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Review
. 2023 Dec;24(Suppl 2):283-291.
doi: 10.1007/s11121-023-01514-4. Epub 2023 May 25.

Assessing the Effectiveness of the Respecting the Circle of Life Project on Condom and Contraception Self-efficacy Among American Indian Youth

Jaime L Begay  1 , Rachel A Chambers  2 , Summer Rosenstock  2 , Christopher G Kemp  2 , Angelita Lee  3 , Francene Lazelere  3 , Laura Pinal  3 , Lauren Tingey  2
Affiliations
Review

Assessing the Effectiveness of the Respecting the Circle of Life Project on Condom and Contraception Self-efficacy Among American Indian Youth

Jaime L Begay et al. Prev Sci. 2023 Dec.

Abstract

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.

Keywords: American Indian; Condom; Contraception; Prevention; RCT; Self-efficacy; Youth.

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Conflict of interest statement

The authors declare no competing interests.

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