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Inna Rivkin, Samuel Johnson, Ellen Lopez, Eliza Orr, Joseph Trimble & the CANHR team
Goals of the Project
Designed within our long
  standing partnership to:
 Better understand
  stress and coping in
  Yup’ik communities
 Inform a culturally-
  grounded stress-
  reduction intervention
Understanding Local Conceptions
     of Stress and Coping
 Shorter Community Stress   Aims – to gain insight regarding:
 and Coping Interview        What is the Yup’ik meaning of
 (N=113)                      stress and coping?
                             What are the specific stressors
                              experienced?
                             How do Yup’ik participants cope
                              with stressors?
 Longer Individual Stress
 and Coping Interview
 (N=60)
Important Stress Experiences
 Losing loved ones
 Suicide
 Effects of alcohol
 Family stress
 Worry about children
  in the community
 Money issues
 Work issues
Cultural Change
35
30
25
20
15
10
 5                                                  Not a Problem
0                                                   Some Problems
      Outside         Lack of          Lack of       Lots of Problems
     Influences    understanding    knowledge or
                  between youth & respect for Yup'ik
                      elders      traditons /values
Yup’ik Understanding of Stress
Yup’ik Understanding of Stress
        Changes in Stress
Yup’ik Understanding of Stress
               Causes of Stress
Yup’ik Understanding of Stress




                   Hard to Handle
Yup’ik Understanding of Stress




                Impact of Stress
What Gave People Hope

 Spirituality
 Engaging in subsistence
  activities
 Being with their kids
 Spending time
  with family
 Helping others
Ellen D. S. Lopez, Eliza Orr, Inna Rivkin, Samuel Johnson
Stress & Coping Project
           Provided opportunity for
            interviews to be
            conducted in English &
            Yup’ik
              11 Elders completed
               interviews in Yup’ik
              Interviews conducted with
               Yup’ik translator/team
               member
Translation, Translation, &
            More Translation!
Data Collection: English             Yup’ik
                 Questions           Questions



        Analysis & Interpretation:   Yup’ik         English
                                     Responses      Responses



                                                 Reporting back
              Member Checking & Dissemination:   findings in English &
                                                 Yup’ik



CANHR               Slide 14
Translation Challenges
Lack of Equivalent Words

    Depression          Coping

               Stress

      Health            Genetics
Translation: Data Collection
           What does stress mean to you?
                          Nallunritan-qa ‘Stress’?
                            (Do you know stress?)

             Icugg’, caarkalissiiyaakuvet?
          (You know, when you have too much to do?)

              Icugg’, irniavet tuavvluten?
            (You know, when your kids are distracting you?)


CANHR          Slide 16
Translation: Analysis &
                Interpretation
 Translating Yup’ik responses into English
     Striving to maintain cultural significance & meaning


 Interpreting findings
     Distinguishing data from English & Yup’ik interviews
     Assessing differences in themes & codes that emerge across
        Yup’ik & English Interviews



CANHR              Slide 17
Translation: Reporting
            Findings & Dissemination
  Community & workgroup meetings ~ opportunities
   for:
         Member checking
         Clarifying concepts
         Interpreting cultural meaning

  Translating findings into Yup’ik for dissemination
    to both Yup’ik & English speakers
         English powerpoint slides, with concurrent Yup’ik translation

CANHR                Slide 18
Reflections on Translation…
 Occurs throughout research process
 Benefit ~ translator who is member of
  Yup’ik community & research team
 Must be prepared to provide examples for
  “problem” words
 Need balance between respectful listening
  & “jumping in” for clarification
 Must identify & assess differences that
  emerge between language groups
 Community engagement in research
  enhances trustworthiness of findings!
CANHR             Slide 19
Quyana!
We wish to thank:
  • Our collaborating partners . . .
     • Community members guiding the project
     • Research participants
     • YKHC
     • Traditional Councils
     • CANHR research team.
    • COBRE Grant 2P20 RR016430-06A1 from the National Center for Research Resources of
    NIH, for their funding.



CANHR
Slides 2 & 3:                                    References
Manson, S. M., Beals, J., Klein, S. A., & Croy, C. D. (2005). Social epidemiology of trauma among 2 American Indian reservation
   populations. American Journal of Public Health, 95(5), 851-859.
Rivkin, I. D., Lopez, E. D. S., Quaintaince, T. M., Trimble, J., Hopkins, S., Fleming, C., Orr, E. , & Mohatt, G. V. (2011). Value of
    community partnership for understanding stress and coping in rural Yup’ik communities: The CANHR study. Journal of Health
    Disparities Research and Practice, 4(3), 1-17.
Walters, K. L., & Simoni, J. M. (2002). Reconceptualizing Native women's health: An "indigenist" stress-coping model. American Journal
    of Public Health, 92(4), 520-524.
Wolsko, C., Lardon, C., Hopkins, S., & Ruppert, E. (2006). Conceptions of wellness among the Yup'ik of the Yukon-Kuskokwim
    Delta: The vitality of social and natural connection. Ethnicity and Health, 11(4), 345-363.
Slides 14-18:
Regmi, K., Naidoo, J., & Pilkingon, P. (2010). Understanding the processes of translation and transliteration in qualitative research.
   International Journal of Qualitative Methods, 9(1): 16-26.
   www.ejournals..library.ualberta.ca/index.php/IJQM/article/viewArticle/6829.
Smith, H.J., Chen, J., & Liu, X. (2008). Language and rigour in qualitative research: Problems and principles in analyzing data collected
    in Mandarin. BMC Medical Research Methodology, 8(44). Doi: 10.1186/1471-2288-8-44. Electronic version found at:
    http://www.biomedcentral.com/1471-2288/8/44
Squires, A. (2008). Language barriers and qualitative nursing research: methodological considerations. Int Nurs Rev, 55(3):265-273.
    doi:10.111/j.1466-7657.2008.00652x
Temple, B., & Young, A. (2004). Qualitative research and translation dilemmas. Qualitative Research, 4(2):161-178. doi:
   10.1177/1468794104044430
Twinn, S. (1997). An exploratory study examining the influence of translation on the validity and reliability of qualitative data in
    nursing research. Journal of Advanced Nursing, 26:418-423. doi: 10.1046/j.1365-2648.1997.1997026418.x
Wallin, A.M., & Ahlstrom, G. Cross-cultural interview studies using interpreters: systematic literature review. Journal of Advanced
    Nursing, 55(6):723-735. doi: 10.111/j.1365-2648.2006.03963.x


CANHR                                 Slide 21

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Understanding Stress and Coping in Yup'ik Communities

  • 1. Inna Rivkin, Samuel Johnson, Ellen Lopez, Eliza Orr, Joseph Trimble & the CANHR team
  • 2. Goals of the Project Designed within our long standing partnership to:  Better understand stress and coping in Yup’ik communities  Inform a culturally- grounded stress- reduction intervention
  • 3. Understanding Local Conceptions of Stress and Coping Shorter Community Stress Aims – to gain insight regarding: and Coping Interview  What is the Yup’ik meaning of (N=113) stress and coping?  What are the specific stressors experienced?  How do Yup’ik participants cope with stressors? Longer Individual Stress and Coping Interview (N=60)
  • 4. Important Stress Experiences  Losing loved ones  Suicide  Effects of alcohol  Family stress  Worry about children in the community  Money issues  Work issues
  • 5. Cultural Change 35 30 25 20 15 10 5 Not a Problem 0 Some Problems Outside Lack of Lack of Lots of Problems Influences understanding knowledge or between youth & respect for Yup'ik elders traditons /values
  • 7. Yup’ik Understanding of Stress Changes in Stress
  • 8. Yup’ik Understanding of Stress Causes of Stress
  • 9. Yup’ik Understanding of Stress Hard to Handle
  • 10. Yup’ik Understanding of Stress Impact of Stress
  • 11. What Gave People Hope  Spirituality  Engaging in subsistence activities  Being with their kids  Spending time with family  Helping others
  • 12. Ellen D. S. Lopez, Eliza Orr, Inna Rivkin, Samuel Johnson
  • 13. Stress & Coping Project Provided opportunity for interviews to be conducted in English & Yup’ik  11 Elders completed interviews in Yup’ik  Interviews conducted with Yup’ik translator/team member
  • 14. Translation, Translation, & More Translation! Data Collection: English Yup’ik Questions Questions Analysis & Interpretation: Yup’ik English Responses Responses Reporting back Member Checking & Dissemination: findings in English & Yup’ik CANHR Slide 14
  • 15. Translation Challenges Lack of Equivalent Words Depression Coping Stress Health Genetics
  • 16. Translation: Data Collection What does stress mean to you? Nallunritan-qa ‘Stress’? (Do you know stress?) Icugg’, caarkalissiiyaakuvet? (You know, when you have too much to do?) Icugg’, irniavet tuavvluten? (You know, when your kids are distracting you?) CANHR Slide 16
  • 17. Translation: Analysis & Interpretation  Translating Yup’ik responses into English  Striving to maintain cultural significance & meaning  Interpreting findings  Distinguishing data from English & Yup’ik interviews  Assessing differences in themes & codes that emerge across Yup’ik & English Interviews CANHR Slide 17
  • 18. Translation: Reporting Findings & Dissemination  Community & workgroup meetings ~ opportunities for:  Member checking  Clarifying concepts  Interpreting cultural meaning  Translating findings into Yup’ik for dissemination to both Yup’ik & English speakers  English powerpoint slides, with concurrent Yup’ik translation CANHR Slide 18
  • 19. Reflections on Translation…  Occurs throughout research process  Benefit ~ translator who is member of Yup’ik community & research team  Must be prepared to provide examples for “problem” words  Need balance between respectful listening & “jumping in” for clarification  Must identify & assess differences that emerge between language groups  Community engagement in research enhances trustworthiness of findings! CANHR Slide 19
  • 20. Quyana! We wish to thank: • Our collaborating partners . . . • Community members guiding the project • Research participants • YKHC • Traditional Councils • CANHR research team. • COBRE Grant 2P20 RR016430-06A1 from the National Center for Research Resources of NIH, for their funding. CANHR
  • 21. Slides 2 & 3: References Manson, S. M., Beals, J., Klein, S. A., & Croy, C. D. (2005). Social epidemiology of trauma among 2 American Indian reservation populations. American Journal of Public Health, 95(5), 851-859. Rivkin, I. D., Lopez, E. D. S., Quaintaince, T. M., Trimble, J., Hopkins, S., Fleming, C., Orr, E. , & Mohatt, G. V. (2011). Value of community partnership for understanding stress and coping in rural Yup’ik communities: The CANHR study. Journal of Health Disparities Research and Practice, 4(3), 1-17. Walters, K. L., & Simoni, J. M. (2002). Reconceptualizing Native women's health: An "indigenist" stress-coping model. American Journal of Public Health, 92(4), 520-524. Wolsko, C., Lardon, C., Hopkins, S., & Ruppert, E. (2006). Conceptions of wellness among the Yup'ik of the Yukon-Kuskokwim Delta: The vitality of social and natural connection. Ethnicity and Health, 11(4), 345-363. Slides 14-18: Regmi, K., Naidoo, J., & Pilkingon, P. (2010). Understanding the processes of translation and transliteration in qualitative research. International Journal of Qualitative Methods, 9(1): 16-26. www.ejournals..library.ualberta.ca/index.php/IJQM/article/viewArticle/6829. Smith, H.J., Chen, J., & Liu, X. (2008). Language and rigour in qualitative research: Problems and principles in analyzing data collected in Mandarin. BMC Medical Research Methodology, 8(44). Doi: 10.1186/1471-2288-8-44. Electronic version found at: http://www.biomedcentral.com/1471-2288/8/44 Squires, A. (2008). Language barriers and qualitative nursing research: methodological considerations. Int Nurs Rev, 55(3):265-273. doi:10.111/j.1466-7657.2008.00652x Temple, B., & Young, A. (2004). Qualitative research and translation dilemmas. Qualitative Research, 4(2):161-178. doi: 10.1177/1468794104044430 Twinn, S. (1997). An exploratory study examining the influence of translation on the validity and reliability of qualitative data in nursing research. Journal of Advanced Nursing, 26:418-423. doi: 10.1046/j.1365-2648.1997.1997026418.x Wallin, A.M., & Ahlstrom, G. Cross-cultural interview studies using interpreters: systematic literature review. Journal of Advanced Nursing, 55(6):723-735. doi: 10.111/j.1365-2648.2006.03963.x CANHR Slide 21