Acceptability of an eHealth Intervention to Prevent Alcohol-Exposed Pregnancy Among American Indian/Alaska Native Teens
| Autor: | Valerie Bares, Tess L. Weber, Umit Shrestha, Michaela Seiber, Jessica D. Hanson, Karen S. Ingersoll |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Online chat Electronic data capture Adolescent Alcohol Drinking education 030508 substance abuse Medicine (miscellaneous) Toxicology Article Health Risk Behaviors 03 medical and health sciences 0302 clinical medicine Pregnancy Intervention (counseling) Early Medical Intervention eHealth Humans Curriculum Aged Medical education Alcohol exposed pregnancy Middle Aged Patient Acceptance of Health Care Alaskan Natives Focus group Telemedicine Psychiatry and Mental health Contraception Needs assessment behavior and behavior mechanisms Indians North American Female 0305 other medical science Psychology 030217 neurology & neurosurgery |
| Zdroj: | Alcohol Clin Exp Res |
| ISSN: | 1530-0277 |
| Popis: | Background A tribally led Changing High-Risk Alcohol Use and Increasing Contraception Effectiveness Study (CHOICES) Program has successfully decreased the risk of alcohol-exposed pregnancies (AEPs) among adult American Indian/Alaska Native (AI/AN) women by either reducing risky drinking or increasing contraception use. However, a community needs assessment revealed a need to implement a similar intervention with AI/AN teens. The goal of the project was to develop and establish the acceptability of CHOICES for AI/AN teens. Methods Key informant interviews were conducted to review the existing OST CHOICES intervention. After modifications to the existing program, focus groups with AI/AN teens were conducted to ensure validity and to finalize the OST CHAT (CHOICES for American Indian Teens) intervention. Results Key informant (N = 15) participants suggested that a Web-based intervention may increase teen engagement by making the intervention more interactive and visually stimulating. Based on this formative research, CHAT was developed via Research Electronic Data Capture (REDCap). Feedback on the online CHAT curriculum was given by focus groups comprised of AI/AN adolescents, and participants felt that this type of intervention would be both acceptable and able to implement with a community of reservation-based teens. Conclusions This study outlines the development of a Web-based intervention for an AEP intervention for AI/AN teens and will inform future prevention efforts. Implications include an expansion of the evidence-based CHOICES intervention for AI/AN teens and also development of a Web-based intervention for rural, reservation-based AI/AN communities. |
| Databáze: | OpenAIRE |
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