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

Author

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  • DenYelle Baete Kenyon

    (Behavioral Sciences, Sanford Research, Sioux Falls, SD 57104, USA
    Department of Pediatrics, Sanford School of Medicine, University of South Dakota, Sioux Falls, SD 57105, USA)

  • Tracey R. McMahon

    (Behavioral Sciences, Sanford Research, Sioux Falls, SD 57104, USA)

  • Anna Simonson

    (Behavioral Sciences, Sanford Research, Sioux Falls, SD 57104, USA)

  • Char Green-Maximo

    (Behavioral Sciences, Sanford Research, Sioux Falls, SD 57104, USA)

  • Ashley Schwab

    (Marketing, Sanford Health, Sioux Falls, SD 57104, USA)

  • Melissa Huff

    (Sisseton-Wahpeton Oyate Tribal Health Administration, Agency Village, SD 57262, USA)

  • Renee E. Sieving

    (School of Nursing & Department of Pediatrics, University of Minnesota, Minneapolis, MN 55455, USA)

Abstract

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.

Suggested Citation

  • DenYelle Baete Kenyon & Tracey R. McMahon & Anna Simonson & Char Green-Maximo & Ashley Schwab & Melissa Huff & Renee E. Sieving, 2019. "My Journey : Development and Practice-Based Evidence of a Culturally Attuned Teen Pregnancy Prevention Program for Native Youth," IJERPH, MDPI, vol. 16(3), pages 1-24, February.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:3:p:470-:d:203771
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    References listed on IDEAS

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    1. Kaufman, C.E. & Black, K. & Keane, E.M. & Schwinn, T.M. & Crow, C.K.B., 2016. "The promise of technology to advance rigorous evaluation of adolescent pregnancy prevention programs in American Indian and Alaska native tribal communities," American Journal of Public Health, American Public Health Association, vol. 106, pages 18-20.
    2. Melissa S. Kearney & Phillip B. Levine, 2012. "Why Is the Teen Birth Rate in the United States So High and Why Does It Matter?," Journal of Economic Perspectives, American Economic Association, vol. 26(2), pages 141-163, Spring.
    3. Coyle, K.K. & Kirby, D.B. & Marín, B.V. & Gómez, C.A. & Gregorich, S.E., 2004. "Draw the Line/Respect the Line: A Randomized Trial of a Middle School Intervention to Reduce Sexual Risk Behaviors," American Journal of Public Health, American Public Health Association, vol. 94(5), pages 843-851.
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    1. Umit Shrestha & Jessica Hanson & Tess Weber & Karen Ingersoll, 2019. "Community Perceptions of Alcohol Exposed Pregnancy Prevention Program for American Indian and Alaska Native Teens," IJERPH, MDPI, vol. 16(10), pages 1-12, May.
    2. Tidmarsh, Grace & Whiting, Richard & Thompson, Janice L. & Cumming, Jennifer, 2022. "Assessing the fidelity of delivery style of a mental skills training programme for young people experiencing homelessness," Evaluation and Program Planning, Elsevier, vol. 94(C).

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