Feasibility, Acceptability, and Preliminary Impact of Asdzaan Be'eena An Intergenerational, Strength-Based, and Culturally Grounded Program to Improve the Health of Navajo Families

被引：6

作者：

Chambers, Rachel A. ^{[1
]}

Patel, Hima ^{[1
]}

Richards, Jennifer ^{[1
]}

Begay, Jaime ^{[1
]}

Littlepage, Shea ^{[1
]}

Begay, Marissa ^{[1
]}

Sheppard, Laurelle ^{[1
]}

Nelson, Danielle ^{[1
]}

Masten, Kristin ^{[1
]}

Mitchell, Kristin ^{[1
]}

Kee, Crystal ^{[1
]}

Barlow, Allison ^{[1
]}

Tingey, Lauren ^{[1
]}

机构：

[1] Johns Hopkins Bloomberg Sch Publ Hlth, Johns Hopkins Ctr Amer Indian Hlth, 415 North Washington St,Ste 400, Baltimore, MD 21224 USA

来源：

FAMILY & COMMUNITY HEALTH | 2021年 / 44卷 / 04期

关键词：

family; middle childhood; Native American; prevention; substance use; AMERICAN-INDIAN ADOLESCENTS; PREVENTING SUBSTANCE USE; PROTECTIVE FACTORS; DEPRESSIVE SYMPTOMS; ALCOHOL-USE; RISK; INTERVENTION; OUTCOMES; YOUTH; GIRLS;

D O I：

10.1097/FCH.0000000000000302

中图分类号：

D669 [社会生活与社会问题]; C913 [社会生活与社会问题];

学科分类号：

1204 ;

摘要：

Native American youth endure a complex interplay of factors that portend greater risk-taking behaviors and contribute to marked health disparities experienced in adolescence. The Asdzaan Be'eena ("Female Pathways" in Navajo) program was developed as a primary prevention program to prevent substance use and teen pregnancy among Navajo girls. The Asdzaan Be'eena program consists of 11 lessons delivered to dyads of girls ages 8 to 11 years and their female caregivers. Feasibility, acceptability, and preliminary impact on risk and protective factors were assessed through a pre-/post study design. Data were collected from girls and their female caregivers at baseline, immediate, and 3 months postprogram completion. Forty-seven dyads enrolled in the study, and 36 completed the 3-month evaluation. At 3 months postprogram, girls reported significant increases in self-esteem, self-efficacy, parent-child relationship, social support, cultural, and sexual health knowledge. Caregivers reported increased family engagement in Navajo culture and parent-child communication and improved child functioning (fewer internalizing and externalizing behaviors). Findings suggest Asdzaan Be'eena has potential to break the cycle of substance use and teen pregnancy in Native communities by improving protective and reducing risk factors associated with these adverse health outcomes. Additional rigorous efficacy trials are necessary to establish program effectiveness.

引用

页码：266 / 281

页数：16

共 70 条

[41] Pathways between depression, substance use and multiple sex partners among Northern and Indigenous young women in the Northwest Territories, Canada: results from a cross-sectional survey [J].