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Emily Haozous
Rachell Tenorio
Myra Parker
Juliet Lee

In 2022, the National Institutes of Health noted that Responsible Management and Sharing of American Indian/Alaska Native Participant Data (NOT-OD-22-214) should conform with tribal protocols, which may include tribal institutional review boards as well as tribal review mechanisms and procedures. There is no single source of information regarding these review protocols, many of which are contained within unpublished or unpublicized tribal offices and governments. We engaged in a large, cross-site study that required recruitment of 42 American Indian Tribes, Nations, and Pueblos in the United States to identify similarities and differences in alcohol-related health and safety outcomes under diverse state and tribal alcohol regulatory conditions. The research protocols include secondary data analyses, policy scans, and geographic mapping of data. In order to request tribal consents to participate, we compiled an overview of the diverse approaches that the 42 potential partner Tribes use in exercising their authority over research. We used (1) official websites for each Tribe, (2) telephone or in-person conversations and meetings with tribal officials listed on websites, referred as knowledgeable, and/or known to the research staff or Community Advisory Board, and (3) recent prior experiences of research team members with research approval processes for one or more of the Tribes. In this presentation we describe and consider the diverse review procedures and consider the strategies that tribal authorities use to protect their citizens and engage in beneficial research.