Native American Prevention Project Against AIDS and Substance Abuse

An Effective Practice

This practice has been Archived and is no longer maintained.

Description

The Native American Prevention Project Against AIDS and Substance Abuse (NAPPASA) school curriculum consists of a 24-session program that addresses multiple issues facing Native American communities. Classroom sessions were designed to build knowledge, acquire and practice prevention skills with peers, and foster new positive peer group norms for preventive communications and behaviors in the context of Native American values. The curriculum covers facts and issues about alcohol and other drug (AOD) abuse; basic reproductive biology; HIV/AIDS; linking AOD to HIV; sexually transmitted diseases (STDs) and how they are transmitted; how assertive communication skills can prevent unwanted sex, pregnancy, and STDs; decision-making skills; healthy options; social skills; coping with pressures; and reinforced practice and role-plays. Booster sessions involve activities, community meetings, and showing NAPPASA-produced videos and print media.

Goal / Mission

The primary goals of this project are to prevent HIV/AIDS and substance abuse among Native Americans.

Results / Accomplishments

The evaluation used a pretest-posttest quasi-experimental design with nonequivalent control groups. Compared with nonintervention groups, a significantly higher percentage of NAPPASA intervention participants remained in or moved to the lower risk alcohol and other drug (AOD) use category at both 9th and 10th grade follow-up. Among the baseline nonusers, the "normal developmental trend toward increased AOD use" was slowed. Intervention youths showed greater maintenance of virginity and lower rates of some types of risky sexual behavior in nonvirgins. Among the older nonvirgin youths, NAPPASA participants were less likely to have had sex while drunk or high, a particularly risky behavior for transmission of STDs including HIV. The NAPPASA students consistently showed a marked increase in their use of family, rules, laws, religion, traditional ways, and community protective influences to help them avoid health-risking behaviors.

About this Promising Practice

Organization(s)
National Institute of Child Health and Human Development
Primary Contact
Jeannette Johnson, Active Guide, LLC
National Institute of Child Health and Human Development
11521 Shell Flower Lane
Columbia, MD 21044
(443) 621-4859
NAPPASA1@hotmail.com
Topics
Health / Alcohol & Drug Use
Health / Adolescent Health
Health / Immunizations & Infectious Diseases
Organization(s)
National Institute of Child Health and Human Development
Source
The Office of Juvenile Justice and Delinquency Prevention's Model Programs Guide (MPG)
Date of publication
2002
Geographic Type
Rural
Target Audience
Children, Teens, Racial/Ethnic Minorities

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An Effective Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success and/or promise in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures of improvement in outcome of interest (i.e. increase in voter registration, not just delivery of voter registration drive) and/ or the outcome measure is increased or improved compared to the baseline measurement or the control group but the difference is not statistically significant.