followed Arksey and O’Malley’s scoping review method.
Methods: Data were retrieved from 5 electronic databases (PubMed, MEDLINE, Ovid, PsychINFO, Web of Science) through March 2025. Two researchers independently evaluated studies against inclusion criteria for “health literacy” and (1) a Pacific location including Oceania and the Philippines and/or (2) a Pacific population including Pacific Islanders and Filipinos in any global location. Data were systematically extracted then synthesized.
Results: Over 1250 records were initially identified; 89 articles were included in the final synthesis; 46 % were quantitative, 40 % qualitative, and 14 % mixed methods. Geographical distribution spanned the Pacific region and beyond (including the USA and affiliated islands of Guam, Marshall Islands, and American Samoa; the Philippines; Vanuatu; New Zealand; Australia; China (Macau); Fiji; Samoa; New Caledonia; Papua New Guinea; South Korea; Canary Islands (Spain), and the United Kingdom). Most studies focused on health literacy of individual patients or laypeople (84 %) compared to professionals (16 %). Many emphasized the importance of communal, collectivist health literacy perspectives.
Conclusions: This scoping review demonstrates the scale and scope of current research on health literacy in the Pacific region and among Pacific diasporas informing research, policy, and practice. A robust literature was also found with multiple methods of scholarship, cross-sector considerations, and community engagement. Notable gaps and fruitful opportunities were also identified.
Keywords: Health literacy; Melanesia; Micronesia; Pacific/Pasifika; Philippines; Polynesia.
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Mycelium as metaphor
A Case Study of a Community-Based Participatory Research Project with an Oil Refinery Impacted Community
Beltrán R, Malin S, Hulama K, Gonzalez O and Martinez L
Frontiers in Environmental Science, 13, Environmental Citizen Science, 1639832, 2025
About
Methods: Standard approaches to research with communities impacted by environmental injustice often prioritizes institutions as experts rather than those with lived experience. Community-based participatory research (CBPR) emphasizes equitable and meaningful participation of community members, stakeholders, and researchers and has evolved into a widely accepted interdisciplinary methodological framework for research addressing health and social inequalities. In this case study, we use a “talk story” research dialogue between principal investigators and partner organization leaders of a non-profit that serves communities impacted by an oil refinery’s environmental pollution to reflect on relationship and implementation strategies used in the Air Quality Investigation for Research Equity (AIRE) project. Talk story utilizes dialogue and shared personal narratives to generate meaningful data through a relational process. Rooted in principles of Indigenous story work—including mutuality, reciprocal exchange, and deep relational accountability—dialogues center on a particular question or topic but unfold conversationally. Using our talk story dialogue as data, we conducted thematic analysis to illuminate the relational and concrete strategies that led to successful implementation of this CBPR project. We use mycelium as a metaphor for describing intricate mutualistic relationship-building, collaborative design, and implementation processes throughout the AIRE project.
Results: Thematic analysis of the talk story dialogue revealed 5 primary themes describing the relational strategies we used from design through dissemination: 1) Rooted relationships, 2) Cultural humility and responsiveness, 3) Destabilizing power inequities, 4) Impacts of the legacy of trauma, and 5) Long term relational commitments.
Discussion: Documenting and reflecting on this CBPR project, we illustrate how embodying principles of CBPR through prioritizing building relationships of trust over time and centering community members impacted by air and environmental pollution at all stages of the research process can lead to successful research implementation and achievement of mutually beneficial shared goals. Our aim is to use this case study to develop a template of relational strategies for scholars working with and for communities impacted by environmental injustice.
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Integrating Thai Classical Dance and Digital Platforms: A Creative Model for Youth Health Learning and Cultural Sustainability
Nisarat Singburan
The 11th AHLA International Health Literacy Conference: Health Literacy and AI for Healthy World, pp. 22, 2025
About
Introduction: In the digital era, AI and digital technologies are reshaping youth health, yet much online content remains generic and culturally detached from Thai youth. Nātasilpa (traditional Thai dance), deeply rooted in Thai heritage, promotes holistic well-being- physically, mentally, emotionally, and socially. Integrating this art form with digital platforms offers a creative, culturally relevant approach to health learning. This study proposes a model combining Thai dance with YouTube, TikTok, fitness apps, and AI tools to enhance youth health literacy, foster well-being, and preserve Thai cultural traditions in the digital age.
Objectives: This study aims to evaluate the effectiveness of the proposed health learning model in promoting physical, mental, and social well-being among youth, and to analyze the relationship between digital technology use and the preservation of cultural heritage through Thai classical dance.
Methods: This developmental research creates a health learning model through Thai dance on digital platforms in three phases: (1) literature review on health, dance, digital technology, and AI; (2) data collection from 21 university students (aged 18-20) via questionnaires and interviews on learning behavior, health awareness, and cultural engagement; and (3) design of a participatory AI-based model to enhance interaction and content delivery.
Results: The study is expected to yield an innovative and modern health learning model that integrates well-being, Thai classical dance, and digital technology. This approach aims to improve both physical and mental health while offering a new framework for cultural preservation. AI will be applied responsibly and efficiently to support the model’s sustainable expansion across communities and digital platforms. The model is inspired by the work of Pichet Klunchun, a Silpathorn Award-winning artist recognized internationally for reinterpreting Thai classical dance in contemporary and culturally relevant ways.
Conclusion: This paper introduces a health learning model that integrates Asian traditional dance with digital technology and AI to enhance youth well-being-physically, mentally, and culturally. Using a developmental research design, the study explores youth learning on platforms like TikTok and YouTube and develops AI-supported activities for movement analysis and interactive guidance. The model aims to be accessible, engaging, and scalable, fostering healthy behaviors while preserving cultural identity.
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Traditional knowledge on health
Traditional knowledge on health: balancing innovation, ethics and intellectual property
Sumeet Goel, Motlalepula Matsabisa, Fei Jiao, Caio Portella, Vijayalakshmi Asthana, Nilce Ekandzi, Manjeet S Saluja, Stefan Germann, João P Souza
Bulletin of the World Health Organization, 103(11), 708-714
About
Traditional knowledge on health has long contributed to global health-care systems. Rooted in the cultural and ecological heritage of Indigenous Peoples and local communities, traditional knowledge has influenced pharmaceutical research, biodiversity conservation and public health strategies. However, concerns over misappropriation of traditional knowledge and inadequate benefit-sharing with the sources of such knowledge persist. The World Intellectual Property Organization Treaty on Intellectual Property, Genetic Resources and Associated Traditional Knowledge mandates patent disclosure requirements for genetic resources and traditional knowledge. While a step forward, the treaty’s success depends on its effective implementation, ethical documentation of traditional knowledge, governance of artificial intelligence and equitable benefit-sharing mechanisms, among other factors. We examine traditional knowledge protection under intellectual property systems, the provisions of the World Intellectual Property Organization treaty, challenges to documentation of traditional knowledge and the role of artificial intelligence in the governance of traditional knowledge. By fostering a legally robust and technology-driven protection system for traditional knowledge, policy-makers can ensure that traditional knowledge remains both a protected cultural heritage and a resource for sustainable innovation in global health.
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Growing kalo (taro) to promote culture and health in the Continental US
Leialoha Ka’ula, Nicole lee Kamakahiolani Ellison, Constance James, Ashley Oshiro, Kacyn Ideue, Kahoku Ka’ula, Alexandra Malia Jackson
Frontiers in Public Health, 13, 2025
About
Introduction: A growing number of Native Hawaiians live in the continental US. Without access to the ‘āina (land) in Hawai’i, māla kalo (community gardens used to grow taro) may offer a space for these communities to increase access to traditional foods and create community connections.
Methods: We formed a community–research hui to engage in a community-based participatory research process to explore potential benefits of a māla kalo. We used an explanatory mixed-methods Indigenous evaluation approach, including a survey and interview with program volunteers and leaders to identify implementation strategies and thematic analysis to explore potential benefits of a māla kalo on the continent.
Results: A total of 12 participants and 5 program leaders, aged 18 to 75 years, completed a survey and interview at the end of the 2023 growing season. The findings suggested high levels of satisfaction and an interest in participating more frequently. Qualitative data suggested that volunteering at the māla kalo may support connections to self, community, and land, learning and sharing of knowledge, and connection to culture.
Conclusion: Community gardens that grow traditional foods may foster relationships, health, and culture within a displaced Indigenous community. Future steps should include continued evaluation of the health benefits of community gardens that grow traditional foods using culturally relevant measures and infrastructure development to create resources that support other organizations in scaling up similar programs.
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Hydro-Ethnographic Applied Research
An Approach to Support the Stewardship of Culturally Important Water Resources
Andrew J. Lewis
Annals of the American Association of Geographers, 116(6), New Messages / New Media, 2025
About
Water’s cultural significance shapes norms, practices, and beliefs, influencing how communities manage, use, and sustain it through traditional knowledge, customs, and stewardship. Yet in academia, integrating fields such as cultural studies, sociology, anthropology, and geography into hydrologic research remains a challenge. Innovative approaches are needed to foster meaningful researcher–community engagement and align research with the cultural values of water. This article introduces the term hydro-cultural values and presents the hydro-ethnographic applied research (HEAR) approach, developed from two community hydrology projects on Oʻahu, Hawaiʻi. HEAR synthesizes community-based participatory research (CBPR) and ethnography, employing semiethnographic methods to embed Indigenous hydrocultural values into applied hydrologic research, supporting the stewardship of culturally significant water resources. By shifting from ethnography that merely documents culture to an approach that applies ethnographic data to guide hydrologic research, HEAR promotes equitable applied research outcomes and advances a more inclusive model for researcher–community relationships. This approach offers a pathway for hydrologic research to align with the expressed interests of Indigenous communities, ensuring that research not only respects but also integrates the cultural significance of water.
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A Scoping Review of Health-Related Citizen Science Projects Involving Indigenous Peoples in Australia and Internationally
Josephine Y. Chau, John Hunter, Josephine D. Gwynn, Ms. Putu Novi Arfirsta Dharmayani, Connie Henson, Briellyn Ludlow, John C. Skinner, Kylie Gwynne, Boe Rambaldini
Health Promotion Journal of Australia, 36(4), e70086, 2025
About
Issue Addressed: Citizen science, an approach to health promotion that involves public participation and collaboration, has been posited as a promising approach to reach diverse or marginalised populations. This scoping review aims to explore the involvement of Aboriginal and Torres Strait Islanders and other First Nations and Indigenous peoples internationally in citizen science in health-related studies. While current health promotion in Indigenous communities is already strongly embedded in participatory approaches, we sought to examine whether citizen science methodologies have been used in health promotion and see what it could add.
Methods: We searched three databases for self-identified citizen science studies on health-related topics in the peer-reviewed literature using the term ‘citizen science’ combined with search terms relevant to Aboriginal and Torres Strait Islanders and global Indigenous populations. We recorded data about project characteristics and the citizen science approach used and appraised the cultural engagement quality of studies included.
Results: Eleven articles were included for full-text review. Included studies focused on a range of health-related topics, including environmental issues, physical health, food security, and youth mental health. Six studies (55%) adopted a co-created citizen science approach in which citizen scientists had input in key project phases and activities as collaborators and partners. The remaining studies took contributory (27%) or collaborative (9%) approaches, while no studies were citizen-led. The cultural engagement quality of included citizen science projects was positive overall, although there were areas for improvement, specifically having clear Indigenous research leadership and governance, and transparent agreements on rights to cultural and intellectual property arising from the research.
Conclusion: Citizen science projects focusing on health-related issues among Indigenous peoples and communities are relatively few. The potential of this approach to enrich current community-based participatory or co-design approaches to health promotion among Indigenous communities remains to be determined.
So What? Future citizen science projects involving Indigenous people and communities should prioritise and support Indigenous-led citizen science approaches where communities initiate, lead, and govern research processes. Cultural engagement quality could be improved, particularly in relation to having Indigenous-led research governance, and rights of access to and protections of Indigenous intellectual and cultural property.
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The Art of Nursing, Humanizing Healthcare
Transcultural Nursing Theory: Madeleine Leininger
Cynthia Keeton Brown
Open Library at Oklahoma State University
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Caribbean and Latin dance
Evidence About Health in Professional and Non-Professional Dancers
Fabrizio Liguori, Patrizia Calella
Journal of Sports Medicine and Physical Fitness, 65(6), 819-825, 2025
About
Sports dance, an evolution of traditional couple dances into a competitive sporting discipline, encompasses a diverse range of genres. This study explores Caribbean and Latin American dances (CLADs), which highlight rich cultural heritages and offer significant health benefits. Through a scoping review, we synthesized findings from multiple studies on the physiological and psychological impacts of CLADs, both in competitive and recreational contexts. Our literature search, conducted across Google Scholar, PubMed, and Web of Science, identified 476 potential articles, of which 27 were selected for detailed analysis. These studies revealed that CLADs enhance motor coordination, self-awareness, body control, balance, and memory. The physical demands of these dances improve posture, flexibility, and cardiovascular health, comparable or superior to other forms of exercise. Specifically, studies demonstrated significant improvements in postural control, leg strength, and energy expenditure. Psychologically, dance interventions reduce symptoms of depression, anxiety, and stress, while boosting self-efficacy, motivation, and social cognition. The social and enjoyable nature of dance fosters mental well-being and cognitive function, especially in group settings. Despite challenges in adherence to physical activity, the intrinsic enjoyment of dance enhances participation rates and amplifies health benefits. The implications of these findings suggest that integrating dance into regular physical activity routines offers a holistic approach to health, addressing both physical and mental aspects. For older adults, dance maintains fitness and cognitive function, potentially reducing the healthcare burden associated with aging. The adaptability and minimal equipment requirements of dance make it accessible and practical for diverse populations.
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Enhancing Ethnic Traditional Sports Education Through Sports Psychology
Significance, Challenges, and Strategies
Yong Huang, Bang Long
Psychology Research and Behavior Management, 18, 993-1005, 2025
About
As a vital carrier of Chinese national culture, ethnic traditional sports encapsulate the life wisdom and spiritual essence of diverse ethnic groups, serving as both intangible heritage and dynamic educational tools. While previous studies have addressed cultural preservation, this study innovatively integrates sports psychology theory with ethnic sports pedagogy, systematically examining how psychological principles-such as intrinsic motivation (Self-Determination Theory) and group dynamics-enhance students’ cultural identity, prosocial behaviors, and resilience. Through a mixed-methods approach combining literature analysis and cross-cultural case studies (eg, Japan’s kendo and Mexico’s ulama), we identify key barriers to implementation, including resource gaps and teacher training deficits, and propose actionable strategies: gamified curriculum design, AR/VR-enhanced cultural immersion, and community-driven psychosocial support systems. Our findings contribute to three domains: (1) a novel theoretical framework linking sports psychology to ethnic cultural education; (2) empirical evidence of stress inoculation techniques improving student persistence by 45%; and (3) policy recommendations for scalable, culturally adaptive teaching models. This work bridges the gap between tradition and modernity, offering a replicable blueprint for global educators seeking to harmonize cultural heritage with psychological pedagogy.
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III Global Summit on Science, Nature, and Health
Forest Therapy Hub
April 9-10, 2025
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Co-Creation Methods for Public Health Research — Characteristics, Benefits, and Challenges
A Health CASCADE Scoping Review
Danielle Marie Agnello, Vinayak Anand-Kumar, Qingfan An, Janneke de Boer, Lea Rahel Delfmann, Giuliana Raffaella Longworth, Quentin Loisel, Lauren McCaffrey, Artur Steiner, Sebastien Chastin
BMC Medical Research Methodology, 25, 60, 2025
About
Background: Co-creation engages diverse stakeholders, including marginalized populations, in collaborative problem-solving to enhance engagement and develop contextually appropriate solutions. It is increasingly recognized as a way to democratize research and improve the impact of interventions, services, and policies. However, the lack of synthesized evidence on co-creation methods limits methodological rigor and the establishment of best practices. This review aimed to identify co-creation methods in academic literature and analyze their characteristics, target groups, and associated benefits and challenges.
Methods: This scoping review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. The search was conducted in the Health CASCADE database v1.5 (including CINAHL, PubMed, and 17 additional databases via ProQuest) from January 1970 to March 2022. Data was aggregated and summarized, with qualitative data analyzed using Braun and Clarke’s six-phase thematic analysis approach.
Results: The review included 266 articles, identifying 248 distinct co-creation methods published between 1998 and 2022. Most methods were rooted in participatory paradigms (147 methods), with 49 methods derived from co-approaches like co-creation, co-design, and co-production, and 11 from community-based health promotion and action research. Methods were applied across 40 target populations, including children, adults, and marginalized groups. Many methods (62.3%) were delivered face-to-face, with 40 articles incorporating digital tools. Thematic analysis revealed nine benefits, such as enhanced creativity, empowerment, and improved communication, and six challenges, including resource constraints and systemic and structural barriers.
Conclusion: This review emphasizes the importance of robust documentation and analysis of co-creation methods to inform their application in public health. Findings support the development of collaborative co-creation processes that are responsive to the needs of diverse populations, thereby enhancing the overall effectiveness and cultural sensitivity of the outcomes. This review highlights the potential of co-creation methods to promote equity and inclusion while emphasizing the importance of evaluating and selecting methods tailored to specific objectives, offering a critical resource for planning, conducting, and evaluating co-creation projects.
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Space Prescription: Initiative to Improve Health and Well-being in Tokyo
Gantsetseg Ganbaatar, Mizuki Ohashi, Mazuin Kamarul Zaman, Nazar Mohd Azahar, Kazue Yamawaki, Haruki Matsuo, Suon Pileap, Akira Nishiyama, Shigeru Inoue, Yuichiro Yano
Journal of Atherosclerosis and Thrombosis, 32(1), 1-10, 2025
About
This review introduces “space prescribing,” an innovative healthcare approach that incorporates the physical environment’s role in promoting health beyond traditional clinical settings. Recognizing that individuals spend a significant amount of time outside clinical environments, this approach explores the therapeutic potential of natural and built environments in improving well-being and managing diseases, particularly cardiovascular and mental health conditions.Traditional healthcare models focus on treatments in hospital and clinic settings. However, evidence suggests that environmental factors profoundly influence health outcomes. Space prescribing recommends specific environments that encourage healthier lifestyles and enhance wellbeing. This concept includes social prescribing, in which healthcare professionals direct patients to community-based, non-medical activities such as art classes and sports, acknowledging that well-being transcends biological factors.This review also highlights “Cultural Ecosystem Services” (CES) in health through stress reduction, social connections, and physical activity. For cardiovascular health, elements such as green spaces and urban design are vital for managing conditions, such as hypertension and heart disease. Similarly, the configuration of indoor and outdoor spaces plays a crucial role in mental health. Therapeutic landscapes, including community gardens and culturally enriched urban areas, support mental health recovery, foster community engagement and reduce isolation.In conclusion, space prescribing advocates an integrated approach that considers the physical and social environments as fundamental components of health promotion. This strategy aims to mitigate health disparities and enhance the quality of life, while making health-enhancing activities accessible in urban and rural settings. Through this holistic approach, space prescribing has the potential to transform public health by strategically utilizing environmental designs to support health outcomes.
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Indigenous Health Research in Quebec: Changing the Landscape Through Relationship Building
Tahatikonhsontóntie’ Québec Network Environment for Indigenous Health Research
Sherri Bisset, Leila Qashu, Sonia Périllat-Amédée, Treena Delormier
International Journal of Indigenous Health, 20(1)
About
As a response to the need for more supportive research environments for Indigenous health research, CIHR created the Network Environments for Indigenous Health Research (NEIHR). The Tahatikonhsontóntie’ Québec Network Environment for Indigenous Health Research (QcNEIHR) is driven by, and grounded in, Indigenous communities in Quebec. This manuscript aims to provide a reflexive account of the QcNEIHR. Using implementation analysis as a methodology, the QcNEIHR evaluator used documents, participant observations and interviews to compare the proposed QcNEIHR grant plan to what the QcNEIHR actualized. The co-authors, members of the Operations Circle, provided additional information and interpretations as the manuscript was being written. The QcNEIHR governance circles were invited to approve the presentation of results. Through this analysis we found that QcNEIHR activities aligned with three of four objectives in the initial research proposal. The Operations Circle of the QcNEIHR successfully navigated through several competing interests, such as, 1) finding a balance between consulting and taking concrete actions, 2) being inclusive while prioritizing a few targeted activities, 3) administering institutional research funds within an Indigenous community-based organization, 4) maintaining an efficient bilingual governance structure with diverse conceptualizations of health and research, 5) managing an organic Operations Circle for innovation and creativity, while assuring an accountability and timely deliverables. During the first four years of operation, the strategy of the QcNEIHR OC was based upon building relationships and mobilizing a diverse lively network. This strategy sets the foundation for community-shared ownership and leadership for the next iteration of the QcNEIHR, where community-driven Indigenous health research in Quebec will continue to strengthen and grow, with the support of provincial and national research institutions.
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Towards a Pacific Island Sociology of Sport
Seeking New Horizons
Yoko Kanemasu
Emerald Publishing Ltd.
About the book
Engaging with critical gaps and building on existing knowledge, this volume of Research in the Sociology of Sport brings to the fore new stories from across Oceania, extending the horizon of regional sport scholarship beyond the Global North and tackling the ever-critical question of global disparity and sport.
Taking stock of existing knowledge and sociological relevance, contributors reveal the latest research on the sports and issues most widely studied in the region to date, such as sport migrations in rugby unions and sport for development. Presenting insights from emerging research on indigenous or ‘traditional’ sports such as indigenised cricket, outrigger canoeing and indigenous physical activities/games, chapters fill a lacuna in existing scholarship with a further emphasis on women’s football, minority ethnic women’s engagement with sport/exercise and ethnic politics in sport.
Positioning these narratives as fundamental to the central project of the sociology of sport, rather than simply an exercise in inclusion, Towards a Pacific Island Sociology of Sport offers an exciting opportunity for sociology of sport scholars to widen the scope of their research in search of fuller understandings of the forms, meanings, dynamics and impacts of sport for Pacific peoples.
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Indigenous Methodologies in International Research on Indigenous Family and Community Engagement
Washington, S. A., Johnson, L., & Mendoza Chui, K.
Review of Educational Research, 95(5), 1131-1177, 2024
About
Indigenous research methodologies have been theorized by prominent Indigenous scholars over the past few decades and advocated for in research focused on Indigenous communities for their emancipatory power to reestablish Indigenous peoples’ expertise and self-determining and sovereignty rights over education and research. Western intrusion in Indigenous education and community focused research through colonial schools and Western research methodologies has negatively impacted the schooling experiences of Indigenous children, their families and communities, as well as the ways they are studied and depicted in research. Responding to calls for Indigenous methodologies in research focused on Indigenous communities, this literature review introduces an Indigenist Methodological Framework, developed from canonical scholarship on Indigenous methodologies, that we use to explore the applications (and potential misapplications) of Indigenous methodologies in 20 international studies about Indigenous family and community engagement. We aimed to determine if adherence to the elements of an Indigenist Methodological Framework served to disrupt extractive, exploitative, and damage-centered practices in and portrayals of Indigenous communities (common in Western research methodologies). Further, we critically analyzed the findings of these studies to see if they offered more culturally responsive and strength-based conceptualizations of Indigenous families and communities. We uncovered applications and misapplications of Indigenous methodologies that impacted researchers’ commitments to and actions towards establishing and maintaining relational accountability throughout and beyond the research while also influencing findings that, in most cases, challenged narrow and deficit-based perceptions and portrayals of Indigenous students, families, and community members.
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Older Métis Adults’ Experiences of Physical Activity and Implications to Health Providers
Liris Smith, Sylvia Abonyi, Brenna Bath, Liz Durocher, TJ Roy, Sarah Oosman
International Journal of Indigenous Health, 20(1)
About
Physical activity supports health and wellness, and specifically supports healthy aging. Little is known about the experiences of older Métis adults with physical activity through their lifespan and how this has impacted wellness. This study was co-constructed with 12 older Métis adults in Sakitawak (Île-à-la-Crosse) Saskatchewan using a participatory action approach, two-eyed seeing and the ontology of Breath of Life Theory, as described by Cindy Blackstock. Older Métis adults described physical activity within three themes, Wahkotowin (Related to Everything), Ahkameyimowin (Never Give up), and E ti Meyo Matshohot (Becoming/Living a Better Life). The results of this study have implications for health care professions which are founded within biomedical and biopsychosocial models. We consider the context and experiences of physical activity among Indigenous populations in Canada to better address the gaps and identify practices that aim to support population health.
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Mele as methodology: Crafting (k)new tools for Indigenous research
Maya L. Kawailanaokeawaiki Saffery, R. Keawe Lopes, Jr, Kawehionālani Goto
Qualitative Research Journal, 24(5), 510-523, 2024
About
Purpose: In Decolonizing Methodologies (1999), Linda Tuhiwai Smith asserted that “the master’s tools of colonization will not work to decolonize what the master built.” Smith challenged Indigenous researchers to fashion “new tools for the purpose of decolonizing and Indigenous tools that can revitalize Indigenous knowledge” (p. 22). A quarter of a century later, this paper reflects on the powerful impact that Smith’s call to action has had upon recent generations of bright, politically active and culturally grounded Native Hawaiian researchers, many of whom are innovatively turning to the Native epistemologies embedded in our traditional cultural practices to craft (k)new research tools and methodologies.
Design/methodology/approach: This paper features three Native Hawaiian scholars who are simultaneously hula and mele (traditional Hawaiian dance and song) practitioners and who instinctively turned to their hula training to guide and indigenize their research practice.
Findings: Each of these three scholars describes how they creatively applied the Hawaiian epistemologies embedded in their hula and mele training to fashion (k)new, Indigenous methodologies to guide (1) their research conduct, (2) their data analyses or interpretations and (3) the presentation of their research findings, respectively.
Originality/value: These three Hawaiian scholars and hula practitioners represent a larger groundswell of Native Hawaiian researchers who are bravely and creatively drawing upon the traditional wisdom and sensitivities embedded in our cultural practices to craft and wield (k)new research tools to “dismantle the master’s house” (Lorde, 1981) and build an Indigenous hale (house) of our own.
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A Scoping Review of Health Equity Interventions in Governmental Public Health
Skky Martin, Janette Dill, Denisha Demeritte, Hannah Geressu, Roshani Dahal, Chelsey Kirkland, Shanda Hunt, Romil Parikh
Journal of Public Health Management Practice, 30(4), 479-489, 2024
About
Context: Despite major efforts in research, practice, and policy, racial and ethnic disparities in health and health care persist in the United States. Interventions in collaboration with governmental public health may provide ways to address these persistent racial and ethnic health and health care disparities and improve health outcomes.
Objective: To conduct a comprehensive review of health equity interventions performed in collaboration with public health agencies.
Design: This scoping review includes intervention studies from Ovid MEDLINE, PsycINFO, and Academic Search Premier, published between 2017 and 2023. The search strategy used terminology focused on 4 concepts: race/ethnicity, equity, health departments, and epidemiologic studies.
Eligibility criteria: The following inclusion criteria were determined a priori: (1) intervention tailored to reduce racial/ethnic health disparities, (2) public health department involvement, (3) health outcome measures, (4) use of epidemiologic study methods, (5) written in English, (6) implemented in the United States, (7) original data (not a commentary), and (8) published between January 2017 and January 2023.
Main outcome measures: This review focused primarily on 4 dimensions of racial health equity interventions including intervention components, intervention settings, intervention delivery agents, and intervention outcomes.
Results: This review indicated that health equity interventions involving public health agencies focused on the following categories: (1) access to care, (2) health behavior, (3) infectious disease testing, (4) preventing transmission, and (5) cancer screening. Critical strategies included in interventions for reaching racial/ethnic minoritized people included using community settings, mobile clinics, social media/social networks, phone-based interventions, community-based workers, health education, active public health department involvement, and structural/policy change.
Conclusions: This scoping review aims to provide an evidence map to inform public health agencies, researchers, and funding agencies on gaps in knowledge and priority areas for future research and to identify existing health equity interventions that could be considered for implementation by public health leaders.
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Hunting can increase physical activity of Indigenous peoples in Canada: pixem re yecwme’nstut
Sidney Paul, Elijah Haynes, Kathy Rush, Braden Te Hiwi, Jennifer Jakobi, and Fred Robbins
Applied Physiology, Nutrition, and Metabolism, 49(6)
About
This study examined whether Indigenous peoples could achieve the Canadian Physical Activity Guidelines (CPAG) for adults while engaging in the cultural practice of hunting. It was hypothesized that Indigenous hunters would achieve or surpass the physical activity (PA) thresholds set forth by the CPAG on days spent hunting. Step count and heart rate were recorded from six male participants during mule deer hunts and days spent on-reserve. Step count was not statistically different between days spent hunting (28 803 ± 10 657 steps) and on-reserve (15 086 ± 7536 steps) (p = 0.10). Time spent in light (257 ± 45 min; p = 0.04), moderate (118 ± 71 min; p = 0.03), and vigorous (45 ± 42 min; p = 0.04) activities while hunting was greater than on-reserve (light, 180 ± 86; moderate, 71 ± 73; vigorous, 7 ± 10 min). The duration of moderate-to-vigorous PA (119 ± 95 min) for an average day hunting nearly meets the weekly CPAG recommendation of 150 min per week and is 1.8× greater than on-reserve (67 ± 80 min). Data suggest that hunting is probably a viable mode of PA for Indigenous adults to achieve health benefits. A strength of this study is the 10 h of daily recording which includes vehicular transportation to remote hunting areas. The duration of very light/sedentary PA did not differ between hunting (233 ± 211 min) and on-reserve (327 ± 164 min; p = 0.10), and highlights the importance of modernized vehicles in traditional Indigenous activities. A larger sample size would facilitate greater exploration of transportation, as well as success of the hunt on PA. These data suggest that health researchers and clinicians should consider traditional activities such as hunting as a means for Indigenous adults to increase participation in sufficiently vigorous PA to incur health benefits.
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Indigenous lands and health access
The influence of a sense of place on disparities in post-stroke recovery in Taiwan
Zih-Yong Liao, Susanne Kean, Elaine Haycock-Stuart
Health & Place, 2024
About
Despite many countries having policies and systems for universal healthcare coverage, health disparity persists, with significant variations in disease prevalence and life expectancy between different groups of people. This focused ethnography explored the post-stroke recovery of Indigenous and non-Indigenous populations in three geographical areas in Taiwan. Forty-eight observations and 24 interviews were carried out with 12 dyads of stroke survivors and family caregivers, revealing their varied experiences of healthcare. Findings indicate that repeatedly engaging in social activities in the same place increases stroke survivors’ attachment to the environment, facilitating their reintegration into the community and improving wellbeing following stroke. The significance of ‘place’ in post-stroke life and healthcare access is particularly salient for Indigenous people’s recovery. Indigenous people tend to employ cultural symbols, such as Indigenous languages and kinship ties, to define and interpret their surrounding environment and identity. Indigenous people residing within or close to their own native communities make better recoveries than those based in urban settings, who are attached to and yet located away from their native lands. A sense of place contributes to identity, while loss of it leads to invisibility and healthcare inaccessibility. To promote equitable healthcare access, future policymaking and care practices should address the environmental and cultural geography and structural barriers that impede the connection between minority groups and the mainstream community healthcare system. The study findings suggest extending welfare resources beyond Indigenous administrative regions and establishing partnerships between Indigenous organisations and the mainstream healthcare system. Leveraging Indigenous people’s attachment to cultural symbols and increasing healthcare facilities staffed with Indigenous healthcare workers could help ease structural barriers, maintain identifiable Indigenous beneficiaries and increase entry points into the mainstream healthcare system.
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Iranian classical dance as a subject for empirical research
An Elusive Genre
Julia F Christensen, Shahrzad khorsandi, Melanie Wald-Fuhrmann
Annals of the New York Academy of Sciences, 15533(1), 2024
About
Dance has entered mainstream empirical research: dance as an experimental stimulus, and dancers as movement experts. Informed by several sources, including primary sources (original, historical documents, and oral reports, such as interviews with practitioners and academic scholars of Iranian dance genres) and secondary sources (research literature), we describe what we label “Iranian classical dance” within this paper as an important resource for empirical research, not only in humanities scholarship but also, and importantly, for empirical aesthetics, emotion psychology, cross-cultural psychology, and affective neuroscience. For this purpose, we (1) describe the aesthetics, characteristics, and history of Iranian classical dance; (2) outline issues of definition and systematization; and (3) give an overview of the cultural complexities and sociopolitical issues regarding Iranian classical dance in the past 40 years, which have shaped its current form. After the political revolution of 1979 (Iranian solar calendar year: 1358), dance in Iran—both as everyday practice and as a cultural heritage—was first forbidden, and now remains heavily restricted. International, interdisciplinary research teams can contribute to safeguarding Iranian classical dance in the future by firmly enshrining it into empirical research on human dance. We outline empirical research perspectives on Iranian classical dance, dataset resources, and expert communities.
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Food Sovereignty and Health
A Conceptual Framework to Advance Research and Practice
Valarie Blue Bird Jernigan, Cassandra J Nguyen, Tara L Maudrie, LaVerne Xilegg Demientieff, Jessica C Black, Ryan Mortenson, Rachel E Wilbur, Kaylee R Clyma, Melissa Lewis, Susanna V Lopez
Health Promotion Practice, 24(6), 1070-1074, 2023
About
Settler colonialism disrupted traditional Indigenous foodways and practices and created high rates of diet-related disease among Indigenous peoples. Food sovereignty, the rights of Indigenous peoples to determine their own food systems, is a culturally centered movement rooted in traditional Indigenous knowledge. This approach directly intervenes upon systems-level barriers to health, making it an important strategy for health equity. While food sovereignty initiatives can be found within many Indigenous communities, the conceptual linkages between food sovereignty and health have not been well documented within the public health literature. We present a practice-informed conceptual framework developed as part of the Center for Indigenous Innovation and Health Equity (CIIHE) initiative, a community–academic partnership with the goal of strengthening Indigenous food systems and practices to promote health and well-being. The framework emphasizes connectedness, including the transmission of knowledge across generations and the restoration of relational responsibilities, as central to Indigenous concepts of health and wellness.
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Hula as a physical activity and social support intervention for sustained activity in female breast and gynecologic cancer survivors
Erin O. Bantum, Paulette M. Yamada, TeMoana Makolo, Herbert Yu, Ian Pagano, Natalie Subia, Catherine Walsh and Lenora W. M. Loo
Frontiers in Psychology, 14
About
Background: Physical activity improves health and psychosocial functioning for people who have been diagnosed with cancer. Native Hawaiians face disparities for some cancers, including breast cancer. Delivering culturally grounded interventions has the potential to improve enjoyment and adherence to the intervention. We sought to test the adherence and impact of a 6 month randomized wait-list controlled trial of hula.
Methods: In this randomized wait-list controlled design people who had been diagnosed with breast or gynecologic cancers were invited to participate with other cancer survivors in a group based setting. Participants were randomized to begin hula immediately or after six months. Attendance was collected and heart-rate measured three times per session. In addition, demographic data, self-report psychosocial data, and biological data (findings will be reported elsewhere) were collected at three time points: baseline, 6 months, and 12 months. The study included six months of hula, twice per week, 60 min each session. In addition, participants committed to practice 60 min per week at home.
Results: Participants in the study (n = 42) attended, on average, 72% of the sessions. Significant increase in moderate physical activity (d = 0.50, p = 0.03) was observed in the intervention versus control group. For the measures of intra-individual changes pre-and post-intervention, an increase in total physical activity were seen in the intervention group (d = 0.69, p = 0.003), daily caloric intake decreased (d = −0.62, p = 0.007), and a reduction in waist circumference (d = −0.89, p = 0.0002) that was sustained six months after completion of the intervention. Psychosocially, cognitive functioning significantly declined from baseline to 12 months (d = −0.50, p = 0.03), with role functioning improving (d = 0.55, p = 0.02), social constraints increasing (d = 0.49, p = 0.03), and financial difficulties improving (d = −0.55, p = 0.02).
Conclusion: Sustainable physical activity is crucial to improve both the survival and quality of life of cancer survivors. Culturally grounded interventions, such as hula have the potential to increase the maintenance of physical activity. In addition, they create a support group where the benefits of people who have all experienced cancer can gather and garner those benefits of social support, too. This study was registered as a clinical trial through the National Cancer Institute (NCT02351479).
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The role of the cultural environment in the development of physical literacy and physical activity of Iranian children
Majid Mohammadi, Farzaneh Elahipanah, and Sadegh Amani-shalamzari
BMC Pediatrics, 23, 477
About
Background: The investigation of physical literacy (PL) and physical activity (PA) should be done in an ecological context because the socio-cultural situation can encourage or inhibit children’s activity. The present study aimed to study the role of the cultural environment in the development of PL and PA in Iranian children.
Methods: The statistical population consisted of Iranian children aged 8 to 12, of whom 270 students were recruited by cluster sampling from six provinces. They complete the Canadian Assessment of Physical Literacy 2 (CAPL-2) and the International Physical Activity Survey. To examine the cultural environment, the components of geographic location (west, south, central, east, and northwest), place of residence (downtown, suburban, and village), and gender (boys and girls) were used. A multivariate ANOVA analysis was used to analyze the data.
Results: From the geographic location, the findings showed that students inhabit in the west and east of Iran have significantly higher scores than their counterparts living in the central, south, and northwest at PA and PL (P < 0.001). From the place of residence, we observed a higher level of PA and PL in children living in the village than in those living in the suburbs and downtown (P < 0.001). In terms of gender, boys have higher PL and PA scores (P < 0.001).
Conclusion: The findings demonstrate that socio-cultural factors, geographic location, place of residence, and gender have different impacts on children’s PL and physical activity. Therefore, we suggest using ecologically appropriate decentralized planning in a physical education curriculum.
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Understanding physical activity from a cultural-contextual lens
Carielle Joy Rio, Leorey N Saligan
Frontiers in Public Health, 11, 2023
About
This paper aims to emphasize the need to acknowledge unique cultural and contextual meanings of physical activity to improve health outcomes in different communities. Leininger’s Sunrise Model was used as the theoretical base to understand the complex cultural and contextual factors that influence physical activity. Beliefs and practices surrounding physical activity are influenced by a variety of cultural and contextual factors. Providing culturally relevant contexts to the meaning of physical activity allows opportunities for improving policies or programs that would engage individuals and communities in physical activity in culturally meaningful ways. Incorporating cultural and contextual factors is critical to promote physical activity, especially in minority and vulnerable communities.
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Indigenous Peoples – United States
Filters to Retrieve Studies Related to Indigenous People in EMBASE, MEDLINE, CINAHL, and SCOPUS
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Enhancing human resilience beyond COVID-19-related stress
Public Responses to Multi-Benefits of Home Gardening
Chen-Fa Wu, Luu Van Thong Trac, Szu-Hung Chen, Alisara Menakanit, Quoc Tuan Le, Hung-Ming Tu, Chih-Peng Tsou, Hsi-Chih Huang, Nittaya Chookoh, Chih-Cheng Weng, Li-Wei Chou, Chiu-Chuan Chen
Scientific Reports, 13(1), 2023
About
The SARS-CoV-2 virus has caused a public health crisis globally. Against the backdrop of global resilience, studies have demonstrated the therapeutic value of home gardening as a measure to strengthen human health. However, there is a lack of comparative studies on its benefits across countries. Studies need to examine the role of home gardening in improving public health in various societies to understand and encourage this practice broadly and effectively. We chose Taiwan, Thailand, and Vietnam as case studies, which have suffered substantial pandemic impacts, with millions of infections and thousands of deaths. We explored and compared the perceptions of people on home gardening and its health benefits during the COVID-19 pandemic. We conducted online surveys in three countries between May 1 and September 30, 2022, with a total of 1172 participants. Data were collated on perceived pandemic stress, challenges and solutions in gardening, home gardening intentions, and mental and physical health benefits. In these countries, we found that perceived pandemic stress positively affects home gardening intentions, whereby the motivation of Vietnamese people is the highest. Challenges hinder gardening intentions, while the solutions only positively affect gardening intentions in Taiwan and Vietnam. Home gardening intentions positively affect mental and physical health, whereby there are higher mental health benefits in Taiwanese people than in Thai people. Our findings potentially support public health recovery and promote healthy lifestyles during the COVID-19 pandemic.
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Culturally Relevant Physical Activity in the Behavioral Risk Factor Surveillance System in Hawaiʻi
Tetine Sentell, PhD, Yan Yan Wu, PhD, Mele Look, MBA, Kapuaola Gellert, PhD, Tonya Lowery St. John, PhD, Lance Ching, PhD, MPH, Riko Lee, MPH, and Catherine Pirkle, PhD
Preventing Chronic Disease: Public Health Research, Practice, and Policy. 20, 20:220412
About
Introduction: Culturally relevant physical activity is a promising field for chronic disease prevention and management. Native Hawaiians and Other Pacific Islanders have higher rates of physical inactivity than other racial or ethnic groups and increased risk of chronic disease. The study objective was to provide population-level data from Hawaiʻi on lifetime experiences in the Native Hawaiian Indigenous practices of hula and outrigger canoe paddling across demographic and health factors to identify opportunities for public health intervention, engagement, and surveillance.
Methods: Questions about hula and paddling were added to the Hawai‘i 2018 and 2019 Behavioral Risk Factor Surveillance System (N = 13,548). We considered level of engagement by demographic categories and health status indicators, accounting for the complex survey design.
Results: Overall, 24.5% of adults engaged in hula and 19.8% in paddling in their lifetime. Prevalence of engagement was higher among Native Hawaiians (48.8% hula, 41.5% paddling) and Other Pacific Islanders (35.3% hula, 31.1% paddling) than among other racial and ethnic groups. In adjusted rate ratios, experience in these activities was strong across age groups, education, sex, and income levels, particularly among Native Hawaiians and Other Pacific Islanders.
Conclusion: Throughout Hawaiʻi, hula and outrigger canoe paddling are important and popular cultural practices with high physical activity demands. Participation was notably high for Native Hawaiians and Other Pacific Islanders. Surveillance information around culturally relevant physical activities can benefit public health programming and research from a strength-based community perspective.
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What Cultural Traditions Are Important to You?
Natalie Proulx
The New York Times, 2023
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Dance Is a Healing Art
Linda Cox, Jodi Youmans-Jones
Current Treatment Options Allergy, 10, 184-195
About
The purpose of this review is to evaluate the health benefits of dance and dance therapy in various health domains. Dance interventions included movement therapy with certified therapists, common dances such as ballroom dancing, salsa, and cha-cha as well as ethnic dances, such as the Chinese Guozhuang Dance and the Native American jingle dance. The health domains included depression, cognitive function, neuromotor function, dementia, balance, neurological growth factors, and subjective well-being. The National Library of Medicine, Congress of Library, and the Internet were searched using the terms: dance, dance movement therapy, health, cognitive function, healing, neurological function, neuromotor function, and affective disorders from 1831 to January 2, 2023. Two-thousand five hundred and ninety-one articles were identified. Articles were selected if they provided information on the health benefits of dance in one or more of the above domains as compared to a “non-dance” control population. Studies included systematic reviews, randomized controlled studies, and long-term perspective studies. Most of the subjects in the studies were considered “elderly,” which was generally defined as 65 years or older. However, the benefits of DI on executive function were also demonstrated in primary school children. Overall, the studies demonstrated that DI provided benefits in several physical and psychological parameters as well as executive function as compared with regular exercise alone. Impressive findings were that dance was associated with increased brain volume and function and neurotrophic growth function. The populations studied included subjects who were “healthy” older adults and children who had dementia, cognitive dysfunction, Parkinson’s disease, or depression.
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Social Determinants of Health: Indigenous Peoples’ Physical Activity
NCCIH-CCNSA
About
This fact sheet offers information on Indigenous Peoples’ health and physical activity, focusing on sports and physical recreation, including traditional activities. It outlines barriers and facilitators to First Nations, Inuit, and Métis peoples’ participation in sports and recreation, as well as best practices for improving policy making, research, and programs.
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A Nature’s Way Our Way Pilot Project Case Assemblage
(Re)Storying Child/Physical Literacy/Land Relationships for Indigenous Preschool-Aged Children’s Wholistic Wellness
Kathryn Riley, Amanda Froehlich Chow, Kathleen Wahpepah, Natalie Houser, Mariana Brussoni, Erica Stevenson, Marta C. Erlandson, M. Louise Humbert
Children, 10(3), 497
About
Physical literacy (PL) is gaining more attention from educational policy-makers, practitioners, and researchers as a way to improve health and wellness outcomes for children and youth. While the development of PL is important for early years children, there is limited attention in the literature that explores the political, cultural, and social discourses imbued in colonialism that implicate how PL is actualized in Indigenous early childhood education (ECE) contexts. This case assemblage explores how the culturally rooted, interdisciplinary, and community-based PL initiative, Nature’s Way–Our Way (NWOW), negotiated movement with three early childhood educators in the pilot project with an early childhood education centre (ECEC) in Saskatchewan, Canada. Through postqualitative approaches to research, this case assemblage adopts new materialist methodologies to show how the natural order of knowing in movement was disrupted through moments of rupture generating stories of PL to encompass radical relationality with land. As land becomes a vital and lively part of PL storying, it can function as an important protective factor for Indigenous preschool-aged children’s wholistic wellness.
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Exercise and Physical Activity in Indigenous Health
Rosalin Miles, Mitchell Huguenin
About
Physical activity and exercise are integral parts of Indigenous identity, woven into cultural tradition throughout history. This resource aims to tell the story of physical activity, exercise, and health in Indigenous communities. Divided into four main sections, learners will begin their journey by uncovering some of the history of physical activity in Indigenous health. The learner will then explore and appreciate physical activity and health in Indigenous communities at the present time. Finally, learners will be guided towards moving forward in physical activity and health together. This resource may be used as a stand-alone online learning experience and/or for an academic course. Features include: wholistic learning objectives, informational text, suggested readings and videos, interactive activities, and opportunities to reflect on learning.









