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Physical Activity Interventions Among American Indian and Alaska Native Persons: A Systematic Review.
Molly C Kokenge1,2, Todd M Ruppar1, Susan Buchholz3
1College of Nursing, 2461Rush University, Chicago, IL, USA.
American Journal of Health Promotion : AJHP
|May 2, 2022
Summary
Physical activity interventions for American Indian and Alaska Natives (AIANs) since 2006 primarily targeted youth. While many studies incorporated cultural adaptation, future research should focus on adult populations and objective physical activity measures.
Area of Science:
- Public Health
- Indigenous Health Research
- Behavioral Science
Background:
- Physical activity (PA) is crucial for health, yet disparities exist in Indigenous populations.
- Understanding effective PA interventions for American Indian and Alaska Natives (AIANs) is essential for improving health outcomes.
Purpose of the Study:
- To systematically review and describe physical activity (PA) interventions implemented with American Indian and Alaska Natives (AIANs) in the U.S. and Canada since 2006.
Main Methods:
- Searched 8 databases and grey literature for eligible studies published from 2006 onwards.
- Included studies describing PA interventions targeting AIANs or including AIAN subanalyses.
- Extracted data on participant characteristics, intervention strategies, and PA outcomes; synthesized findings.
Main Results:
- Identified 25 eligible studies, predominantly targeting children and youth.
- Common intervention strategies included intergenerational, environmental policy, cultural adaptation, and curriculum-based approaches.
- 52% of studies reported significant PA outcome improvements; 80% incorporated cultural adaptation, often in design only. Sedentary behavior and leisure-time PA were underassessed.
Conclusions:
- Future interventions should target AIAN adults and assess sedentary behavior and leisure-time PA.
- Emphasize psychometrically validated objective measures for PA assessment.
- Prioritize the inclusion of Indigenous perspectives throughout the intervention lifecycle, from design to evaluation.
