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My Journey: Development and Practice-Based Evidence of a Culturally Attuned Teen Pregnancy Prevention Program for Native Youth

A clear need exists for teen pregnancy prevention programs that are responsive to the specific needs and cultural contexts of Native American communities. Recent data indicates that the birth rate for Native teens is nearly two and a half times the rate for White teens (32.9 versus 13.2). To address...

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Detalles Bibliográficos
Autores principales: Kenyon, DenYelle Baete, McMahon, Tracey R., Simonson, Anna, Green-Maximo, Char, Schwab, Ashley, Huff, Melissa, Sieving, Renee E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388191/
https://www.ncbi.nlm.nih.gov/pubmed/30736271
http://dx.doi.org/10.3390/ijerph16030470
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author Kenyon, DenYelle Baete
McMahon, Tracey R.
Simonson, Anna
Green-Maximo, Char
Schwab, Ashley
Huff, Melissa
Sieving, Renee E.
author_facet Kenyon, DenYelle Baete
McMahon, Tracey R.
Simonson, Anna
Green-Maximo, Char
Schwab, Ashley
Huff, Melissa
Sieving, Renee E.
author_sort Kenyon, DenYelle Baete
collection PubMed
description A clear need exists for teen pregnancy prevention programs that are responsive to the specific needs and cultural contexts of Native American communities. Recent data indicates that the birth rate for Native teens is nearly two and a half times the rate for White teens (32.9 versus 13.2). To address this disparity, we conducted formative research with Northern Plains Native American community members, resulting in My Journey, a culturally attuned curriculum for 6–8(th) graders. My Journey is grounded in traditional values and teachings to promote self-efficacy in sexual health decision-making and engagement in prosocial behaviors. We conducted a pilot study with 6–8(th) grade students (n = 45), aged 11–14 years (22 females, 23 males). Pilot study findings confirm program feasibility and acceptability. The process evaluation revealed that teachers liked the curriculum, particularly its adaptability of cultural components and ease of student engagement. The outcome evaluation demonstrated that My Journey provided an avenue for NA youth to increase their sex refusal self-efficacy. Application of the culture cube framework revealed My Journey has made a meaningful practice-based evidence contribution as a community-defined, culturally integrated curriculum that is effective. Future directions include broader implementation of My Journey, including adaption for additional populations.
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spelling pubmed-63881912019-02-27 My Journey: Development and Practice-Based Evidence of a Culturally Attuned Teen Pregnancy Prevention Program for Native Youth Kenyon, DenYelle Baete McMahon, Tracey R. Simonson, Anna Green-Maximo, Char Schwab, Ashley Huff, Melissa Sieving, Renee E. Int J Environ Res Public Health Article A clear need exists for teen pregnancy prevention programs that are responsive to the specific needs and cultural contexts of Native American communities. Recent data indicates that the birth rate for Native teens is nearly two and a half times the rate for White teens (32.9 versus 13.2). To address this disparity, we conducted formative research with Northern Plains Native American community members, resulting in My Journey, a culturally attuned curriculum for 6–8(th) graders. My Journey is grounded in traditional values and teachings to promote self-efficacy in sexual health decision-making and engagement in prosocial behaviors. We conducted a pilot study with 6–8(th) grade students (n = 45), aged 11–14 years (22 females, 23 males). Pilot study findings confirm program feasibility and acceptability. The process evaluation revealed that teachers liked the curriculum, particularly its adaptability of cultural components and ease of student engagement. The outcome evaluation demonstrated that My Journey provided an avenue for NA youth to increase their sex refusal self-efficacy. Application of the culture cube framework revealed My Journey has made a meaningful practice-based evidence contribution as a community-defined, culturally integrated curriculum that is effective. Future directions include broader implementation of My Journey, including adaption for additional populations. MDPI 2019-02-06 2019-02 /pmc/articles/PMC6388191/ /pubmed/30736271 http://dx.doi.org/10.3390/ijerph16030470 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kenyon, DenYelle Baete
McMahon, Tracey R.
Simonson, Anna
Green-Maximo, Char
Schwab, Ashley
Huff, Melissa
Sieving, Renee E.
My Journey: Development and Practice-Based Evidence of a Culturally Attuned Teen Pregnancy Prevention Program for Native Youth
title My Journey: Development and Practice-Based Evidence of a Culturally Attuned Teen Pregnancy Prevention Program for Native Youth
title_full My Journey: Development and Practice-Based Evidence of a Culturally Attuned Teen Pregnancy Prevention Program for Native Youth
title_fullStr My Journey: Development and Practice-Based Evidence of a Culturally Attuned Teen Pregnancy Prevention Program for Native Youth
title_full_unstemmed My Journey: Development and Practice-Based Evidence of a Culturally Attuned Teen Pregnancy Prevention Program for Native Youth
title_short My Journey: Development and Practice-Based Evidence of a Culturally Attuned Teen Pregnancy Prevention Program for Native Youth
title_sort my journey: development and practice-based evidence of a culturally attuned teen pregnancy prevention program for native youth
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388191/
https://www.ncbi.nlm.nih.gov/pubmed/30736271
http://dx.doi.org/10.3390/ijerph16030470
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