Reach, Acceptability, and Sustainability of the Native Changing High-Risk Alcohol Use and Increasing Contraception Effectiveness Study (CHOICES) Intervention: A Qualitative Evaluation of an Alcohol-Exposed Pregnancy Prevention Program
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Collection
2.2. Data Analysis
3. Results
3.1. Reach
“I learned about your program through Facebook and wanted to look at myself with the alcohol choices and stuff, like, whatever options. Kind of like basically wanting to see what I was going through, I wanted to see it through your study. See what I was doing, what led my life to alcohol”.(Amy)
“At first, one of my friends recommended me to come over here because she just got done with the study, and she said that it was a really good learning experience for her as well as research study. And it intrigued me to want to come do it, so I came this way”.(Sarah)
“It did. And it actually helped me to really be conscious about my health as a woman and, I guess, with contraception. And it really helped me to open up and think about other family members and how it’s not a subject that everybody talks about”.(Angela)
“There was a lot going on. A lot of people drink alcohol, use cigarettes, have unprotected sex because we’re not making a rational thinking. And there’s a lot more that comes from that than just HIV and STDs. There’s a lot more to it. So, we just get more information about certain things, and a lot of it pertained to women. So, it’s kind of like just a women’s program”.(Erin)
“I’ve also learned about risky drinking. You really don’t think about it until we talk about it. Because I didn’t think I was a risky drinker and I am. I have never thought about it. I thought alcohol is just something fun to do. But then it’s also risky for yourself as a woman and your reproduction”.(Maria)
“I started looking at myself and seeing myself through a different perspective of my alcohol use, and I was trying to slow down, but I just never really thought about (it). After I started answering the questions and stuff, I started seeing myself in a different way and it helped me want to change”.(Amy)
“Well, I learned that I wasn’t on birth control and that I was a heavy drinker. And then it is true, you should just start being protective. And I did get on birth control after that, though. So, I’ve been on birth control, so it helped me because I can’t really handle it myself. So, I’m glad that I got on birth control because if I happen to get pregnant, I wouldn’t know how I would be able to take care of the kid”.(Talia)
“I remember in CHOICES I made goals, and I said I wanted to stay sober and be sober, and that’s over 10 months ago now and I’m still sober and loving life and I’m still not pregnant. But I still don’t believe in birth control, so I’m not even using it. But I am loving the sober life and Native CHOICES help me set those goals to make me want to stay sober. And here I am, still sober 10 months later”.(Amanda)
“I’d just like to thank your program for helping me look at myself in a different way and those questions that I answered really helped me, and I’m still pushing forward with my goals. And it’s a struggle but I’m making it”.(Amy)
“I like the staff. You guys are all very friendly and helpful. Like I said, helped with referrals to the women hospitals and gave us pamphlets and information. And it was really nice. It was just a nice atmosphere. Nice to go in and visit with people. We don’t get to see you guys every day. So, it was nice to just go visit someone different”.(Erin)
3.2. Acceptability
“I think it fits in well, because it promotes—I would think for women to want respect to theirselves more and respect others and value their virtues, because a lot of people don’t even really know. And that’s another thing. With this program they teach you that, so that would probably be a self-esteem booster if they would know—to be knowing their self-worth and to respect theirself”.(Clarisse)
3.3. Sustainability
“So for me, I like that it helped me see my drinking habits and stuff. But I think for them—and the only reason why I, honestly, did participate was because of the compensation. But I think the compensation could help them with gas or whatever and make them more aware of self—Because I understand some people—but I feel like when they come in just to get the money, and then they’re like, ‘Oh, well, I actually learned something.’ You know what I mean? A little bit. So I don’t know. I feel like—Yeah, that was totally me”.(Lucy)
“Yeah. I got nieces and stuff that I show those information stuff to. They would like to do stuff like that, too. They’re young and doing that stuff now too”.(Miranda)
“I think I’ve heard a radio ad. I think that’s a great way to put it out there. And I also think even just talking about it. Like having a recorded session with people who are open to talk about it and advertising that, whether it’s a Facebook Live or a radio portion, I think when people see someone talking about something so comfortably, then they’re open to join in”.(Maria)
3.4. Impact of the Pandemic
“Actually, I quit during COVID because sharing alcohol and just like transferring it from your saliva, it’s hitting the bottom of the bottle. And just, no”.(Claire)
“It (drinking) was a lot worse. There was nothing to do, with no jobs hiring or anything. And I don’t know, all my friends are doing it, too. And I didn’t want to be alone. And I started falling with everybody else”.(Amy)
“The clinics were closed—Yeah, there was no work. There were times I had gotten sick, but I couldn’t go to the hospital to get birth control and I know the programs weren’t open and everyone was on leave for the pandemic. Everybody got to stay home”.(Amy)
“So for me, during COVID, personally, I noticed I’ve started drinking a lot more alcohol. I don’t know if it was freedom or time or being quarantined. It kind of felt like there was not very much structure during COVID or during quarantine. But I definitely was more aware of using birth control because I knew I was drinking more alcohol”.(Angela)
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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London, S.M.; Hanson, J.D.; Sarche, M.; Oziel, K.; Buchwald, D. Reach, Acceptability, and Sustainability of the Native Changing High-Risk Alcohol Use and Increasing Contraception Effectiveness Study (CHOICES) Intervention: A Qualitative Evaluation of an Alcohol-Exposed Pregnancy Prevention Program. Int. J. Environ. Res. Public Health 2024, 21, 266. https://doi.org/10.3390/ijerph21030266
London SM, Hanson JD, Sarche M, Oziel K, Buchwald D. Reach, Acceptability, and Sustainability of the Native Changing High-Risk Alcohol Use and Increasing Contraception Effectiveness Study (CHOICES) Intervention: A Qualitative Evaluation of an Alcohol-Exposed Pregnancy Prevention Program. International Journal of Environmental Research and Public Health. 2024; 21(3):266. https://doi.org/10.3390/ijerph21030266
Chicago/Turabian StyleLondon, Sara M., Jessica D. Hanson, Michelle Sarche, Kyra Oziel, and Dedra Buchwald. 2024. "Reach, Acceptability, and Sustainability of the Native Changing High-Risk Alcohol Use and Increasing Contraception Effectiveness Study (CHOICES) Intervention: A Qualitative Evaluation of an Alcohol-Exposed Pregnancy Prevention Program" International Journal of Environmental Research and Public Health 21, no. 3: 266. https://doi.org/10.3390/ijerph21030266