title: The Oglala Sioux Tribe CHOICES Program: Modifying an Existing Alcohol-Exposed Pregnancy Intervention for Use in an American Indian Community.
abstract: Alcohol-exposed pregnancies are a health issue for many American Indian communities. The goal of this manuscript is to outline how an existing alcohol-exposed pregnancy prevention program with non-pregnant women (Project CHOICES) was modified to fit the needs and norms of an American Indian community. The Oglala Sioux Tribe CHOICES Program was developed and implemented using community feedback through initial meetings, reviewing materials, gathering input into recruitment and intervention logistics, and conducting interviews to evaluate the program. The intervention was implemented and has been enrolling non-pregnant American Indian women for the past several years. While data collection is ongoing, it has shown preliminary success in changing behaviors and in impacting how the community views the prevention of alcohol-exposed pregnancies. Overall, this study highlights the potential to expand this prevention program to other sites and with other populations, such as adolescents. By the end of this article, readers will comprehend the steps necessary to replicate such a program at other tribal and rural sites.
authors.affiliation: Sanford Research, 2301 E. 60th St North, Sioux Falls, SD 57104, USA. Jessica.d.hanson@sanfordhealth.org.
authors.forename: Jessica D
authors.initials: JD
authors.lastname: Hanson
authors.affiliation: OST CHOICES Program, PO Box 824, Pine Ridge, SD 57770, USA. choicescoordinator@gmail.com.
authors.forename: Susan
authors.initials: S
authors.lastname: Pourier
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D063647:Fetal Alcohol Spectrum Disorders / Q000517:prevention & control*; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007198:Indians, North American / Q000193:education*; D008875:Middle Aged; D011247:Pregnancy; D012424:Rural Population; D013023:South Dakota; D055815:Young Adult
keywords: American Indians; alcohol; alcohol-exposed pregnancy; birth control; program development