Journal Articles
Publication Date
1-1-2022
Journal
Frontiers in Public Health
Abstract
BACKGROUND: American Indian and Alaska Native (AI/AN) youth experience serious disparities in sexual and reproductive health, including the highest teen birth rate among racial/ethnic groups, and disproportionate rates of sexually transmitted infections (STI), including HIV. A growing number of evidence-based programs (EBPs) that integrate the strengths and cultural teachings of Native communities exist. Yet, multiple factors, including lack of trained personnel, limited resources, and geographic isolation, may hinder their adoption and implementation. Innovative implementation strategies that facilitate the adoption and implementation of sexual health EBPs in Native communities may help reduce these disparities.
METHODS: We applied Implementation Mapping, a systematic planning framework that utilizes theory, empirical evidence, and community input, to adapt a theory-based, online decision support system, iCHAMPSS (CHoosing And Maintaining Effective Programs for Sex Education in Schools), to support underlying dissemination and implementation processes unique to Native communities. We used an iterative design process, incorporating input from Native practitioners and academicians, to ensure that the adapted decision support system reflects cultural identification, community values, and experiences.
RESULTS: Grounded in diffusion of innovations, organizational stage theory, and social cognitive theory, the
CONCLUSION: There is a continued need to design, test, and evaluate D&I strategies that are relevant to Native communities. The
Keywords
Adolescent, Humans, Alaska Natives, Sex Education, Indians, North American, Health Promotion, Health Status