Impacting Precursors to Sexual Behavior Among Young American Indian Adolescents of the Northern Plains

A Cluster Randomized Controlled Trial

Bibliographic Data

ID11672079
AuthorsCarol E Kaufman (0000-0001-5136-3862, University of Colorado, Aurora, CO, USA, corresponding author), Traci M Schwinn (0009-0000-1608-7153, Columbia University, New York, NY, USA), Kirsten Black (0000-0003-0030-2431, University of Colorado, Aurora, CO, USA), Kirsten J Black (0000-0001-8289-7728, University of Colorado Denver), Elinor Keane (0000-0001-9415-6070, University of Colorado Anschutz Medical Campus), Ellen M Keane (University of Colorado, Aurora, CO, USA), Cecelia K Big Crow (University of Colorado, Pine Ridge, SD, USA), Carly Shangreau (University of Colorado, Pine Ridge, SD, USA), Nicole R Tuitt (0000-0001-6668-5768, University of Colorado, Aurora, CO, USA), Ruth Arthur-Asmah (University of Colorado, Aurora, CO, USA), Bradley Morse (University of Colorado, Aurora, CO, USA)
Year2017
Volume38
Issue7
Pages988-1007
Publication date2017-05-09
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe Journal of Early Adolescence (JOURNAL)
Journal identifiersISSN: 0272-4316 • E-ISSN: 1552-5449
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0272431617708055
OpenAlexW2613725539
LanguageEN
Citations received6
References cited35

We assessed the effectiveness of a culturally grounded, multimedia, sexual risk reduction intervention called Circle of Life (mCOL), designed to increase knowledge and self-efficacy among preteen American Indians and Alaska Natives. Partnering with Native Boys and Girls Clubs in 15 communities across six Northern Plains reservations, we conducted a cluster randomized controlled trial among 10- to 12-year-olds ( n = 167; mean age = 11.2). Club units were randomly assigned to mCOL ( n = 8) or the attention-control program, After-School Science Plus (AS+; n = 7). Compared with the AS+ group, mCOL youth scored significantly higher on HIV/sexually transmitted infection (STI) knowledge questions at both follow-ups; self-efficacy to avoid peer pressure and self-efficacy to avoid sex were significantly higher at posttest; self-perceived volition was significantly higher at 9-month follow-up; and no differences were found for behavioral precursors to sex. mCOL had modest effects on precursors to sexual behavior, which may lead to less risky sexual behavior in later years

Club · Cluster (spacecraft · Cluster randomised controlled trial · Developmental psychology · Family medicine · Human immunodeficiency virus (HIV · Intervention (counseling · Psychiatry · Randomized controlled trial · Self-efficacy · Volition (linguistics · Adolescent Sexual and Reproductive Health · Behavioral Health and Interventions · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Demography · Medicine · Psychology · Social Psychology

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