Assessing the Effectiveness of the Respecting the Circle of Life Project on Condom and Contraception Self-Efficacy among American Indian Youth
- Resource Type
- Journal Articles
Reports - Research
- Authors
- Jaime L. Begay (ORCID 0000-0002-0942-8615); Rachel A. Chambers; Summer Rosenstock; Christopher G. Kemp; Angelita Lee; Francene Lazelere; Laura Pinal; Lauren Tingey
- Source
- Prevention Science. 2023 24(2):283-291.
- Subject
- Program Effectiveness
Contraception
Self Efficacy
American Indians
Youth
Adolescents
Pregnancy
Early Parenthood
Early Intervention
Health Activities
Health Behavior
Health Education
Sexuality
Sex Education
Tribes
- Language
- English
- ISSN
- 1389-4986
1573-6695
Respecting the Circle of Life (RCL) is a teen pregnancy prevention program that was evaluated for effectiveness on sexual health risk behaviors through a two-arm randomized control trial (RCT) with American Indian (AI) youth ages 11-19. The objective of this study is to investigate the effects of RCL compared to a control group on items of condom and contraception self-efficacy. Linear regression analysis was used to compare differences in each item that included condom and contraception self-efficacy scales among the intervention and control participants at baseline, 3 and 9 months post intervention. Youth enrolled in the intervention reported higher levels of condom and contraception self-efficacy across almost all individual items. Exceptions include items related to partner negotiation of condom self-efficacy at 3 months (p = 0.227) and 9 months (p = 0.074) post intervention. Findings indicate RCL is effective at improving overall condom and contraception self-efficacy but did not impact the specific component of partner negotiation for either condom or contraception self-efficacy. This inquiry provides rationale to further explore components of RCL related to partner negotiation.