Developing an Indigenous Goal-Setting Tool: Counting Coup.

Area of Science:

• Indigenous Health
• Chronic Illness Self-Management
• Health Equity

Background:

• Traditional goal-setting theories often emphasize individualistic self-efficacy, which may not align with Indigenous cultural values.
• Effective chronic illness self-management interventions require culturally consonant approaches.
• The Apsáalooke Nation faces unique challenges in health and wellness that necessitate tailored solutions.

Purpose of the Study:

• To develop and describe a culturally specific goal-setting tool for the Apsáalooke Nation within the Báa nnilah chronic illness self-management program.
• To promote Indigenous paradigms and methodologies in health intervention design.
• To foster cultural connection and relational accountability in goal achievement.

Main Methods:

• Development of the 'Counting Coup' tool, rooted in Apsáalooke culture and Indigenous methodology.
• Integration of the tool within the Báa nnilah chronic illness self-management intervention.
• Focus on relational accountability and connection to ancestors as core components.

Main Results:

• The 'Counting Coup' tool successfully promotes Apsáalooke culture and values.
• The tool facilitates goal achievement within a relational context.
• It connects individuals with their ancestors, enhancing cultural identity.

Conclusions:

• Goal-setting tools for chronic illness self-management should be grounded in the historical and cultural contexts of local Indigenous communities.
• Culturally specific tools like 'Counting Coup' can enhance engagement and effectiveness.
• Future interventions must consider relational accountability and environmental factors for successful behavior change.