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Article

Effectiveness of Native STAND: A Five-Year Study of a Culturally Relevant Sexual Health Intervention

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Obstetrics and Gynecology, Oregon Health and Science University, 3181 S.W. Sam Jackson Park Road, Portland, OR 97239, USA
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The Department of Family and Community Nursing, University of North Carolina Greensboro, P.O. Box 26170, Greensboro, NC 27402, USA
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Allyson Kelley and Associates, 69705 Lake Drive, Sisters, OR 97759, USA
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Northwest Portland Area Indian Health Board, 2121 SW Broadway Ste 300, Portland, OR 97201, USA
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Northwest Native American Center of Excellence, Oregon Health and Science University, 3181 S.W. Sam Jackson Park Road, Portland, OR 97239, USA
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Prevention Research Center, School of Public Health, Oregon Health and Science University, 3181 S.W. Sam Jackson Park Road, Portland, OR 97239, USA
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The Department of Public Health Sciences, University of California Davis, 1 Shields Ave, Davis, CA 95616, USA
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Casey Eye Institute, Oregon Health and Science University, 3181 S.W. Sam Jackson Park Road, Portland, OR 97239, USA
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Author to whom correspondence should be addressed.
Academic Editor: Monit Cheung
Adolescents 2021, 1(3), 321-334; https://doi.org/10.3390/adolescents1030024
Received: 5 June 2021 / Revised: 28 July 2021 / Accepted: 30 July 2021 / Published: 4 August 2021
Culturally relevant interventions have the potential to improve adolescent health and protective factors associated with sexual risk taking. We evaluated the impact of the Native STAND curriculum with American Indian and Alaska Native (AI/AN or Native) high school students living across the U.S. using a pre-post evaluation design. Native STAND is a comprehensive sexual health curriculum for Native high school students that focuses on sexually transmitted infections, HIV/AIDS, and teen pregnancy prevention, while also covering drug and alcohol use, suicide, and dating violence. The curriculum was implemented in 48 AI/AN communities from 2014 to 2019. A significantly higher percentage of youth reported at post-test having a serious conversation about sex with their friends (post 36% vs. pre 28%, p < 0.001), thinking about lessons learned (post 24% vs. pre 7%, p < 0.0001), and sharing lessons learned during the conversation (post 21% vs. pre 4%, p < 0.001). A lower percentage of AI/AN youth reported being bullied in the last year (post 31% vs. pre 37%, p < 0.001). Family social support was moderated by dose, with subscale scores of 3.75 at post-with <27 sessions vs. 3.96 at post-with all 27 sessions (p = 0.02). The results demonstrate the effectiveness of Native STAND when delivered in a variety of settings. Efforts are now underway to update Native STAND for medical accuracy, improve alignment with typical class periods, and promote its use and an effective EBI for AI/AN youth. View Full-Text
Keywords: American Indian Alaska Native; cultural interventions; adolescent health American Indian Alaska Native; cultural interventions; adolescent health
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MDPI and ACS Style

Skye, M.; McCoy, T.; Kelley, A.; Singer, M.; Rushing, S.C.; Donald, C.; Rajani, K.; Morgan, B.; Zaback, T.; Lambert, W. Effectiveness of Native STAND: A Five-Year Study of a Culturally Relevant Sexual Health Intervention. Adolescents 2021, 1, 321-334. https://doi.org/10.3390/adolescents1030024

AMA Style

Skye M, McCoy T, Kelley A, Singer M, Rushing SC, Donald C, Rajani K, Morgan B, Zaback T, Lambert W. Effectiveness of Native STAND: A Five-Year Study of a Culturally Relevant Sexual Health Intervention. Adolescents. 2021; 1(3):321-334. https://doi.org/10.3390/adolescents1030024

Chicago/Turabian Style

Skye, Megan, Thomas McCoy, Allyson Kelley, Michelle Singer, Stephanie C. Rushing, Caitlin Donald, Kavita Rajani, Brittany Morgan, Tosha Zaback, and William Lambert. 2021. "Effectiveness of Native STAND: A Five-Year Study of a Culturally Relevant Sexual Health Intervention" Adolescents 1, no. 3: 321-334. https://doi.org/10.3390/adolescents1030024

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