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Table 1 AB Lesson Delivery Format and Content

From: Rigorous evaluation of a substance use and teen pregnancy prevention program for American Indian girls and their female caregivers: a study protocol for a randomized controlled trial

Lesson number

Format

Topic

1

Individual dyad

Program introduction; discussion of the meaning of the clan system; importance of self-reflection in Navajo culture

2

Individual dyad

Identifying role models; respect for self, others and mother earth

3

Group

Building the caregiver adolescent relationship; strategies for improved communication

4

Individual dyad

Developing support networks; Navajo introductions; family roles and values

5

Group

Navajo history, Navajo teachings related to puberty; Introduction to the female reproductive system

6

Individual dyad

Thinking positively; problem solving skills development

7

Group

Communication styles; dealing with peer pressure; refusal skills

8

Individual dyad

Community and family values; support networks; Kinaaldá (Navajo coming of age ceremony) teachings

9

Group

Reproductive Health 101: puberty and pregnancy; healthy hygiene during puberty; skills to improve caregiver-adolescent communication about sensitive topics

Caregiver only: safe sex practices

10

Individual dyad

Self-esteem; identifying personal strengths; goal setting skills

11

Group

Holistic health; promoting others; taking lessons learned forward