ArticlePrevention science : the official journal of the Society for Prevention Research2020
Multilevel and Community-Level Interventions with Native Americans: Challenges and Opportunities.
Article in Prevention science : the official journal of the Society for Prevention Research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07074145 (WEAVE NM Project), which is not on this map. Cited by 78 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
WEAVE NM Project: Heart Health and Nutrition for Life (HHNL)
Who cites it
78 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Commercial Tobacco Cessation Interventions for American Indian and Alaska Native Persons Living in the United States: A Narrative Systematic Review of Effectiveness Using a Health Equity Lens.American journal of health promotion : AJHP · 2025Pooled it
- Smoking Cessation Interventions in Indigenous North Americans: A Meta-Narrative Systematic Review.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023Pooled it
- What is the prevalence of current alcohol dependence and how is it measured for Indigenous people in Australia, New Zealand, Canada and the United States of America? A systematic review.Addiction science & clinical practice · 2020Pooled it
- Virtual Culturally Grounded Interventions for Substance Use in Urban American Indian and Alaska Native Emerging Adults: A Randomized Clinical Trial.JAMA network open · 2026Trial
- Primary Prevention of Drug Overdoses in Rural Low-Resource and Tribal Communities: A Cluster Randomized Trial.American journal of public health · 2025Trial
- Mixed Methods Evaluation of Satisfaction with Two Culturally Tailored Substance use Prevention Programs for American Indian/Alaska Native Emerging Adults.Prevention science : the official journal of the Society for Prevention Research · 2024Trial
- Relationship between food insecurity and a gestational diabetes risk reduction intervention: outcomes among American Indian and Alaska Native adolescent and young adult females.Translational behavioral medicine · 2023Trial
- Recruitment best practices of a cardiovascular risk reduction randomised control trial in rural Alaska Native communities.International journal of circumpolar health · 2020Trial
- Motivational interviewing and culture for urban Native American youth (MICUNAY): A randomized controlled trial.Journal of substance abuse treatment · 2020Trial
- Associations of Social Engagement and Perceived Interpersonal Connectedness With Cognitive, Mental, and Physical Health in American Indian and Alaska Native Adults.Journal of aging and health · 2026Article
- Well-being initiatives for hospital employees provided by the Dutch University Medical Centres: an exploratory study.BMJ leader · 2026Article
- Exploring Perspectives About Public Health Vending Machine Implementation on an American Indian Reservation in the Northern Midwest, United States.AIDS and behavior · 2026Article
- Change in Health Status Among American Indian/Alaska Native Adolescents Living Outside of Tribal Land in California Before and During the COVID-19 Pandemic.Journal of racial and ethnic health disparities · 2026Article
- Connect Kits for Family Action: Intervention Development and Exploratory Data Analysis of Proximal Outcomes.Journal of child & adolescent substance use · 2026Article
- Trends in Age-Adjusted Cardiovascular Mortality Rates Among the Diabetic Population of the United States: 1999-2020, CDC WONDER Retrospective Study.Health science reports · 2026Article
- Bridging traditions and prevention: Insights into implementing and sustaining substance use programs for urban AI/AN communities.Journal of substance use and addiction treatment · 2026Article
- Cultural Guideposts of Health: A crisis response evaluation framework for California's diverse Indigenous communities.Journal of public health research · 2026Article
- Assessing American Indian Traditional Ceremonial Practices and Substance Use Behaviors in an Urban, Multi-Tribal Setting: Results from a Community Survey.American Indian and Alaska native mental health research (Online) · 2026Article
- Article
- Tribal-Led Commercial Tobacco Prevention: Outcomes from the California American Indian Tobacco Initiative Evaluation.Journal of racial and ethnic health disparities · 2025Article
18 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Multilevel and community-level interventions that target the social determinants of health and ultimately health disparities are seldom conducted in Native American communities. To contextualize the importance of multilevel and community-level interventions, major contributors to and causes of health disparities in Native communities are highlighted. Among the many documented socioeconomic factors influencing health are poverty, low educational attainment, and lack of insurance. Well-recognized health disparities include obesity, diabetes, and hypertension. Selected challenges of implementing community-level and multilevel interventions in Native communities are summarized such as the shortage of high-quality population health data and validated measurement tools. To address the lack of multilevel and community-level interventions, the National Institutes of Health created the Intervention Research to Improve Native American Health (IRINAH) program which solicits proposals that develop, adapt, and test strategies to address these challenges and create interventions appropriate for Native populations. A discussion of the strategies that four of the IRINAH grantees are implementing underscores the importance of community-based participatory policy work, the development of new partnerships, and reconnection with cultural traditions. Based on the work of the nearly 20 IRINAH grantees, ameliorating the complex social determinants of health disparities among Native people will require (1) support for community-level and multilevel interventions that examine contemporary and historical factors that shape current conditions; (2) sustainability plans; (3) forefronting the most challenging issues; (4) financial resources and time to collaborate with tribal leaders; and (5) a solid evidence base.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.