Growing Stronger Together: Evaluating a Culturally Integrated Strengthening Families Program With Native American Communities

AIMS: Historical oppression of Indigenous communities has led to high poverty, violence, and substance use. The pandemic amplified pre-existing health disparities for Indigenous families. In the face of these challenges, many Indigenous families find strength and healing through traditional ways, cultural practices, and extended relations within their culture. This study aims to examine whether a culturally integrated Strengthening Families Program (SFP) positively affects Native American family functioning and caregiver mental health. METHODS: The Kansas Serves Native American Families implemented culturally adapted SFP to Indigenous families in the Midwest state. We employed local Indigenous members to lead SFP in a space that honored and reflected Indigenous identities, values, and culture. RESULTS: This study used a t-test and multilevel mixed modeling to identify differences in the program outcomes. The results indicated participants reported a lower child's emotional problems and hyperactivity, an increased positive parenting style, and decreased caregiver depression after SFP. Also, parent satisfaction surveys demonstrated high satisfaction and reported improvements in family functioning, parenting skills, and children's social skills. CONCLUSIONS: Considering elevated mental health concerns during the COVID-19 pandemic, SFP results are promising. These findings indicated that culturally integrated evidence-based programs are helpful in promoting Indigenous family well-being and caregiver mental health.