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University of Colorado Denver

Centers for American Indian and Alaska Native Health
 
 
 

NCAIANMHR

Healthy Ways


PROJECT TITLE:
Healthy Ways

FUNDING SOURCE: 
NIMH

DATES OF FUNDING: 
1999-2003

PRINCIPAL INVESTIGATOR(S): 
Christina Mitchell, Ph.D.

CENTER STAFF INVOLVED:
Christina Mitchell, Ph.D.; Carol Kaufman, Ph.D.; Jan Beals, Ph.D.

 

SPECIFIC AIMS/RESEARCH GOALS:

The Healthy Ways project is an HIV/AIDS prevention project currently underway in two American Indian communities.    While the prevalence of HIV and AIDS among American Indians is still quite low, many factors that are associated with the spread of the disease are increasing among this population.   One of the goals of the project is to design and develop culturally relevant, acceptable, and effective interventions to prevent the spread of HIV and AIDS in these communities.   Healthy Ways collects information from a large group of American Indian young adults about their understanding, attitudes and practices related to the transmission of sexually transmitted diseases, including HIV, the virus that causes AIDS.    The project has the following Specific Aims:

  1. To describe the HIV/AIDS knowledge, attitudes and perceived risk among AI populations through data collection of reservation-based samples and through secondary data analysis of national studies.
  2. Using data collected in this and other projects, to statistically model culturally adapted theories of individual-level behavior.
  3. To conduct a situational analysis of scope and depth of existing programs, sources of information and services related to STD and HIV/AIDS.
  4. With ongoing collaboration with community members, to select, design, and propose culturally appropriate preventive interventions tailored to specific community needs.

 

RESEARCH DESIGN:

The Healthy Ways project contains three phases.   The first is the collection of quantitative data collection including computer assisted interviews and self-administered surveys among approximately 740 American Indians age 20-25.   The second phase includes informational data collection on local health programs, educational curricula, or other activities where HIV/STD information or care may be administered.   A third phase includes qualitative data collection including focus group discussions and in-depth interviews with youth, health care personnel, and other community members.

 

PARTICIPANTS:
Interviews: approx. 740 20-25 year olds
Surveys: approx. 740 20-25 year olds
Focus groups: 5 groups, approx. 8 persons in each group (varied ages)
In-depth interviews: 32, varied ages

* Confidentiality is emphasized in all phases of the project; each employee is required to sign a statement of confidentiality.   The confidentiality of individuals, communities and tribes is strictly honored.

 

MEASURES:
  1. HIV/AIDS knowledge and attitudes.
  2. Perceived risk.
  3. Substance abuse and risky behavior.
  4. Risk/protective factors.
  5. Social support.
  6. Self-esteem.
  7. Life stressors.
  8. Competencies.

 

CHOICES SURVEY:

The CHOICES SURVEY is in PDF format and can only be viewed with a Reader, as described below.
The PDF format is modeled after the PostScript language and is device and resolution independent. Publications in the PDF format can be viewed, navigated and printed from a workstation using the freely available Acrobat Reader software from Adobe Systems Inc. Versions of Acrobat Reader run on Dos, Windows, Macintosh, and Unix systems.

Click Here to View the CHOICES SURVEY in PDF Format

 

PUBLICATIONS:

Mitchell, C. M., Kaufman, C. E., & the Pathways of Choice and Healthy Ways Project Team. (2002). Structure of HIV knowledge, attitudes, and behaviors among American Indian young adults. AIDS Education and Prevention, 14, 381-398.

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