dccps-irinah (Agenda)

Draft Agenda

Goal: The goal of this meeting is to identify research discoveries and lessons learned based on 10 years of IRINAH research, including the successes, challenges, and the ways in which culture is critical to intervention science for improving American Indian, Alaska Native, and Native Hawaiian health. A broader aim of the meeting is for IRINAH researchers to share their views on priority areas for future research.

Purpose: The information gained from this meeting will (a) provide important IRINAH research information to NIH leadership; (b) support publication of a white paper and scientific manuscript; and (c) contribute to strategic planning critical to IRINAH and its emergent scientific findings during the next 5 years. 

Structure: Panelists will provide lightening talks (15 minutes) relevant to the panel theme and provide catalyzing talks for later group discussions; discussions will focus on each thematic area as inspired by the IRINAH projects. 

Meeting Co-Chairs

Karina L. Walters, MSW, PhD (Choctaw Nation of Oklahoma), University of Washington School of Social Work, Indigenous Wellness Research Institute

J. Keawe'aimoku Kaholokula, PhD (Kānaka ʻōiwi/Native Hawaiian), University of Hawai‘i at Mānoa, John A. Burns School of Medicine, Department of Native Hawaiian Health


All sessions will take place in Building 45 (Natcher) on Main Campus. Room assignments will be updated.



Convening of IRINAH Scientists, Leaders, and Stakeholders
8:00 - 9:00 Arrive at National Institutes of Health (NIH) for Security/Registration
(Please allow adequate time for NIH security)
9:00 - 9:10


David R. Wilson, PhD, Director, Tribal Health Research Office, NIH

Shobha Srinivasan, PhD, Senior Advisor for Health Disparities, Office of the Director, Division of Cancer Control and Population Sciences, National Cancer Institute (NCI), NIH

9:10 - 9:20


Karina L. Walters and Keawe'aimoku Kaholokula
Theme 1: Advances in Culturally Derived Intervention and Adaptation Intervention Science
9:20 - 11:00

This panel will focus on approaches and methods successfully used to develop and test culturally derived and culturally adapted interventions for Indigenous communities. Contexts in which these approaches are best suited are described, and the role of tribal members and community and cultural experts in their development and application are emphasized.


Keawe'aimoku Kaholokula - Topic theme introduction and overview (10 minutes)


Speaker 1:

Dedra Buchwald and Team
Diet Intervention for Hypertension: Adaptation and Dissemination to Native Communities


Speaker 2:

Bonnie Duran and Team
Tribal Colleges and Universities Behavior Wellness Study (TCU-BeWell)


Speaker 3:

Lonnie Nelson
Caring Texts: A Strength-based, Suicide Prevention Trial in 4 Native Communities


Speaker 4:

Karina L. Walters and Michelle Johnson-Jennings
Yappalli: Choctaw Road to Health


Speaker 5:

John Lowe and Julie Baldwin
Intertribal Talking Circle for the Prevention of Substance Abuse in Native Youth NIDA


Discussion/Questions (10 minutes)


11:00 – 11:10 Break
Theme 2: Innovations in Design, Methods, and Analytic Strategies
11:10 – 12:50

This panel will share novel strategies successfully used for intervention design, testing, and outcome analyses to address the most pressing research concerns of Indigenous communities. Emphases will include alternatives to traditional randomized controlled trial designs; recruitment and retention strategies for small and difficult to reach populations; and design and analytic approaches for small samples and group-based interventions where family, school, or community is the unit of analysis.



Jim Allen - Topic theme introduction and overview (10 minutes)


Speaker 1:

Judith Prochaska
Technology Innovations for Supporting Health in Alaska Native People


Speaker 2:  

Nina Wallerstein and Team
Family Listening Program: Multi-Tribal Implementation and Evaluation


Speaker 3:

Cathryn Booth-LaForce
A Primary Prevention Trial to Strengthen Child Attachment in a Native Community


Speaker 4:

Timothy Thomas and Team
Back to Basics: Addressing Childhood Obesity Through Traditional Foods in Alaska


Speaker 5:

Linda Stanley, Randall Swaim and Kathleen Kelly
Substance Use Prevention Campaign for American Indian Youth


Discussion/Questions (15 minutes)

12:50 - 2:00 Lunch Break
Theme 3: Advances in Multilevel and Environmentally Based Interventions
2:00 - 3:35

This panel will focus on lessons learned in successfully designing and implementing multilevel and environmentally focused interventions for ameliorating the complex social determinants of health disparities among Indigenous communities. Strategies to examine and measure contemporary and historical factors at multiple levels of influence; effect policy change; engage diverse stakeholders; and foster sustainability are emphasized.



Joel Gittelsohn—Topic theme introduction and overview (10 minutes)


Speaker 1:

Roland S. Moore and Team
Strategies for Preventing Underage Drinking and Other Substance Use in Native American Tribal Communities


Speaker 2:

Joel Gittelsohn and Team
Multilevel Program and Policies to Reduce Chronic Disease for American Indians


Speaker 3:

Curtis Noonan and Annie Belcourt
Residential Wood Smoke Interventions to Improve Health in Native American Populations


Speaker 4:

Christine Marie George
Participatory Interventions to Reduce Arsenic in American Indian Communities


Speaker 5:

Valarie Jernigan and Team
Tribal Health and Resilience in Vulnerable Environments (THRIVE) Study


Discussion/Questions (10 minutes)

3:35 - 3:40 Break and Room Transition for Themes 2 and 3
3:40 - 4:50

Discussion Groups for Themes 1, 2, and 3 (2 discussion groups per theme = 6 groups; Group A and Group B/theme) Attendees will divide into multiple small groups led by a facilitator.

Group A is charged with:
Identifying and brainstorming research successes, challenges, and gaps for their theme (20 minutes)
a. Guiding question: What have we learned regarding successes, challenges, and gaps?

Group B is charged with:
Identifying the benefits of culture-centered approaches and research priorities (20 minutes)
b. Guiding question: How does culture improve intervention science?

Groups A and B are both charged with:
Discussing/integrating the list 10 minutes)
Identifying (through consensus/votes) the top gaps/priorities (20 minutes)
c. Guiding question: Where do we go from here?

4:50 - 5:20 Small Group Report-Outs and Discussion (7 minutes per group)
5:20 - 5:30

Comments and Closing on Day 1: Co-Chairs

Dinner on own



Convening of IRINAH Scientists, Leaders, and Stakeholders
8:00 - 9:00

Arrive at National Institutes of Health (NIH) for Security/Registration

9:00 - 9:15

Opening and Overview for the Day
Robert T. Croyle, PhD, Director, DCCPS, NCI, NIH

Nora D. Volkow, MD, Director National Institute on Drug Abuse (NIDA), NIH

George F. Koob, PhD, Director, National Institute on Alcohol Abuse and Alcoholism (NIAAA), NIH

9:15 - 9:30 IRINAH Overview and Achievements to Date
NIH IRINAH Representatives (10 mins)
Co-Chairs: Karina Walters and Keawe Kaholokula
9:30 - 11:30

IRINAH Completed Project Highlights



Kathy Etz, NIDA - Introduction of panelists (5 minutes)


Speaker 1:

Stacy Rasmus, Billy Charles, and Jim Allen
Qungasvik (Toolbox): Prevention of Alcohol/Suicide Risk in Alaska Native Youth


Speaker 2:

Keawe‘aimoku Kaholokula, Mele Look, and Mapuana DeSilva
The KaHOLO Project: Preventing Cardiovascular Disease in Native Hawaiians


Speaker 3:

Christi Patten and Team
Community Intervention to Reduce Tobacco Use Among Pregnant Alaska Native Women


Speaker 4:

Valarie Blue Bird Jernigan and Team
Food Resource Equity and Sustainability for Health “FRESH” 


Speaker 5:

Elizabeth D'Amico and Dan Dickerson
Motivational Interviewing and Culture for Urban Native American Youth


Speaker 6:

Curtis Noonan and Annie Belcou
Residential Wood Smoke Interventions to Improve Health in Native American Populations


Speaker 7:

Nancy Whitesell and Alicia Mousseau
Culturally Grounded Early Substance Use Prevention for American Indian Families


Discussion/Questions (10 minutes)

11:30 - 12:00 Poster Session and Refreshment Break
12:00 - 12:30

Summary of IRINAH Investigator Report Backs

Speaker 1: What have we learned regarding successes, challenges, and gaps?
Speaker 2: How does culture improve intervention scientist?
Speaker 3: What are the gaps and future research priorities?
12:30 - 12:45 Group Discussion
12:45 - 12:55

Concluding Remarks
Eliseo J. Perez-Stable, MD, Director, NIMHD

12:55 - 1:15 Next Steps, and Closing (Co-Chairs and NIH Leadership)