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

DenYelle Baete Kenyon, Tracey R. McMahon, Anna Simonson, Char Green-Maximo, Ashley Schwab, Melissa Huff and Renee E. Sieving
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DenYelle Baete Kenyon: Behavioral Sciences, Sanford Research, Sioux Falls, SD 57104, 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

IJERPH, 2019, vol. 16, issue 3, 1-24

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.

Keywords: American Indian/Alaska Native; pregnancy prevention; adolescents; positive youth development; curriculum development (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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