title: The HAWK2 program: a computer-based drug prevention intervention for Native American youth.
abstract: BACKGROUND
  American Indians and Alaska Natives (AI/ANs) have some of the highest rates of substance use compared with other ethnic groups. Native American youth start experimenting with drugs at younger ages, continue to use them after initial experimentation, and thus seem to mirror the same drug use patterns as their older peers. Despite the seriousness of the problem, there is a lack of evidence-based drug prevention interventions for AI/AN youth.
  
  
  OBJECTIVE
  This review article describes the process by which an existing evidence-based, culturally relevant drug prevention intervention was transformed into a low-cost, computerized intervention digitized in order to extend its reach to Native American youth in reservations and rural locations.
  
  
  METHODS
  The intervention, titled HAWK(2) (Honoring Ancient Wisdom and Knowledge(2): Prevention and Cessation) is aimed at young Native children in elementary school settings (grades 4 and 5) and uses engaging multimedia features such as games, animations, and video clips to impart substance abuse prevention knowledge and skills training. The development of this intervention was a collaborative process involving the participation of community experts, research scientists, school teachers, and practitioners, as well as Native youth. Specific examples are provided to illustrate the development processes.
  
  
  RESULTS
  Initial feedback from practitioners and youth suggest the feasibility and acceptability of computer-based interventions by Native youth and practitioners.
  
  
  CONCLUSIONS
  Computer-based interventions are a cost-effective way of engaging youth in prevention programming. Future studies of HAWK(2) will provide an important means of testing the long-term effectiveness of self-administered, computer-based interventions for AI/AN youth.
authors: Sociometrics Corporation, 170 State Street, Suite 260,Los Altos, CA 94040, USA. Shobana@socio.com
authors: Shobana
authors: S
authors: Raghupathy
authors: April Lea Go
authors: AL
authors: Forth
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000413:Alaska / Q000453:epidemiology; D002648:Child; D003299:Cooperative Behavior; D003362:Cost-Benefit Analysis; D003466:Cultural Characteristics; D019317:Evidence-Based Medicine / Q000379:methods; D005240:Feasibility Studies; D006801:Humans; D007198:Indians, North American; D012424:Rural Population; D012984:Software / Q000191:economics; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control*; D014481:United States / Q000453:epidemiology