Community perceptions of alcohol exposed pregnancy prevention program for American Indian and alaska native teens

Umit Shrestha, Jessica Hanson, Tess Weber, Karen Ingersoll

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


A community needs assessment during a tribally-led Changing High-Risk Alcohol Use and Increasing Contraception Effectiveness Study (CHOICES) intervention highlighted the need to reduce the risk for alcohol exposed pregnancy (AEP) among American Indian and Alaska Native (AIAN) adolescent girls. The CHOICES for American Indian Teens (CHAT) Program aims to reduce the risk of AEP among AIAN teens in one Northern Plains tribal community. The CHAT team adopted an iterative process to modify the tribally-led CHOICES curriculum for AIAN teens. This paper describes the iterative process as well as the community perception towards AEP prevention among AIAN teens. The CHAT team conducted several levels of formative and qualitative research, including one-on-one interviews (n = 15) with community members, AIAN elders and school counsellors; and three focus groups with AIAN adolescent girls (n = 15). A qualitative data analysis identified several recommendations that centered on making the information regarding alcohol and birth control appealing to teens; ensuring the confidentiality of the participants; making the program culturally relevant; and including boys in the program. This study outlines various components prioritized by community members in creating a culturally-relevant and age-appropriate AEP prevention program and provides community perceptions of AEP prevention for the teens in this community.

Original languageEnglish (US)
Article number1795
JournalInternational journal of environmental research and public health
Issue number10
StatePublished - May 21 2019
Externally publishedYes

Bibliographical note

Funding Information:
Acknowledgments: We wish to thank our interventionist-Julie He-Crow for her diligent work in recruiting participants for formative research. This project is supported by an Institutional Development Award (IDeA) from the National Institute of General Medical Sciences of the National Institutes of Health under grant number 5P20GM121341. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health (NIH).

Publisher Copyright:
© 2019 by the authors. Licensee MDPI, Basel, Switzerland.


  • Alcohol-exposed pregnancy
  • American Indian
  • Community perception
  • Qualitative research
  • Teens/adolescents


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