https://library.icmglt.org/files/original/3c2a24e38eb8ca200fc8ccf01e38824e.jpg 521e7f16ff705a691f62669a3b779d7e https://library.icmglt.org/files/original/87f600d885c165066d10ac66a3aca91c.pdf 35768a808a09c9c71d829ece63546160 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Multigenerational Legacies of Trauma of American Indians Electronic Resource View Source <a href="https://doi.org/10.1111/acer.15521">https://doi.org/10.1111/acer.15521</a> Document Type Journal article Author(s) Jessica Hanson, Carolyn Noonan, Kyra Oziel, Karen Little Wounded, Serea Darnell, Robert Rosenman, Marcia O'Leary, Richard MacLehose, Michelle Sarche, Dedra Buchwald Volume Vol. 49 Issue No. 2 Publisher Wiley-Blackwell Journal Name Alcohol, Clinical and Experimental Research Publication Date 2025 ISBN 29937175 Language English Access Open Access Abstract Background Prevention of alcohol-exposed pregnancy (AEP) involves reducing risky alcohol consumption among women at-risk for pregnancy, using effective contraception among women drinking at risky levels to prevent pregnancy, or both. This study presents the outcomes of a randomized controlled trial assessing the efficacy of Native CHOICES, a culturally tailored adaptation of the CHOICES intervention, among American Indian/Alaska Native (AI/AN) women. Methods AI/AN women aged 18–44 who were at-risk for an AEP were randomly assigned in a 1:1 ratio to either the Native CHOICES intervention or a waitlist control group. Native CHOICES comprised two sessions of motivational interviewing and an elective contraception counseling session. Data were collected at baseline, and 6 weeks, 3 months, and 6 months postbaseline. Due to the pandemic, the intervention was at times delivered remotely. Results A total of 404 women participated: 199 in the control group and 205 in the intervention group. Sixty-seven percent of the intervention group received the intervention in-person, and 33% participated by telephone or video call. Sixty-four percent of women completed all follow-up visits. At the six-month follow-up, the intervention did not demonstrate a significant impact on AEP risk compared with the control arm when analyzing all the data (RR = 0.94; 95% confidence interval [CI]: 0.83–1.07). However, an exploratory subgroup analysis showed evidence of a reduction in AEP risk among participants who completed the study in-person before the COVID-19 pandemic (RR = 0.79; 95% CI: 0.63–0.98), which was not observed during or after the pandemic (RR = 1.06; 95% CI: 0.91–1.24). Conclusions The Native CHOICES intervention did not show evidence of effectiveness overall. However, exploratory analyses offer some evidence that the intervention was effective prior to the pandemic. Cataloger Julia Arizono Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource A Randomized Controlled Trial of Native CHOICES: Impact on alcohol-exposed pregnancy risk reduction among American Indian and Alaska Native women Subject The topic of the resource Pregnant women--Alcohol use--Prevention Alcohol Abuse COVID-19 Indigenous peoples Pregnancy Women