The “methods” section was re-framed as “Describe what you did”; the results section was reframed as “What happened as a result of what you did?”; and so forth. The tribal practitioners would answer verbally as the Native faculty member “interviewed” them and the project coordinator

took written LY2157299 cost notes. Targeted questions or “prompts” were used to solicit key components required in a manuscript. For example, one tribal workshop participant, when working on the methods section, was asked to explain how the recruitment process occurred. She said, “Our outreach workers know everyone in the community, so we just had them call the right people”. This was translated in the manuscript as a “purposive sample” and further

described in detail. This iterative process allowed tribal participants to document their extensive implementation knowledge in a community narrative and work with the Native faculty member to strategically insert sections of the community narrative into the scientific manuscript format. Once each of the three tribal awardees had developed a manuscript outline then additional appropriate faculty rotated to provide them with technical assistance in further developing each section of their manuscripts. For example, the biostatistician would review iterations of their drafts and might suggest adding additional statistical Navitoclax research buy information. The Native faculty member would support the tribal participants in determining whether or not they had collected that information and, if so, how they could incorporate it into the manuscript or address the absence of that information in a limitations section. The biostatistician would then review a next draft and provide further guidance, and so forth. This iterative process allowed

the tribal participants to further refine their manuscripts. After each workshop, select faculty members provided technical assistance on an individual basis to all three tribal awardees. The technical assistance consisted all of providing reviews of data analysis and findings, reviewing manuscript drafts, and a special session on identifying appropriate journals for publishing their manuscripts, including journals with a focus in health disparities, intervention science, and/or Native American health. To date, one of the three tribal awardees has received tribal approval and has submitted their manuscript in a peer-reviewed journal; one community is in the process of gaining tribal approval to submit their manuscript to a journal; and one community continues to finalize their manuscript. All nine tribal participants reported that the experience was unique and important. Indeed, to our knowledge, this is the first report of a participatory manuscript development process implemented with tribal community health practitioners.