Creating an instrument to measure people’s perception of community capacity in American Indian communities

The purpose of this study was to develop a measure of community capacity for American Indian communities. The study included development and testing phases to ensure face, content, construct, and predictive validity. There were 500 participants in two southwest tribes who completed a detailed community profile, which contained 21 common items in five dimensions (communication, sense of community, youth, elders, and language/culture). In addition, subscales of women and leadership were included in one tribe each. Confirmatory factor analysis primarily supported the factorial structure of the instruments, and the seven dimensions were found to correlate with previously validated measures of social capital, historical trauma, community influence, and physical health in expected directions. Keywords community capacity, American Indian communities, social capital, cultural capacity During the past two decades, health educators and other public health researchers and practitioners have increasingly advocated capacity building as critical for improving health outcomes i