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This version was published on February 1, 2008
Health Education & Behavior, Vol. 35, No. 1, 44-69 (2008)
DOI: 10.1177/1090198105285372
© 2008 Society for Public Health Education

Applying Community-Based Participatory Research Principles to the Development of a Smoking-Cessation Program for American Indian Teens: "Telling Our Story"

Kimberly Horn, MSW, EdD

West Virginia University, Morgantown, khorn{at}hsc.wvu.edu

Lyn McCracken, MA

West Virginia University, Morgantown

Geri Dino, PhD

West Virginia University, Morgantown

Missy Brayboy, BS

North Carolina Commission of Indian Affairs, Raleigh

Community-based participatory research provides communities and researchers with opportunities to develop interventions that are effective as well as acceptable and culturally competent. The present project responds to the voices of the North Carolina American Indian (AI) community and the desire for their youth to recognize tobacco addiction and commercial cigarette smoking as debilitating to their health and future. Seven community-based participatory principles led to the AI adaptation of the Not On Tobacco teen-smoking-cessation program and fostered sound research and meaningful results among an historically exploited population. Success was attributed to values-driven, community-based principles that (a) assured recognition of a community-driven need, (b) built on strengths of the tribes, (c) nurtured partnerships in all project phases, (d) integrated the community's cultural knowledge, (e) produced mutually beneficial tools/products, (f) built capacity through co-learning and empowerment, (g) used an iterative process of development, and (h) shared findings/ knowledge with all partners.

Key Words: Native American tobacco addiction • teen smoking cessation • community-based participatory research


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