TY  - JOUR
AU  - Heaton, Brenda
AU  - Gebel, Christina
AU  - Crawford, Andrew
AU  - Barker, Judith C.
AU  - Henshaw, Michelle
AU  - Garcia, Raul I.
AU  - Riedy, Christine
AU  - Wimsatt, Maureen A.
PY  - 2018
TI  - Using Storytelling to Address Oral Health Knowledge in American Indian and Alaska Native Communities
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E63
VL  - 15
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  We conducted a qualitative analysis to evaluate the acceptability of using storytelling as a way to communicate oral health messages regarding early childhood caries (ECC) prevention in the American Indian and Alaska Native (AIAN) population. METHODS  A traditional story was developed and pilot tested among AIAN mothers residing in 3 tribal locations in northern California. Evaluations of the story content and acceptability followed a multistep process consisting of initial feedback from 4 key informants, a focus group of 7 AIAN mothers, and feedback from the Community Advisory Board. Upon story approval, 9 additional focus group sessions (N = 53 participants) were held with AIAN mothers following an oral telling of the story. RESULTS  Participants reported that the story was culturally appropriate and used relatable characters. Messages about oral health were considered to be valuable. Concerns arose about the oral-only delivery of the story, story content, length, story messages that conflicted with normative community values, and the intent to target audiences. Feedback by focus group participants raised some doubts about the relevance and frequency of storytelling in AIAN communities today. CONCLUSION  AIAN communities value the need for oral health messaging for community members. However, the acceptability of storytelling as a method for the messaging raises concerns, because the influence of modern technology and digital communications may weaken the acceptability of the oral tradition. Careful attention must be made to the delivery mode, content, and targeting with continual iterative feedback from community members to make these messages engaging, appropriate, relatable, and inclusive.
SN  - 1545-1151
UR  - https://doi.org/10.5888/pcd15.170305
DO  - 10.5888/pcd15.170305
ER  - 
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