My journey: Development and practice-based evidence of a culturally attuned teen pregnancy prevention program for native youth

Denyelle Baete Kenyon, Tracey R. McMahon, Anna Simonson, Char Green-Maximo, Ashley Schwab, Melissa Huff, Renee E. Sieving

Research output: Contribution to journalArticle

2 Scopus citations


A clear need exists for teen pregnancy prevention programs that are responsive to the specific needs and cultural contexts of Native American communities. Recent data indicates that the birth rate for Native teens is nearly two and a half times the rate for White teens (32.9 versus 13.2). To address this disparity, we conducted formative research with Northern Plains Native American community members, resulting in My Journey, a culturally attuned curriculum for 6–8th graders. My Journey is grounded in traditional values and teachings to promote self-efficacy in sexual health decision-making and engagement in prosocial behaviors. We conducted a pilot study with 6–8th grade students (n = 45), aged 11–14 years (22 females, 23 males). Pilot study findings confirm program feasibility and acceptability. The process evaluation revealed that teachers liked the curriculum, particularly its adaptability of cultural components and ease of student engagement. The outcome evaluation demonstrated that My Journey provided an avenue for NA youth to increase their sex refusal self-efficacy. Application of the culture cube framework revealed My Journey has made a meaningful practice-based evidence contribution as a community-defined, culturally integrated curriculum that is effective. Future directions include broader implementation of My Journey, including adaption for additional populations.

Original languageEnglish (US)
Article number470
JournalInternational journal of environmental research and public health
Issue number3
Publication statusPublished - Feb 1 2019



  • Adolescents
  • American Indian/Alaska Native
  • Curriculum development
  • Positive youth development
  • Pregnancy prevention

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this