Citation

McGrath BB, Ka'ili TO. Public Health Nurs. 2010; 27(1): 17-24.

Affiliation

Psychosocial and Community Health, School of Nursing, Seattle, Washington 98195, USA. bbmcgrat@u.washington.edu

Copyright

(Copyright © 2010, John Wiley and Sons)

DOI

10.1111/j.1525-1446.2009.00822.x

PMID

20055964

Abstract

OBJECTIVE: This is an evaluation of the process and outcome of a research study to determine a culturally targeted health promotion program for U.S. Pacific Islander youth who are at risk for co-occurring problem behaviors, including risky sexual behavior, substance abuse, and interpersonal violence. DESIGN AND SAMPLE: An exploratory design was used and included qualitative interviews (N=54), focus groups (N=16), participant observation (over 3 years), and surveys (N=24) with Pacific Islander adults and youth. After identifying key cultural values and reviewing existing evidence-based prevention interventions, "Project Talanoa" was developed around 4 constructs: (1) cultural identity and pride, (2) teen health, (3) peer relations, and (4) family ties. The program was pilot tested and evaluated by 24 Pacific Islander adolescents (ages 12-15 years). RESULTS: Results indicate it was culturally appropriate, well liked by the participants, supported by parents and others in the community, and found to be feasible. CONCLUSIONS: Additional research is needed to test it for effectiveness. Project Talanoa provides a model for applying cultural concepts in the development of a risk reduction intervention for adolescents.

Language: en