ArticleFrontiers in public health2025
American Indian community engagement and the structural and social determinants of health: results from the THRIVE assessment.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Engaging community members in the process of documenting health inequities is the first step in addressing public health challenges. This paper presents the community-driven adaptation process and results for the Tool for Health and Resilience in Vulnerable Environments (THRIVE) assessment, a social justice and equity-focused screening tool, in one reservation-based American Indian community in the US. Methods: Using principles of community-engaged research (CER) and community-based participatory research (CBPR), the authors describe the importance of co-creating data collection tools with community members to document the social and structural determinants of health. Authors describe a step-by-step approach to document inequities; this includes (1) recognizing the need to document inequities, (2) identifying existing tools to measure inequities, (3) adapting tools and piloting them with members of the community, (4) refining the tool based on community feedback, and (5) administering the tool to address needs identified. Results: Survey data from the THRIVE assessment and community-engaged process (
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