卡纳卡(夏威夷原住民),夏威夷土著人民,具有强调成为pono的重要性的健康世界观(即,正确和公正),并与我们所有的关系保持平衡。然而,夏威夷原住民的健康文献通常集中在影响夏威夷原住民社区的不成比例的健康差异上。本文的目的是提出两个案例研究,将土著研究方法与,for,和Kānaka\'iwi,超越基于社区的参与式研究(CBPR)方法,以应对确定的健康需求,for,和夏威夷原住民社区。第一个案例研究,通过Aquaponics(MALAMA),MiniAhupua\'a用于生活方式和Mea\'ai,关于后院水产养殖过程和结果的报告,开始于,for,以及Waimānalo社区,并扩展到包括其他夏威夷原住民社区。第二个案例研究,KeOlaOKa\'āina,关于\'ina连通性量表的开发和试点发现的报告,开发,for,和夏威夷原住民社区。从这些案例的过程中产生的共同主题包括建立关系的重要性,协议,和pono研究的程序,确定以社区为基础的健康优先事项和解决方案,以解决健康差距,和“走在多个世界”,以解决多个利益相关者的优先事项。公共卫生建议和影响,包括可能反对土著研究方法的经验教训和学术政策,进一步描述。
Kānaka \'Ōiwi (Native Hawaiians), the Indigenous Peoples of Hawai\'i, have worldviews of health that emphasize the importance of being pono (ie, right and just) and maintaining balance with all our relations. Yet, the literature of health for Native Hawaiians often focuses on the disproportionate health disparities that affect the Native Hawaiian community. The purpose of this paper is to present 2
case studies that integrate Indigenous research methodologies with, for, and by Kānaka \'Ōiwi, moving beyond Community-Based Participatory Research (CBPR) approaches to respond to the health needs identified with, for, and by Native Hawaiian communities. The first
case study, Mini Ahupua\'a for Lifestyle and Mea\'ai through Aquaponics (MALAMA),
reports on the processes and outcomes for backyard aquaponics, which started with, for, and by the Waimānalo community and extended to include other Native Hawaiian communities. The second
case study, Ke Ola O Ka \'Āina,
reports on the development and pilot findings of the \'Āina Connectedness Scale, developed with, for, and by Native Hawaiian communities. Common themes resulting from the processes of these
case examples include the importance of establishing relationships, protocols, and procedures for pono research, identifying community-based health priorities and solutions to address health disparities, and \"walking in multiple worlds\" to address the priorities of multiple stakeholders. Public health recommendations and implications, including lessons learned and academic policies that may counter Indigenous research methodologies, are further described.