Title VI Program Medicine Wheel

Because many tribal communities do not conceptualize their programming in the linear frame
laid out by the logic model, a medicine wheel was developed to orient the proximal and distal
outcomes across the traditional quadrants of indigenous practice: Spiritual, Mental, Emotional,
and Physical. Each quadrant is housed within the context of community, family, and
intergenerational connection—highlighting the importance of each to the spiritual, mental,
emotional, and physical well-being of indigenous communities and Elders. Exhibit 2 presents
the Title VI Program Medicine Wheel.
Exhibit 2. Title VI Program Medicine Wheel

The program and design recommendations that follow are also informed by a review of existing
and potential data sources and benefits and limitations of primary and secondary data
collection. In addition, both program evaluability recommendations and design
recommendations are guided by literature and best practices in public health evaluations in and
with tribal populations. The recommendations in this report are guided by a participatory
evaluation framework, grounded in a community-based participatory evaluation model, which
is essential to conducting culturally relevant evaluation in tribal communities.

EVALUABILITY ASSESSMENT OF THE TITLE VI GRANT PROGRAM FINAL REPORT

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