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Table 1 Final statements by cluster

From: Conceptualizing Indigenous strengths-based health and wellness research using group concept mapping

Cluster number

Cluster title

Statements

1

Decolonial Research: Exists, Resists, Persists in the Face of Colonialism

1. Should be prioritized by all research funding sources

6. Should be recognized through formal academic policies and procedures

38. Is anticolonial

40. Is surviving and thriving in the face of colonization and its effects

42. Exists, resists, and persists despite colonialism

47. Requires Indigenous and non-Indigenous researchers to think critically about how they benefit from colonial structures

54. Requires decolonizing methodologies that are not currently supported by health and academic systems

55. Recognizes that data is not a thing to be extracted and owned by outsiders

56. Highlights that no person's experience is statistically insignificant

64. Can be met with skepticism because it is research

65. Is championed by many Native researchers and activists

77. Thrives within healthy research environments

79. Requires time that funding mechanisms do not often afford

91. Can be difficult to accomplish in U.S. academic institutions

92. Seeks to find new statistical and research methodologies that help to discover how culturally-grounded programs help Native people

2

Indigenous Praxis: Positionality and Process for Being in Good Relation

14. Should be done by people with authentic care, concern, and love for Indigenous communities

30. Acknowledges cumulative trauma since colonization

31. Needs to be done thoughtfully

34. Focuses on well-being rather than

disorder

51. Are honest in their approach to benefit and uplift Indigenous communities, their cultures, languages, and knowledges

57. Takes patience

59. Uses many methods

69. Is multi-level

75. Is contextual

82. Is co-designed with Indigenous peoples

84. Supports and grows Indigenous pedagogies

3

Generating and Transforming Indigenous Futures

3. Should be used to help shape laws and policies that affect Indigenous communities

5. Can be narrative shifting (e.g., counters stereotypes)

8. Builds skillsets, training, and opportunities for growing Indigenous scholars

11. Defines what health and wellness is

12. Can teach the world

16. Should lead to identifying structural changes

20. Is revolutionary in that it is ancient and iterative

26. Will educate

35. Is justice

44. Leads to liberation from the confines of colonialism

61. Is innovative

67. Can turn the gaze from "deficits" of Indigenous peoples to deficits of Western capitalism

68. Is essential

71. Can lead the field and provide a framework for broader person and community-centered health and wellness research

73. Highlights best practices

74. Will evolve

80. Can push research as an enterprise towards a resilience and resistance over disparities

88. Clarifies social determinants of health specific to Indigenous populations

94. Should build capacity so that future efforts are Indigenous led

4

Intergenerational Healing and Flourishing

4. Is healing for Indigenous peoples and communities

17. Is what communities have been asking for a long time

18. Is preventative

25. Will change the health of Native communities for the better

36. Is restorative

37. Is transformative

41. Is generative for Indigenous peoples and our futures

45. Is empowering for Indigenous peoples and communities

58. Celebrates Indigenous success

62. Germinates in Indigenous community conversations

63. Is about building a life worth living

70. Is focused on maximizing flourishing

76. Builds community

81. Can improve health and well-being for communities around the world

83. Allows for human potentiality

89. Always benefits the people and community who provide the knowledge

5

Collective Wisdom: Original Instructions and Dynamic Futures

2. Centers Tribal and community sovereignty

9. Is family and community focused

10. Is led by Indigenous peoples and communities

21. Lives within us

22. Helps reclaim traditional culture and spirituality

23. Preserves collective wisdom

27. Honors Mother Earth

33. Restores traditional forms of living, being, relating, and creating

39. Places the power of healing in the hands of Indigenous peoples and communities

43. Means going back to our (Indigenous peoples) roots

46. Privileges land-based knowledge that is often hyper-local

48. Imagines Indigenous futures

50. Is grounded in the teachings and lessons of our Elders

53. Encourages the use of Indigenous foodways

85. Upholds intergenerational transmission of knowledge

86. Centers the priorities of Indigenous peoples

87. Privileges local understandings and ways of knowing

90. Includes knowledge and wisdom from youth/future generations

93. Recognizes the importance of cultural identity in health outcomes

6

Centering Indigenous Ways and Cultures in Research

7. Should feel like ceremony

13. Should be driven by the heart

15. Accounts for interrelationships of physical, mental, and spiritual health

19. Is intergenerational

24. Considers the interests of our ancestors

28. Is connected to the past

29. Honors Indigenous ways of knowing

32. Can be supported with ceremony

49. Is storytelling

52. Privileges Indigenous knowledge and traditional ecological knowledge

60. Invites Indigenous people to exist in all of their pluralities

66. Operates through relationships which center reciprocity and accountability

72. Finds approaches to address health disparities grounded in cultural values and practices

78. Is Indigenized