Understanding Cancer Care and Incorporation of Traditional Practices in Rural Native American Communities: A Qualitative Analysis

Document Type

Conference Proceeding - Restricted Access

Publication Date

5-8-2026

Abstract

Rural Native American communities face many health disparities, including difficulty accessing cancer treatments and higher rates of cancer mortality compared to the U.S. population overall. Cancer frequently exposes challenges in access to treatment and the need for culturally appropriate care. Native American communities navigate a healthcare system that often fails to understand their cultural values and lived experiences. Little existing research has examined how the U.S. healthcare system intersects with Native American traditional medicinal practices. In addition, those living in rural areas often face challenges finding accessible medical care. Our study sought to foster trust between Native American communities and tribal and healthcare organizations, and to examine barriers to cancer care for Native American communities in rural Michigan.

Our project uses a qualitative, descriptive approach to identifying barriers to cancer care for Native American individuals who have experienced cancer as a patient or caregiver. In collaboration with tribal leadership, we collected data through a series of focus group interviews with patients, caregivers, and tribal clinic stakeholders from three federally recognized tribes in rural Michigan. The interviews were guided utilizing the Gathering of Native Americans (GONA) framework. The focus groups included tribal members who were current or former cancer patients, caregivers, and tribal health professionals. These interviews were recorded, transcribed verbatim, double checked for accuracy, and de-identified. Coding and analysis are currently underway.

The preliminary analysis shows that individuals interviewed consistently identified the need for patient education, navigation, and palliative care resources; experienced difficulties in access to cancer treatment; faced barriers to receiving care that supported incorporation of traditional cultural practices; and shared stories of the emotional and mental health burden of cancer. The project team is currently in the process of coding the data from the transcripts into domains including Traditional Medicine, Cancer Care and Expectations, Gaps in Cancer Care, Strengths, Connection to Cancer Care and Services, and Other to inductively derive themes. After analysis is completed, the information gathered will be distributed to the tribes to provide insights into the challenges faced by tribal members; then, information will be disseminated to the broader public.

Rural Native American communities often face unique challenges in healthcare access and outcomes. Through this project, we were able to assist with fostering trust between Native American communities in Michigan and gain a preliminary understanding of barriers to care faced by these communities. After analysis is completed, the information fathered will be distributed to participating tribes to provide insights into the strengths, challenges, and support needed for tribal members.

Comments

2026 Research Day Corewell Health West, Grand Rapids, MI, May 8, 2026. Abstract 1995

This document is currently not available here.

Share

COinS