‘In order to be healthy, you have to know who you are’

Elders share cultural knowledge with First Nations youth in wellness-focused pilot projects.

(From left) Brodi Paul, Koshkabi (helper); Darcy Paul, Koshkabi; Amanda Radil, research associate with CHCP; Daphne Alexis, Knowledge Keeper, Alexis Nakota Sioux First Nation; Arnold Alexis, Elder, Alexis Nakota Sioux First Nation; Youth, Alexis Nakota Sioux First Nation; Doug Klein, U of A professor of family medicine; Loretta Tuttauk, Indigenous Community Co-ordinator with CHCP (Photo: Charice Chan)

Elders, Knowledge Keepers and members of the Alexis Nakota Sioux First Nation and three other First Nations communities in Alberta are partnering with U of A researchers to co-create a wellness program based on sharing cultural knowledge to give participants tools to take care of their health. (Photo: Charice Chan)

Siksika Elder Eldon Weasel Child says that, when his father first held him in his arms, he promised: “This one is going to speak nothing but Blackfoot for his first few years so he can visit with his grandparents.”

That was 60 years ago, and Weasel Child did spend his childhood learning from his grandparents and older relatives. After he graduated from university he worked as a Blackfoot historian. “My job was to spend time with Elders,” he says. “That was my dream job.”

Weasel Child went on to become a cross-cultural educator, tribal historian, powwow and country music singer, and an elected councillor for both the Siksika Nation and the Blackfoot Confederacy. He even called a few Calgary Flames games in his language.

That’s why, when Weasel Child was asked to partner with U of A researchers on a wellness project for his nation, he knew just where to start.

“In order to be healthy, you have to know who you are,” he says.

Weasel Child is ensuring cultural knowledge will be passed along to younger people in his community through a pilot project co-designed with researchers from the University of Alberta. Healthy Fit and Strong - Changing the Story for Indigenous Youth and Young Adults is running in four Alberta Indigenous communities thanks to funding from the Canadian Institutes of Health Research

“First Nations people are looking at different ways of healing — from the residential school system, from being put on reservations, from literally changing our mindset and the landscape we once knew,” says Weasel Child. “It’s like we need to reintroduce the youth to the land because a lot of our cultural teachings are derived from the land. I saw this as a real opportunity to help with that.”

The program is based on the CHANGE Health Community Program, which has worked with more than 300 Alberta families since 2019. A preventive wellness program, it was developed by family medicine professor Doug Klein with founding sponsorship from Alberta Blue Cross.

“The people I was seeing in my Edmonton practice were getting sicker, with more weight problems, diabetes, cholesterol issues,” says Klein, a member of the Women and Children’s Health Research Institute.

He took part in a research project that showed that diet and exercise could help reverse these problems, known collectively as “metabolic syndrome.” 

But he wanted to do more. “I thought, ‘If we can reverse metabolic syndrome, then let’s actually prevent it. Let’s help youth and families develop basic life skills around eating, meal preparation, physical activity, mental health and social connection.’”

“We start with building relationships”

Pilot projects are being set up with Alexis Nakota Sioux Nation, Enoch Cree Nation, Siksika and in Calgary with help from elders, with the goal of reaching about 150 families. Activities are tailored by and for each community — for example, an Alexis Nakota Sioux elder is leading “powwow aerobics” classes. In another community, participants will learn about the benefits of being physically active as they hunt and gather traditional foods to try in new recipes. They will also get suggestions for grocery store substitutes to make sure it’s practical and accessible to everyone regardless of their ability to pursue a traditional diet.

At Siksika, Weasel Child says he expects about 20 people to participate: teenagers who have a newfound interest in their culture and adults who Weasel Child says feel cheated out of their heritage. They will join elders in ceremonies, walk with them on Siksika land and learn about the medicinal value of native plants, prepare feasts and eat together.

We need to reintroduce the youth to the land because a lot of our cultural teachings are derived from the land. I saw this as a real opportunity to help with that.

Elder Eldon Weasel Child

Elder Eldon Weasel Child
(Photo: Supplied)

“They are going to share with our participants the significance of the river, of the families, of the different plants that grow, from the river valley to the high plains and into the badlands,” he says. “And there’s not just one kind of ceremony; there are many that all have a series of songs that have to be sung in a particular order. When you see young people learn not just the songs, but the order that they’re done in — with that comes pride.”

All the programming flows from medicine wheel teachings that promote physical, emotional, mental and spiritual wellness, says Indigenous community co-ordinator Loretta Tuttauk, who is tapping into her expertise as a wellness consultant and a Métis Cree woman. Her spirit name is Mikoh Sîsîkwan Iskwew or Red Rattle Woman. 

It all starts with relationships, Tuttauk says. 

“When we start with connecting and building relationships, we start with respect for one another. It eventually leads to ceremony and practice and support,” she says. “It’s important to involve the community because they know what’s best for themselves and they know which teachings will have greater outcomes down the road.”

Research associate Amanda Radil says that, for academic researchers to co-design primary health projects with Indigenous partners, it’s not a matter of figuring it out once and applying the manual in each new community.

“We quickly realized that that wasn’t the way for us to work in a good way together, that we actually needed to step back and let the elders guide us in terms of where they thought their community would need help with health and wellness,” Radil says.

“It’s about inviting aunties and uncles and grandmas and grandpas and elders, so the entire community works together.”

“The greatest gift of all”

Indigenous people are among the highest-risk populations for developing Type 2 diabetes in Canada, Klein points out, with First Nations members who live on reserves at three to five times higher risk compared with other Canadians.

“We want to change that story, so Indigenous youth can grow up healthy, fit and strong and know that diabetes is not inevitable,” says Klein, co-principal investigator for the project with associate professor of education Sean Lessard, who is Woodland Cree from Montreal Lake Cree Nation in northern Saskatchewan. 

The program will run for two years and then the team will look for external partners such as corporations and community groups to keep it going after the study period ends. The research team at the university and in the communities hopes each participant will leave with practical skills to take care of their own health and feel more connected to others in their community. 

For Weasel Child, the process of co-creation with elders has already made the project a success.

“That’s the greatest gift of all — the knowledge that’s going to be passed on from person to person.”