The Healthy Native Youth Implementation Toolbox: Using Implementation Mapping to adapt an online decision support system to promote culturally-relevant sexual health education for American Indian and Alaska Native youth.
The Healthy Native Youth Implementation Toolbox: Using Implementation Mapping to adapt an online decision support system to promote culturally-relevant sexual health education for American Indian and Alaska Native youth.
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DOI：
10.3389/fpubh.2022.889924
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发表时间：
2022
影响因子：
5.2
通讯作者：
Shegog R
中科院分区：
文献类型：
--
作者：
Markham CM;Rushing SC;Manthei J;Singer M;Jessen C;Gorman G;Peskin MF;Hernandez BF;Sacca L;Evans GS;Luna-Meza C;Merritt Z;Shegog R
美国印第安人和阿拉斯加原住民(AI/AN)青年在性健康和生殖健康方面存在严重差异，包括种族/族裔群体中青少年出生率最高，包括艾滋病毒在内的性传播感染(STI)的比例不成比例。越来越多的循证方案(EBP)整合了土著社区的优势和文化教义。然而，多种因素，包括缺乏训练有素的人员、有限的资源和地理上的孤立，可能会阻碍它们的采用和实施。促进土著社区采用和执行性健康EBPS的创新执行战略可能有助于缩小这些差距。我们应用了实施映射，这是一个利用理论、经验证据和社区投入的系统规划框架，以适应基于理论的在线决策支持系统iCHAMPSS(选择和维护学校性教育的有效计划)，以支持土著社区特有的潜在传播和实施过程。我们使用迭代设计过程，结合本地从业者和院士的意见，以确保调整后的决策支持系统反映文化认同、社区价值观和经验。基于创新扩散、组织阶段理论和社会认知理论，健康原住民青年实施工具箱通过五个阶段(收集、选择、准备、实施和成长)支持原住民从业者采用、实施和维护与文化相关的、适龄的性健康EBP。该工具箱提供工具、即用型模板和指导，以便与他们的部落或社区一起规划、实施和发展与文化相关的青少年健康计划。工具箱由健康原住民青年网站(www.Health ynativeyouth.org)管理，包括：(1)课程门户，可访问15个与文化相关、适合年龄的AI/AN青年循证健康促进方案；(2)“资源库”，包括20多个支持工具、模板和外部资源链接；以及(3)“实地故事”，其中包括已实施性健康方案的经验丰富的原住民教育者的证明。继续需要设计、测试和评估与原住民社区相关的D&I策略。健康原住民青年执行工具箱有助于在不同的原住民社区传播和执行以证据为基础、与文化相关的性健康教育方案。实施图提供了一种系统的方法来指导适应进程，并将社区声音与增强性健康/性健康的青年之间的性健康公平的最终目标结合起来。
American Indian and Alaska Native (AI/AN) youth experience serious disparities in sexual and reproductive health, including the highest teen birth rate among racial/ethnic groups, and disproportionate rates of sexually transmitted infections (STI), including HIV. A growing number of evidence-based programs (EBPs) that integrate the strengths and cultural teachings of Native communities exist. Yet, multiple factors, including lack of trained personnel, limited resources, and geographic isolation, may hinder their adoption and implementation. Innovative implementation strategies that facilitate the adoption and implementation of sexual health EBPs in Native communities may help reduce these disparities. We applied Implementation Mapping, a systematic planning framework that utilizes theory, empirical evidence, and community input, to adapt a theory-based, online decision support system, iCHAMPSS (CHoosing And Maintaining Effective Programs for Sex Education in Schools), to support underlying dissemination and implementation processes unique to Native communities. We used an iterative design process, incorporating input from Native practitioners and academicians, to ensure that the adapted decision support system reflects cultural identification, community values, and experiences. Grounded in diffusion of innovations, organizational stage theory, and social cognitive theory, the Healthy Native Youth Implementation Toolbox supports Native practitioners through five phases (Gather, Choose, Prepare, Implement, and Grow) to adopt, implement, and maintain a culturally-relevant, age-appropriate sexual health EBP. The Toolbox provides tools, ready-to-use templates, and guidance to plan, implement, and grow a culturally-relevant adolescent health program with their Tribe or community. Hosted within the Healthy Native Youth website (www.healthynativeyouth.org), the Toolbox comprises: (1) a curriculum portal with access to 15 culturally-relevant, age-appropriate evidence-based health promotion programs for AI/AN youth; (2) a “resource library” comprising 20+ support tools, templates, and links to external resources, and (3) “stories from the field” comprising testimonials from experienced Native educators, who have implemented sexual health programs. There is a continued need to design, test, and evaluate D&I strategies that are relevant to Native communities. The Healthy Native Youth Implementation Toolbox contributes to the dissemination and implementation of evidence-based, culturally-relevant sexual health education programs in diverse Native communities. Implementation Mapping provided a systematic approach to guide the adaptation process and integrate community voice with the ultimate goal of enhancing sexual health equity among AI/AN youth.
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影响因子：
3.5
作者：
Hafner, Steven Paul;Rushing, Stephanie Craig
通讯作者：
Rushing, Stephanie Craig
影响因子：
12.7
作者：
Kaufman, Carol E.;Whitesell, Nancy Rumbaugh;Mitchell, Christina M.
通讯作者：
Mitchell, Christina M.
影响因子：
7.5
作者：
Bhargava, Hemant K.;Power, Daniel J.;Sun, Daewon
通讯作者：
Sun, Daewon
DOI：
10.1002/j.2161-1912.2012.00008.x
发表时间：
2012-04-01
影响因子：
1
作者：
Gray, Jacqueline S.;Rose, WanmdiWi J.
通讯作者：
Rose, WanmdiWi J.
DOI：
10.1007/s11121-019-01017-1
发表时间：
2019-08
期刊：
Prevention science : the official journal of the Society for Prevention Research
影响因子：
--
作者：
Cook CR;Lyon AR;Locke J;Waltz T;Powell BJ
通讯作者：
Powell BJ