Abstract：
We present a cultural adaptation of the Growth and Empowerment Measure (GEM) from the Kanien\'kehá:ka people of Quebec (Canada). Our aim was to develop a culturally competent and safe tool to assess and promote well-being among this population. We followed a qualitative, collaborative, and participatory method that sought to benefit Indigenous participants and communities, while honouring their culture and philosophies. Twelve adults from health and community services of Kahnawà:ke participated in total five focus group meetings. We carried out a thematic analysis of the data collected through an advisory group that led a revision of the cultural and conceptual relevance of the tool and its content. The group integrated socio-culturally relevant elements and restructured the tool so that it reflected local well-being factors and showed its versatility of being an assessment tool and therapeutic support. A narrative and empowerement-driven approach, culturally based intervention, cultural safety and flexibility when using the instrument were considered successful strategies to improve wellness. This project provides valuable information about the perspectives of local Indigenous communities regarding mental health and factors of empowerment. Mutual understanding and integration of psychological and traditional knowledge can create a beneficial program to improve emotional, mental, spiritual, and physical well-being for the local population. It remains to be tested whether the Kanien\'kehá:ka Growth and Empowerment Measure (K-GEM) is clinically useful in psychological and psychiatric intervention, and social and community services.
摘要：
我们介绍了魁北克（加拿大）Kanien\'kehá：ka人的增长和赋权措施（GEM）的文化适应。我们的目标是开发一种具有文化能力和安全的工具，以评估和促进该人群的福祉。我们遵循了一个定性的，协作,以及旨在使土著参与者和社区受益的参与式方法，同时尊重他们的文化和哲学。来自Kahnawa：ke卫生和社区服务的十二名成年人参加了总共五次焦点小组会议。我们对通过一个咨询小组收集的数据进行了专题分析，该小组领导修订了该工具及其内容的文化和概念相关性。该小组整合了与社会文化相关的要素，并重组了该工具，使其反映了当地的福祉因素，并显示了其作为评估工具和治疗支持的多功能性。叙述和授权驱动的方法，基于文化的干预，使用该工具时的文化安全性和灵活性被认为是改善健康的成功策略。该项目提供了有关当地土著社区关于心理健康和赋权因素的观点的宝贵信息。相互理解和整合心理和传统知识可以创造一个有益的方案，以提高情绪，心理，精神,以及当地居民的身体健康。Kanien\'kehá：ka增长和赋权措施（K-GEM）是否在心理和精神干预中具有临床作用，还有待测试。社会和社区服务。
