IMPACT OF YOUTH DEVELOPMENT ON AMERICAN INDIAN HEALTH
Project Number5R01NR003562-03
Contact PI/Project LeaderBEARINGER, LINDA H.
Awardee OrganizationUNIVERSITY OF MINNESOTA
Description
Abstract Text
The intent of the proposed research is to examine the impact of a
community-based comprehensive youth development program on risk behaviors
and protective factors among American Indians, age 10-18. The Ginew/Golden
Eagle Program, of the Minneapolis American Indian Center, provides all
youth participants with an intensive weekly health promotion program
combined with meals, access to primary health care services, academic
tutoring, and cultural/spiritual programming. Using a resiliency-based
theoretical framework, this longitudinal study will examine
interrelationships among organizational, familial and individual
characteristics which promote protective factors that enhance well-being
and buffer against adverse or health-compromising physical, social and
psychological outcomes. The use of a panel design with 3 waves of data
collection at one year intervals for control (N=250) and an index or
program participant groups (N=250) will enable the examination of cohort
effects as well as intervention effects on the health and well-being of
urban American Indian youths from early to late adolescence.
To examine cohort and longitudinal patterns of health and risk behaviors
and health status for both index and control groups, we will utilize the
Indian Adolescent Health Survey (Blum, Harmon, Harris, Resnick, et al.,
1992), a comprehensive health assessment instrument used, to date, with
over 14,000 American Indian older children and adolescents. In addition to
self-reported health status and risk behavior indicators, this instrument
taps into multiple variables in the resiliency paradigm including a
variety of protective factors that mitigate against adverse social and
psychological outcomes for young people. The second component of the study
involves an evaluation of critical characteristics of the youth
development program as predictors of positive social-behavioral and
psychological outcomes for American Indian youth. An integrative group
process involving key American Indian community and program leaders will
be utilized to develop a youth self-report instrument that qualitatively
taps program characteristics which are theoretically linked to positive
outcome indicators among young people. Data will also be derived from
existing program records on participants' use of services, in order to
monitor intensity and duration of service utilization concurrent with the
aforementioned qualitative program assessment. Together, the assessment
instrument and service use records will permit an examination of
relationships between the intensity of service utilization and youth
perceptions' of the quality of services with changes in individual health
status, risky behaviors, and protective factors over time.
Within the context of a resiliency framework, the findings are expected to
guide the future development and dissemination of culturally-sensitive
youth-serving programs, while the evaluation process itself is anticipated
to provide a model of capacity-building within the host organization for
purposes of ongoing evaluation, feedback, program modification, and
continuous programmatic self-monitoring.
Public Health Relevance Statement
Data not available.
NIH Spending Category
No NIH Spending Category available.
Project Terms
adolescence (12-20)behavioral /social science research tagcognitioncommunity health servicescopingculturedata collectionfunctional abilitygrowth /developmenthealth behaviorhigh risk behavior /lifestylehuman subjectlongitudinal human studymodelprognosispsychological valuessocial behaviortraining
No Sub Projects information available for 5R01NR003562-03
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