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Use of Media Technologies by Native American Teens and Young Adults in the Pacific Northwest: Exploring Their Utility for Designing Culturally Appropriate Technology-Based Health Interventions

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Abstract

American Indian and Alaska Native (AI/AN) youth are disproportionally burdened by many common adolescent health issues, including drug and alcohol use, injury and violence, sexually transmitted infections, and teen pregnancy. Media technologies, including the Internet, cell phones, and video games, offer new avenues for reaching adolescents on a wide range of sensitive health topics. While several studies have informed the development of technology-based interventions targeting mainstream youth, no such data have been reported for AI/AN youth. To fill this gap, this study quantified media technology use among 405 AI/AN youth (13–21 years old) living in tribes and urban communities in the Pacific Northwest, and identified patterns in their health information-seeking practices and preferences. Overall, technology use was exceptionally common among survey respondents, mirroring or exceeding national rates. High rates of online health information seeking were also reported: Over 75% of AI/AN youth reported searching online for health information. These data are now being used by the Northwest Portland Area Indian Health Board and NW tribes to design culturally-appropriate, technology-based health interventions targeting AI/AN youth.

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Notes

  1. Frequent users reported daily or weekly use; infrequent users reported monthly or less frequent use.

  2. Coded as ever having searched for sexual health, STDs, or HIV; contraception or birth control; pregnancy; and/or body parts or physical anatomy.

  3. These figures compare 2009 data from the Native Youth Media Survey (NW AI/AN youth 13–19 years; n = 404) with 2008 data from the Sex and Technology Survey (national sample of youth 13–19 years; n = 653).

References

  • Nielsen Wire. (2009). Breaking teen myths. Retrieved 24 Sep 2009, from http://www.blog.nielsen.com/nielsenwire/online_mobile/breaking-teen-myths/.

  • Atun, R. A., & Sittampalam, S. A. (2006). Review of the characteristics and benefits of SMS in delivering healthcare. Vodafone Policy Paper Series (Vol. 4, pp. 18–28). London, UK: Vodafone Group Plc.

    Google Scholar 

  • Bennett, G. G., & Glasgow, R. E. (2009). The delivery of public health interventions via the Internet: Actualizing their potential. Annual Review of Public Health, 30, 273–292.

    Article  PubMed  Google Scholar 

  • Bloom, S. (2009). Game-based learning. Professional Safety, 54(7), 18–21.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2008). Sexually transmitted disease surveillance, 2007. Atlanta, GA: U.S. Department of Health and Human Services.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2009). Health marketing: eGames research. Retrieved 10 Oct 2009, from http://www.cdc.gov/healthmarketing/ehm/databriefs/egamesresearch.pdf.

  • Coyle, D., Doherty, G., Matthews, M., & Sharry, J. (2007). Computers in talk-based mental health interventions. Interacting with Computers, 19(4), 545–562.

    Article  Google Scholar 

  • Craig Rushing, S. N. (2010). Use of media technologies by Native American teens and young adults: Evaluating their utility for designing culturally-appropriate sexual health interventions targeting Native Youth in the Pacific Northwest. (Doctoral dissertation). Retrieved from Portland State University’s Digital Repository: http://www.archives.pdx.edu/ds/psu/4743.

  • De Jongh, T., Gurol-Urganci, I., Vodopivec-Jamsek, V., Car, J., & Atun, R. (2008). Mobile phone messaging telemedicine for facilitating self management of long-term illnesses (Protocol). Cochrane Database of Systematic Reviews, 4, No. CD007459. doi:10.1002/14651858.CD007459.

  • Egenfeldt-Nielsen, S. (2008). Making sweet music: The educational use of computer games. Retrieved 10 Oct 2009, from http://www.egenfeldt.eu/papers/sweet_music.pdf.

  • Fox, S. (2008). The engaged E-patient population: People turn to the Internet for health information when the stakes are high and the connection fast. Washington, DC: Pew Internet and American Life Project.

    Google Scholar 

  • Fox, S., & Rainie, L. (2000). The online health care revolution: How the web helps Americans take better care of themselves. Washington, DC: Pew Internet & American Life Project.

    Google Scholar 

  • Gurol-Urganci, I., de Jongh, T., Vodopivec-Jamsek, V., Car, J., & Rifat, A. (2009). Mobile phone messaging for communicating results of medical investigations (Protocol). Cochrane Database of Systematic Reviews 2008, 4, No. CD007456. doi:10.1002/14651858.CD007456.

  • Hamilton, B., Martin, J., & Ventura, S. (2009). Births: Preliminary data for 2007. National Vital Statistics Reports, 57(12). Hyattsville, MD: National Center for Health Statistics.

  • Horrigan, J. (2009). Wireless internet use. Washington, DC: Pew Internet and American Life Project.

    Google Scholar 

  • Howell, K. (2005). Games for health conference 2004: Issues, trends, and needs unique to games for health. Cyberpsychology and Behavior: The Impact of the Internet Multimedia and Virtual Reality on Behavior and Society, 8(2), 103–109.

    Google Scholar 

  • Lenhart, A. (2009). Teens and mobile phones over the past five years: Pew Internet looks back. Retrieved 20 Aug 2009, from http://www.pewinternet.org/Reports/2009/14-Teens-and-Mobile-Phones-Data-Memo.aspx.

  • Lenhart, A., Kahne, J., Middaugh, E., Macgill, A., Evans, C., & Vitak, J. (2008). Teens, video games and civics. Washington, DC: Pew Internet and American Life Project.

    Google Scholar 

  • Lenhart, A., & Madden, M. (2005). Teen content creators and consumers. Washington, DC: Pew Internet and American Life Project.

    Google Scholar 

  • Lenhart, A., Madden, M., & Hitlin, P. (2005). Teens and technology: Youth are leading the transition to a fully wired and mobile nation. Washington, DC: Pew Internet and American Life Project.

    Google Scholar 

  • Lewin, T. (2010, January 20). If your kids are awake, they’re probably online [Electronic Version]. The New York Times. Retrieved 27 Jan 2010, from http://www.nytimes.com/2010/01/20/education/20wired.html.

  • Lustria, M. L. A., Cortese, J., Noar, S. M., & Glueckauf, R. L. (2009). Computer-tailored health interventions delivered over the web: Review and analysis of key components. Patient Education and Counseling, 74(2), 156–173.

    Article  PubMed  Google Scholar 

  • Morris, T. L., & Meinrath, S. D. (2009). New media, technology and Internet use in Indian Country: Quantitative and qualitative analyses. Washington, DC: New America Foundation.

    Google Scholar 

  • National Survey on Drug Use, Health. (2007). Substance use and substance use disorders among American Indians and Alaska Natives. Rockville, MD: Office of Applied Studies, Substance Abuse and Mental Health Services Administration (SAMHSA).

    Google Scholar 

  • Newell, A. (2001). A mobile phone text message and trichomonas vaginalis. Sexually Transmitted Infections, 77(3), 225.

    Article  PubMed  CAS  Google Scholar 

  • Nguyen, H. Q., Carrieri-Kohlman, V., Rankin, S. H., Slaughter, R., & Stulbarg, M. S. (2004). Internet-based patient education and support interventions: A review of evaluation studies and directions for future research. Computers in Biology and Medicine, 34(2), 95.

    Article  PubMed  Google Scholar 

  • Noar, S. M., Black, H. G., & Pierce, L. B. (2009). Efficacy of computer technology-based HIV prevention interventions: A meta-analysis. AIDS, 23(1), 107–115. doi:110.1097/QAD.1090b1013e32831c35500.

  • Obermayer, J. L., Riley, W. T., Asif, O., & Jean-Mary, J. (2004). College smoking-cessation using cell phone text messaging. Journal of American College Health, 53(2), 71–78.

    Article  PubMed  Google Scholar 

  • Papastergiou, M. (2009). Exploring the potential of computer and video games for health and physical education: A literature review. Computers & Education, 53(3), 603–622.

    Article  Google Scholar 

  • Portnoy, D. B., Scott-Sheldon, L. A. J., Johnson, B. T., & Carey, M. P. (2008). Computer-delivered interventions for health promotion and behavioral risk reduction: A meta-analysis of 75 randomized controlled trials, 1988–2007. Preventive Medicine, 47(1), 3–16.

    Article  PubMed  Google Scholar 

  • Project Red Talon. (2009). Red talon STD/HIV tribal action plan. Northwest Portland Area Indian Health Board.

  • Rainie, L. (2009). Teens and the Internet. Retrieved 20 Aug 2009, from http://www.pewinternet.org/Presentations/2009/Teens-and-the-internet.aspx.

  • Rideout, V. J., Foehr, U. G., & Roberts, D. F. (2010). Generation M2: Media in the lives of 8- to 18-year-olds. Menlo Park, CA: Henry J. Kaiser Family Foundation.

    Google Scholar 

  • Ritterband, L. M., Gonder-Frederick, L. A., Cox, D. J., Clifton, A. D., West, R. W., & Borowitz, S. M. (2003). Internet interventions: In review, in use, and into the future. Professional Psychology: Research and Practice, 34(5), 527–534.

    Article  Google Scholar 

  • Schelbert, L. (2003). Pathways of human understanding: An inquiry into western and North American Indian worldview structures. American Indian Culture and Research Journal, 27(1), 61–75.

    Google Scholar 

  • Schinke, S. P., Moncher, M. S., & Singer, B. R. (1994). Native American youths and cancer risk reduction. Effects of software intervention. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 15(2), 105–110.

    CAS  Google Scholar 

  • The National Campaign to Prevent Teen and Unplanned Pregnancy. (2008). Sex and tech: Results from a survey of teens and young adults. Washington, DC: Author.

    Google Scholar 

  • Timpka, T., Graspemo, G., Hassling, L., Nordfeldt, S., & Eriksson, H. (2004). Towards integration of computer games in interactive health education environments: Understanding gameplay challenge, narrative, and spectacle. Studies in Health Technology and Informatics, 107(Pt 2), 941–945.

    PubMed  Google Scholar 

  • Wideman, H. H., Owston, R. D., Brown, C., Kushniruk, A., Ho, F., & Pitts, K. C. (2007). Unpacking the potential of educational gaming: A new tool for gaming research. Simulation Gaming, 38(1), 10–30.

    Article  Google Scholar 

  • Ybarra, M. L., & Bull, S. S. (2007). Current trends in Internet- and cell phone-based prevention and intervention programs. Current HIV/AIDS Reports, 4, 201–207.

    Article  PubMed  Google Scholar 

  • Ybarra, M. L., & Eaton, W. W. (2005). Internet-based mental health interventions. Mental Health Services Research, 7(2), 75–87.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We would like to thank the tribes in Idaho, Oregon, and Washington for their leadership in public health, and for their ongoing support of Project Red Talon. All credit in this undertaking should be given to our NW tribal partners, whose commitment to AI/AN health has made this project the success that it was. We also give thanks to Christine Markham, PhD, Victoria Warren-Mears, PhD, and Tam Lutz, Doctoral Candidate, MPH, MHA, for their constructive reviews of this article.

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Correspondence to Stephanie Craig Rushing.

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Rushing, S.C., Stephens, D. Use of Media Technologies by Native American Teens and Young Adults in the Pacific Northwest: Exploring Their Utility for Designing Culturally Appropriate Technology-Based Health Interventions. J Primary Prevent 32, 135 (2011). https://doi.org/10.1007/s10935-011-0242-z

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