Women-Young, Strong, and Empowered making CHOICES
Fetal Alcohol Spectrum Disorders (FASD) result in neurodevelopmental deficits and lifelong disability and are a leading cause of preventable birth defects in the U.S. Any sexually active woman of reproductive age who drinks alcohol and does not use effective contraception is at risk for an alcohol exposed pregnancy (AEP) that could cause FASD. American Indian and Alaska Native (AIAN) young women are especially vulnerable to FASD. Urban AIANs tend to live not in concentrated neighborhoods but rather dispersed across the urban landscape; thus, common community-based recruitment and intervention strategies are expensive or rarely applicable for research engagement of urban AIANs. Recent research indicates that mobile health (mHealth) interventions are promising for delivering effective interventions to hard-to-reach populations. The goal of this project is thus to expand reach and services to urban AIAN young women through mHealth technology to prevent AEP and FASD. With funding from the National Institute of Mental Health, this work will adapt an evidence-based curriculum to reduce risky drinking and increase contraceptive use for delivery via mobile and social media, targeting AIAN young women specifically.