Implementing a strength-based adverse childhood experiences prevention program for predominantly Indigenous families:...

Area of Science:

• Public Health
• Child Development
• Indigenous Studies

Background:

• High rates of adverse childhood experiences (ACEs) necessitate effective prevention strategies for Indigenous youth.
• Process evaluation is crucial for understanding program implementation, including fidelity, attendance, and acceptability.

Purpose of the Study:

• To conduct a process evaluation of the Tiwahe Wicagwicayapi program, a strengths-based, family-centered intervention.
• To assess the program's aim to prevent ACEs, including child abuse and neglect, among predominantly Indigenous youth and their caregivers.

Main Methods:

• A mixed-method evaluation was employed with 124 families in the Great Plains region.
• Data collection included researcher observations, participant surveys, and interviews.

Main Results:

• The program demonstrated high average fidelity (93%) and significant participant attendance (approx. 75%).
• Barriers to attendance included competing demands, medical appointments, and transportation challenges.
• High program acceptability and impact were reported, especially for culturally specific content related to Lakota traditions.

Conclusions:

• Cultural relevance is a critical factor for successful and impactful programming for Indigenous communities.
• The Tiwahe Wicagwicayapi program shows promise as an effective strategy for preventing ACEs in Indigenous children.