Evidence map›Paper›PMID 34125006›Full record

ArticleAJOB empirical bioethics

Deliberations with American Indian and Alaska Native People about the Ethics of Genomics: An Adapted Model of Deliberation Used with Three Tribal Communities in the United States.

Erika Blacksher, Vanessa Y Hiratsuka, Jessica W Blanchard, Justin R Lund, Justin Reedy, Julie A Beans, Bobby Saunkeah, Micheal Peercy, Christie Byars, Joseph Yracheta and 4 more

Abstract read
In one paragraph

Article in AJOB empirical bioethics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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  4. Bridging community-engaged research and implementation science methods to advance public health practice.Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Erika BlacksherDepartment of Bioethics and Humanities, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-0098-7154
Vanessa Y HiratsukaSouth Central Foundation Research Department, Anchorage, Alaska, USA.
Jessica W BlanchardCenter for Applied Social Research, University of Oklahoma, Norman, Oklahoma, USA.
Justin R LundDepartment of Anthropology, University of Oklahoma, Norman, Oklahoma, USA.
Justin ReedyDepartment of Communication, University of Oklahoma, Norman, Oklahoma, USA.ORCID 0000-0002-7581-8558
Julie A BeansSouth Central Foundation Research Department, Anchorage, Alaska, USA.ORCID 0000-0003-4363-9763
Bobby SaunkeahChickasaw Nation Department of Health, Division of Research and Public Health, Ada, Oklahoma, USA.
Micheal PeercyChickasaw Nation Department of Health, Division of Research and Public Health, Ada, Oklahoma, USA.
Christie ByarsChickasaw Nation Department of Health, Division of Research and Public Health, Ada, Oklahoma, USA.
Joseph YrachetaMissouri Breaks Industries, Inc, Research Department, Eagle Butte, South Dakota, USA.ORCID 0000-0002-0691-8504
Krystal S TsosieMissouri Breaks Industries, Inc, Research Department, Eagle Butte, South Dakota, USA.
Marcia O'LearyMissouri Breaks Industries, Inc, Research Department, Eagle Butte, South Dakota, USA.
Guthrie DucheneauxMissouri Breaks Industries, Inc, Research Department, Eagle Butte, South Dakota, USA.
Paul G SpicerDepartment of Anthropology, University of Oklahoma, Norman, Oklahoma, USA.

Funding

Tracking and Evaluation CoreU54GM104938 · NIGMS · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI PAUL G SPICER · 2013 to 2026
$68.2M
Trust and Mistrust in American Indian and Alaska Native CommunitiesRM1HG009042 · NHGRI · UNIVERSITY OF OKLAHOMA · PI SPICER, PAUL G · 2016 to 2024
$8.5M
Community-engaged Research Toward Precision Medicine with AIAN PeopleR01HG009500 · NHGRI · UNIVERSITY OF ALASKA FAIRBANKS · PI BOYER, BERT BRANDON, DILLARD, DENISE A · 2017 to 2019
$2.0M
Population-based Interventions to Improve Behavioral Health in a Tribal Healthcare SystemS06GM123545 · NIGMS · SOUTHCENTRAL FOUNDATION · PI ROBINSON, RENEE F · 2017 to 2020
$1.6M
Programs for the Training and Advancement of the Next GENeration of Native Researchers in Genetics, Ethics and SocietyR25HG010132 · NHGRI · UNIVERSITY OF OKLAHOMA · PI SPICER, PAUL G · 2018 to 2023
$638k
NHGRI NIH HHS R01 HG009500NHGRI NIH HHS R25 HG010132NHGRI NIH HHS RM1 HG009042NIGMS NIH HHS S06 GM123545NIGMS NIH HHS U54 GM104938
6 · The paper itself

Abstract

backgroundThis paper describes the design, implementation, and process outcomes from three public deliberations held in three tribal communities. Although increasingly used around the globe to address collective challenges, our study is among the first to adapt public deliberation for use with exclusively Indigenous populations. In question was how to design deliberations for tribal communities and whether this adapted model would achieve key deliberative goals and be well received.

methodsWe adapted democratic deliberation, an approach to stakeholder engagement, for use with three tribal communities to respect tribal values and customs. Public deliberation convenes people from diverse backgrounds in reasoned reflection and dialogue in search of collective solutions. The deliberation planning process and design were informed by frameworks of enclave deliberation and community-based participatory research, which share key egalitarian values. The deliberations were collaboratively designed with tribal leadership and extensive partner input and involvement in the deliberations. Each deliberation posed different, locally relevant questions about genomic research, but used the same deliberation structure and measures to gauge the quality and experience of deliberation.

resultsA total of 52 individuals participated in the deliberations across all three sites. Deliberants were balanced in gender, spanned decades in age, and were diverse in educational attainment and exposure to health research. Overall, the deliberations were positively evaluated. Participant perceptions and external observer datasets depict three deliberations that offered intensive conversation experiences in which participants learned from one another, reported feeling respected and connected to one another, and endorsed this intensive form of engagement.

conclusionThe adapted deliberations achieved key deliberative goals and were generally well received. Limitations of the study are described.

Indexed as

Alaska NativesAmerican Indian or Alaska NativeGenomicsHumansLeadershipUnited StatesAlaska NativeAmerican Indiancommunity engagementdeliberationELSIGenomics

Identifiers

PMID34125006
PMCPMC8274345

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.