Carly Shangreau's research while affiliated with University of Colorado and other places
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Publications (7)
Background:
Fetal Alcohol Spectrum Disorders (FASD) result in lifelong disability and are a leading cause of preventable birth defects in the US, including for American Indian and Alaska Natives (AIANs). Prevention of alcohol exposed pregnancies (AEPs), which can cause FASD, is typically aimed at adult women who are risky drinkers and have unprote...
Objectives: HIV and sexually transmitted diseases (STDs) are serious health conditions among American Indian and Alaska Native (AIAN) populations, especially youth. However, few sexual risk reduction evidence-based interventions (EBIs) have been implemented by AIAN-serving organizations. This project sought to identify and assess the parameters fac...
American Indian and Alaska Native (AIAN) youth are characterized by high rates of pregnancy and risky sexual behavior. Reaching these youth with culturally appropriate interventions is difficult due to geographic dispersion and cultural isolation. Online interventions can provide opportunities for reaching and engaging AIAN youth. However, electron...
We assessed the effectiveness of a culturally grounded, multimedia, sexual risk reduction intervention called Circle of Life (mCOL), designed to increase knowledge and self-efficacy among preteen American Indians and Alaska Natives. Partnering with Native Boys and Girls Clubs in 15 communities across six Northern Plains reservations, we conducted a...
Purpose
To describe lessons learned working with tribal communities in the Northern Plains to plan and implement a group randomized trial of multimedia Circle of Life (mCOL), a sexual risk reduction program designed for American Indian (AI) youth.
Methods
Project records including emails, travel reports, and meeting minutes were reviewed and synth...
Substance use often begins earlier among American Indians compared to the rest of the United States, a troubling reality that puts Native youth at risk for escalating and problematic use. We need to understand more fully patterns of emergent substance use among young American Indian adolescents, risk factors associated with escalating use trajector...
Substantial evidence documents problematic substance use in Northern Plains American Indian communities. Studies suggest that disparities can be traced to disproportionate rates of early substance use, but most evidence comes from the retrospective reports of adults or older adolescents.
To use a prospective longitudinal design to examine substance...
Citations
... Al-Jabri & Sohail (2012) Relative Advantage RA1: Virtual reality would have a positive impact in my school. Kaufman et al., (2021) RA2: I can see the differences that virtual reality implementation brings. ...
... 115 Many interventions carry out formative research with their intended audience to guide program design, using CBPR methods to root sexual health teachings with traditional ways of learning, knowing, and sharing. [116][117][118][119][120][121][122][123][124][125][126][127][128][129][130][131] Robust research methods have been used to assess interventions impact and efficacy, focusing primarily on adolescents and young adults. [132][133][134][135] This work has generated a growing body of curricula and behavioural interventions that meet tribal, state, and federal criteria for use in school and community settings. ...
... Twelve studies in this review used online education programmes to disseminate information about safe sex and STI risk reduction (e.g. Marsch et al., 2015;Klein et al., 2017;Kaufman et al., 2018;Scull et al., 2018;Scull et al., 2019;Chong et al., 2020). The findings from this category produced mixed results. ...
... Despite the availability of culturally responsive sexual health educational programs on websites, such as that of Healthy Native Youth [19], barriers remain to their uptake and utilization in tribal communities [13,[21][22][23][24][25][26][27][28][29][30]. Many of these challenges were exacerbated by the COVID-19 pandemic, which required flexible delivery using both in-person and virtual classrooms [31]. ...
... Parental monitoring may also relate to factors that have been previously found to relate to intentions to use substances, such as perceived behavioral control (because parents' monitory activities may make it more difficult to engage in substance use). Peer influences have also been found to be robustly associated with increased risk for substance use among American Indian adolescents (HeavyRunner-Rioux & Hollist, 2010;Moon et al., 2014;Nalven et al., 2020Nalven et al., , 2022Whitesell et al., 2014). Peers who use substances provide increased availability of substances to adolescents, and this availability may impact perceived norms around substances, which have been found to be highly related to substance use (Martinez et al., 2015;. ...
... Historical trauma is a cumulative, multigenerational experience of trauma that impacts emotional and psychological well-being from one generation to the next and can disrupt the strength of the community in Native nations [22,23]. The impact of historical trauma is reflected in American Indian and Alaska Native populations using drugs and alcohol at younger ages and at higher rates than other populations [24][25][26][27], reporting serious psychological distress at higher rates [28], and committing suicide at younger ages than non-American Indian and Alaska Native populations [29]. Historical trauma affects Indigenous populations and manifests in many ways, including by impacting Indigenous mental health and well-being outcomes. ...