"Someday, I'll be an ancestor:" Understanding indigenous intergenerational connectedness through qualitative research to inform measure development.

Intergenerational connectedness broadly encompasses relations among humans, lands, and all living and spiritual beings, and functions as an important part of Indigenous well-being. Many public health campaigns and interventions aim to promote connectedness to support holistic wellness and reduce health inequities. Currently, however, there are no measurement tools to assess intergenerational connectedness to support culturally grounded research and program evaluation. The purpose of this qualitative study is to understand and describe Indigenous intergenerational connectedness as part of a larger community-based participatory research study to develop a measure of Indigenous intergenerational connectedness. We convened a community advisory board and an Indigenous measurement development group to steer the project. We conducted N = 23 interviews with 21 Indigenous participants to learn about intergenerational connectedness. An inductive, thematic analysis yielded three primary themes: (1) dimensions of intergenerational connectedness, (2) facilitators of intergenerational connectedness, and (3) qualities and outcomes of intergenerational connectedness. These findings highlight the profound importance of intergenerational connectedness for Indigenous communities and its role in promoting health, mental health, and well-being. This study adds to the growing field of American Indian/Alaska Native strengths-based public health and mental health research promoting Indigenous values, worldviews, cosmologies, and epistemologies to promote healthy, thriving Indigenous communities.