BACKGROUND & OVERVIEW
- Who is Mike Smith and what was the basis of the original STAND program?
The original STAND program was developed by Dr. Mike Smith, Professor of Medical Education and Director of AIDS Education and Research at Mercer University School of Medicine in Macon, Georgia. His STAND curriculum is theoretically-based and was designed to meet the needs of rural youth in the South, at both the level of the individual teen and the community as a whole.
- How did Native STAND come to be?
Lori de Ravello and Scott Tulloch of the CDC and the I.H.S. National STD Program assembled tribal health leaders from around the United States to develop a culturally respectful version of STAND for use in American Indian and Alaska Native communities. The national work group, funded and supported by the CDC and Prevention/Division of STD Prevention, the I.H.S. National STD Program, and the National Coalition of STD Directors made substantial enhancements to the original STAND, providing cultural fit and relevant teachings. Native youth groups reviewed portions of the curriculum in addition to a cadre of external expert reviewers from Indian Country. Subsequently, Native STAND was validated in four B.I.E. schools and one reservation community.
- Where can I find the Native STAND curriculum?
The Native STAND curriculum, including links to the Facilitator Manual, Peer Educator Manual and Resources Manual can be found on the Native STAND Resource page at http://www.oregonprc.org/native-stand-resources.html
- Where can I find an overview and summary of Native STAND?
To learn more about Native STAND visit http://www.oregonprc.org/about-native-stand.html .
- What is the minimum number of youth that you require?
The Native STAND curriculum is designed to involve teens in collaborative learning. Therefore, you need to have a large enough group to have a full discussion of the topics and to do the learning activities. Probably 6-8 teens are needed in any one learning session - more ideal is 15-20. We know that for certain topics, it is best to hold separate sessions for boys and girls.
- How flexible is the Native STAND curriculum?
Evaluations of the curriculum in B.I.E. schools and a reservation tribal high school indicate that Native STAND improves knowledge of healthy relationships, STD/HIV, and reproductive health. In these situations, the curriculum was delivered as published in the three educator guides and followed in sequence. While the units and learning activities build upon one another, there is some flexibility to give the modules in a sequence that makes sense for your situation. Your experiences with the curriculum and how you adapt it to the situation of your home community is one of the things we will be measuring.
- What do you mean by “peer educator”?
The goal of Native STAND is to empower tribal youth to communicate accurate information on sexual health to other teens. By training adult educators to deliver the Native STAND program to teens, the hope is that we not only improve their knowledge, attitudes, behaviors, but that they transfer this knowledge to other teens. In some communities, teens in the Native STAND program have created social media messages, videos, posters and billboards.
- Are there limitations with the $10K implementation support funds?
There are no restrictions on the uses of the implementation support funds. However, it is strongly encouraged that you utilize funds in thoughtful, strategic, appropriate ways that benefit the delivery of the Native STAND curriculum in your home community. A valid W-9 IRS Form or appropriate Federal Tax ID and Implementation Action Plan with a budget will be required of sites before the $10K in funds will be distributed.
- What data will you want from us?
We will be following the use of Native STAND by tribal communities and organizations. We will be asking participating sites to give us feedback on:
- How implementation is going in their communities.
- How they are adapting Native STAND for their own use.
- What their plans are for sustaining the program.
- How knowledge, decision-making and attitudes around sexual health improved in teens.
- What information do you want from the youth?
We are interested in how Native STAND benefits youth. The Certified Educator as a Facilitator will give a confidential short (15 minutes) pre- and post- questionnaire to teens before and after they receive the curriculum. The questionnaire assesses the knowledge, attitudes and experiences of youth in your Native STAND program. As you can appreciate, some of the questions are sensitive, and the youth need to be assured that their answers are private and will be kept completely confidential. Training will be provided to the Certified Educator about how to administer the Youth Questionnaire in a step-by-step process with respect, integrity and confidentiality. Certified Educators will also receive training on requirements for mandatory reporting.
INSTITUTIONAL REVIEW BOARD (IRB) & NATIVE STAND
- Why is IRB approval needed?
We are evaluating the impact of the Native STAND program on tribal communities. However, because we want to evaluate how the curriculum benefits teens with a pre- and post-questionnaire, each of our community sites must have an IRB approval. In advance of the summer training, we will provide training to make sure communities are comfortable with their IRB options and we will provide technical assistance to obtain local approval or waiver to the Portland Area I.H.S. IRB (PAIRB). Approvals must be in place before we can transfer funds and before beginning to deliver the Native STAND curriculum in your community.
- What is the easiest & fastest way for IRB approval for my site so not to delay?
The easiest and fastest way to get this approval is through the PAIRB – you can simply sign a waiver of oversight to establish record with the PAIRB. Alternatively, you can do the review via your local IRB and send the approval to us. As part of the summer training, we will provide training on IRBs and human subjects protection to make sure you are comfortable with the process and can get the approvals you need. We have approved parent consent and youth assent forms to share with you.
- What are the advantages of deferring IRB review to the Portland Area versus my tribe’s IRB or my regional Area IHS IRB?
There are some complexities in the multi-site, multi-geographical IRB protocol review for communities outside of the Pacific Northwest that choose to participate in the Native STAND program.
Deferring review and approval to the PAIRB has several advantages:
- This strategy can be implemented relatively quickly;
- The IRB has the experience and infrastructure to review multi-site research projects;
- All manuscripts will be reviewed by experienced researchers before publication; and
- Fewer resources are required from the tribal communities that participate.
For expedited Native STAND application processing, deferral to PAIRB is the preferred option.
- What if I opt out of the PAIRB review and decide to use an alternative IRB approach?
An alternative approach of using your local IRB may be preferred or required by your Tribe. This approach is acceptable; however, the review process can be lengthy and may substantially delay implementation of Native STAND in your community. We are happy to have a consultation call about this option and technical assistance.
- Are Human Subjects Protection & IRB Protocols a part of the Native STAND Summer Training?
Community professionals who attend the Native STAND summer training will receive training on the protection of human subjects in research, and IRBs. The Native STAND Project is committed to building the capacities of tribal communities to engage in research, allowing individual communities to better access and understand data that would benefit their respective communities toward eliminating health disparities.
For more information about the IRB and Native STAND, visit the Native STAND Resources Page http://www.oregonprc.org/native-stand-resources.html
SUMMER TRAINING OPPORTUNITY
- Who will be the conducting the Summer Training?
Experts from the OHSU Center for Healthy Communities and the Northwest Portland Area Indian Health Board will have lead instructional roles, in addition to mentors/coaches who are familiar with hands-on experiences in delivery of curriculum. Each of the instructors are knowledgeable in the content, technique, and delivery of the Native STAND curriculum in Indian Country, and has direct experience with its implementation.
- What is the timeline and steps involved in my participation?
- Participate in Summer Training held in June in Portland, Oregon.
- Establish Memorandum of Agreement between your organization and OHSU (we provide a template).
- Submit a Confidentiality Agreement.
- Submit an Action Plan.
- Submit a valid W-9 IRS Form or appropriate Federal Tax ID to set up delivery of $10K.
- Submit local IRB approval or Waiver of Oversight to Portland Area I.H.S. IRB.
- Obtain parental and youth consent forms.
- Administer the Youth Questionnaire (“baseline” “pre-“questionnaire).
- Deliver the curriculum to your teens.
- Administer the Youth Questionnaire (“post-“questionnaire).
- Continue to provide information to evaluators throughout the five-year duration of project.
For more information about Native STAND, visit: http://www.oregonprc.org/about-native-stand.html
- May we send more than one person to the training?
Unfortunately, we can only cover the training expenses of one representative from a Tribe or AI/AN organization. Before filling out the application, we recommend that interested organizations and individuals discuss the training opportunity and agree to commit to the program requirements. To learn about the application process and eligibility, please visit http://www.oregonprc.org/application-for-our-summer-training-program.html
- Will there be train-the-trainer resources in the future?
The one-week summer training will build your knowledge and skills, and we are hoping that you can successfully pass this on to other educators in a train-the-trainer for leverage of resources, capacity building and program sustainability. Exclusively for Certified Educators, we have online support materials for the key elements of the summer training, and tools for curriculum implementation and support.
- Is this a one-time opportunity?
The final opportunity for the expense paid training in Portland is June 2017.
- How many trainees will you accept?
In 2017, we will be seeking 25 host sites. To apply or learn about the application process, visit http://www.oregonprc.org/application-for-our-summer-training-program.html
- Do I need to be at the training the entire week, including Friday?
In order to have a successful training, it is necessary for the applicant to plan for and to commit her/his time and energy for the entire week, from start to finish. We are making a substantial investment in time, energy and resources, so we expect attendees to be fully engaged to create a positive learning experience for all. For an overview about the Certified Educator Summer Training, visit http://www.oregonprc.org/certification-as-a-native-stand-educator.html
- Who is the Core Team for the Native STAND Program?
Native STAND is housed at OHSU (www.ohsu.edu) within OHSU’s Prevention Research Center known as “The Center for Healthy Communities”. OHSU’s community partner is the Northwest Portland Area Indian Health Board, which is the site of the Native STAND Summer Training and home to multiple positive youth development programs for Native teens.
- Tom Becker
- Bill Lambert
- Stephanie Craig-Rushing
- Michelle Singer
- Kavita Rajani
- Caitlin Donald
- Brittany Morgan
For a program consult or more information about the Native STAND Dissemination, Implementation, and Evaluation Project, please contact:
Michelle Singer (Navajo), Project Manager, Native STAND
Oregon Health & Science University
Center for Healthy Communities
3181 SW Sam Jackson Park Road, CB 669
Portland, OR, 97239