The objective of this research study is to evaluate a culturally grounded program among American Indian (AI) female adolescents and their female caregivers. Specifically, investigators aim to evaluate the impact of "Asdzaan Be'eena'" or Female Pathways in English (henceforth referred to as AB) on risk and protective factors for early substance use and sexual debut through a randomized controlled trial (RCT) in partnership with the Navajo Nation. The program was developed and pilot tested through an extensive formative phase conducted by our tribal-academic partnership (IRB protocols: #00006569 and #00009117). Investigators will examine the efficacy of the AB program for reducing risk factors and improving protective factors associated with early substance use and sexual debut, with long term goals of reducing teen pregnancy and teen substance use.
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Change in youth reported parent-youth communication scale
Timeframe: Baseline, 6- and 12-months post implementation
Change in parent reported parent-youth communication scale
Timeframe: Baseline, 6- and 12-months post implementation
Change in youth reported monitoring
Timeframe: Baseline, 6- and 12-months post implementation
Change in parent reported monitoring
Timeframe: Baseline, 6- and 12-months post implementation
Change in youth reported parental responsiveness
Timeframe: Baseline, 6- and 12-months post implementation
Change in parent reported parental responsiveness
Timeframe: Baseline, 6- and 12-months post implementation
Change in proportion of youth who state they plan to delay having sexual intercourse until they graduate from high school
Timeframe: Baseline, 6- and 12-months post implementation
Change in proportion of youth who state they plan to engage in sexual intercourse while they are a teenager
Timeframe: Baseline, 6- and 12-months post implementation
Change in mean score on externalizing and internalizing behaviors
Timeframe: Baseline, 6- and 12-months post implementation