The Oglala Sioux Tribe CHOICES Program: Modifying an Existing Alcohol-Exposed Pregnancy Intervention for Use in an American Indian Community
Open accessAbstract
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.
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Of the nine nonrandomized studies, two (22.22%) were rated a bias rating of 2 (serious bias).
“Finally, two studies (22.22%) were rated a bias rating of 2 (serious bias).”
From Culturally tailored substance use interventions for Indigenous people of North America: a systematic review (2023) · cites this paper as Hanson and Pourier, 2015
The Methods and Results (section 3.2; page unavailable) describe an intervention with self-selected participants and follow-up, supporting its identification as a nonrandomized study. The paper does not report a serious-bias rating of 2 or assess nine studies, so it cannot substantiate those parts of the citing sentence. (LLM, conf=0.77)
Experimental — accuracy not yet measuredIn total, two studies (11.11%) were rated a bias rating of 2 (serious bias).
“two studies (11.11%) were rated a bias rating of 2 (serious bias) (Hanson and Pourier, 2015; van der Woerd et al., 2010).”
From Culturally tailored substance use interventions for Indigenous people of North America: a systematic review (2023) · cites this paper as Hanson and Pourier, 2015
One article was a feasibility study (Hanson and Pourier, 2015) and one is a program evaluation (Wright et al., 2011).
“It may be important to note that one article was a feasibility study (Hanson and Pourier, 2015) and one is a program evaluation (Wright et al., 2011), as these types of study designs are less appropriate for this particular quality assessment.”
From Culturally tailored substance use interventions for Indigenous people of North America: a systematic review (2023) · cites this paper as Hanson and Pourier, 2015
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- Authors
- Hanson, J., & Pourier, S.
- Affiliations
- Sanford Research (US)
- OST CHOICES Program, PO Box 824, Pine Ridge, SD 57770, USA
- Corresponding author
- Hanson, Jessica
- ORCID
- Hanson, Jessica
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2015-12-22
- Volume
- 13
- Issue
- 1
- Pages
- 1
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC4730392
- OpenAlex
- W2216302802
- Cited by
- 153
- References
- 28
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 9 · 2021: 35 · 2020: 34 · 2019: 24 · 2018: 18 · 2017: 17 · 2016: 7
- FWCI
- 17.39
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Institutes of Health
- National Center on Minority Health and Health Disparities
- National Institute on Minority Health and Health Disparities (R24MD008087)
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- alcohol-exposed pregnancy, project choice, American Indian women, alcohol prevention interventions, intervention adaptation, community participation, tribal health, rural health, program replication
- MeSH terms
- Adolescent, Adult, Female, Health Promotion, Humans, Indians, North American, Middle Aged, Pregnancy, Rural Population, South Dakota, Young Adult, Fetal Alcohol Spectrum Disorders
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