St. Germaine, Rebecca2019-09-172019-09-172019-06https://hdl.handle.net/11299/206622University of Minnesota Ph.D. dissertation. June 2019. Major: Social and Administrative Pharmacy. Advisor: Caroline Gaither. 1 computer file (PDF); xiii, 188 pages.ABSTRACT The Cultural Specific Approach to Health Model codifies an a priori approach to reconstruction of the health belief theory and significantly impacts medication experiences. The objective was to codify the Cultural Specific Approach to Health Model as an a priori construct to establish and explain a responsive framework of healthcare modeling demonstrated by the relationship of the Anishinaabe peoples’ Cultural Specific Approach construct of Bimaadiziwin. Propositions are: (1) why are phenological or traditional practices important to understand with the Cultural Specific Approach; (2) why is the relationship of spiritual and healing practices significant to the contribution of the Cultural Specific Approach; (3) what role does happiness discriminate in the psychosocial relationship to Cultural Specific Approach; and lastly, (4) what best defines professional cultural competency for practitioners to enhance patient’s perceptions of health and reported outcomes? The nomothetic study included eight providers, twenty-six healthcare administrators and 455 self-identified Ojibwe adults with a diagnosis of a substance use disorder, and other chronic illnesses, living on five Ojibwe rural reservations designated as medically underserved areas in the Midwest region of the United States between 2014 and 2018. Two areas were examined within three case study units: 1) the methodological initiation; and, 2) a novel pharmaceutical practice care approach based on the Cultural Specific Approach to Health Model. The results of the study showed positive changes in behaviors within a population that demonstrated the highest prevalence of substance use disorder and highlighted the integrated role of the pharmacists’ practice to combat opioid addiction.enaddictionCultural Specific Approach ModelMedication Therapy ManagementNative Americanpharmaceutical caresubstance use disorderThesis or Dissertation