دورية أكاديمية
The Healthy Native Youth Implementation Toolbox : Using Implementation Mapping to adapt an online decision support system to promote culturally-relevant sexual health education for American Indian and Alaska Native youth.
العنوان: | The Healthy Native Youth Implementation Toolbox : Using Implementation Mapping to adapt an online decision support system to promote culturally-relevant sexual health education for American Indian and Alaska Native youth. |
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المؤلفون: | Markham CM; Center for Health Promotion and Prevention Research, University of Texas Health Science Center Houston, Houston, TX, United States., Rushing SC; Northwest Portland Area Indian Health Board, Portland, OR, United States., Manthei J; Northwest Portland Area Indian Health Board, Portland, OR, United States., Singer M; Northwest Portland Area Indian Health Board, Portland, OR, United States., Jessen C; Alaska Native Tribal Health Consortium, Anchorage, AK, United States., Gorman G; Inter Tribal Council of Arizona, Inc., Phoenix, AZ, United States., Peskin MF; Center for Health Promotion and Prevention Research, University of Texas Health Science Center Houston, Houston, TX, United States., Hernandez BF; Center for Health Promotion and Prevention Research, University of Texas Health Science Center Houston, San Antonio, TX, United States., Sacca L; College of Medicine, Florida International University, Miami, FL, United States., Evans GS; Center for Health Promotion and Prevention Research, University of Texas Health Science Center Houston, Houston, TX, United States., Luna-Meza C; Center for Health Promotion and Prevention Research, University of Texas Health Science Center Houston, Houston, TX, United States., Merritt Z; Alaska Native Tribal Health Consortium, Anchorage, AK, United States., Shegog R; Center for Health Promotion and Prevention Research, University of Texas Health Science Center Houston, Houston, TX, United States. |
المصدر: | Frontiers in public health [Front Public Health] 2022 Oct 31; Vol. 10, pp. 889924. Date of Electronic Publication: 2022 Oct 31 (Print Publication: 2022). |
نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't; Research Support, N.I.H., Extramural |
اللغة: | English |
بيانات الدورية: | Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Lausanne : Frontiers Editorial Office |
مواضيع طبية MeSH: | Alaska Natives* , Indians, North American*, Adolescent ; Humans ; Sex Education ; Health Promotion ; Health Status |
مستخلص: | 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 Healthy Native Youth Implementation Toolbox supports Native practitioners through five phases (Gather, Choose, Prepare, Implement, and Grow) to adopt, implement, and maintain a culturally-relevant, age-appropriate sexual health EBP. The Toolbox provides tools, ready-to-use templates, and guidance to plan, implement, and grow a culturally-relevant adolescent health program with their Tribe or community. Hosted within the Healthy Native Youth website (www.healthynativeyouth.org), the Toolbox comprises: (1) a curriculum portal with access to 15 culturally-relevant, age-appropriate evidence-based health promotion programs for AI/AN youth; (2) a "resource library" comprising 20+ support tools, templates, and links to external resources, and (3) "stories from the field" comprising testimonials from experienced Native educators, who have implemented sexual health programs. Conclusion: There is a continued need to design, test, and evaluate D&I strategies that are relevant to Native communities. The Healthy Native Youth Implementation Toolbox contributes to the dissemination and implementation of evidence-based, culturally-relevant sexual health education programs in diverse Native communities. Implementation Mapping provided a systematic approach to guide the adaptation process and integrate community voice with the ultimate goal of enhancing sexual health equity among AI/AN youth. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationship that could be construed as a potential conflict of interest. (Copyright © 2022 Markham, Rushing, Manthei, Singer, Jessen, Gorman, Peskin, Hernandez, Sacca, Evans, Luna-Meza, Merritt and Shegog.) |
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معلومات مُعتمدة: | R21 MD013960 United States MD NIMHD NIH HHS |
فهرسة مساهمة: | Keywords: American Indian and Alaska Native; Implementation Mapping; adolescent; dissemination and implementation research; interventions; sexual health promotion |
تواريخ الأحداث: | Date Created: 20221117 Date Completed: 20221121 Latest Revision: 20240109 |
رمز التحديث: | 20240109 |
مُعرف محوري في PubMed: | PMC9659648 |
DOI: | 10.3389/fpubh.2022.889924 |
PMID: | 36388328 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2296-2565 |
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DOI: | 10.3389/fpubh.2022.889924 |