Preventing Adverse Childhood Experiences in a Sample of Largely Indigenous Children

Details

• Alternative Title:
  Pediatrics
• Personal Author:
  Edwards, Katie M. ; Waterman, Emily A. ; Wheeler, Lorey A. ; Herrington, Ramona ; Mullet, Natira ; Xu, Weiman ; Hopfauf, Skyler ; Charge, Leon Leader ; Trujillo, Preciouse
• Description:
  Objectives:
  
  The purpose of this study was to develop, pilot, and evaluate a culturally grounded, family-based program to prevent adverse childhood experiences (ACEs) among low-income and/or Indigenous children ages 10 to 14. The Tiwahe Wicagwicayapi program (TWP) is a 7-session program that teaches skills to prevent ACEs and is rooted in Lakota culture, language, and history.
  
  Methods:
  
  124 families (124 caregivers [96% Indigenous; 90% reported yearly income less than $40,000] with 194 children ages 10 to 14 [93% Indigenous]) were randomly assigned to the treatment (N = 66 families and 183 individuals) or waitlist (N = 58 families and 145 individuals) control groups. Caregivers and children completed a baseline, immediate post-test, and 6-month follow-up survey.
  
  Results:
  
  Treatment effects were detected indicating, compared to control participants, reductions in incidence of child ACEs (IRR = .64), bullying victimization (OR = .53), depression (d = –.20), and externalizing behaviors (d = –.23), and increased parent-child communication (g = .27) and child help seeking behaviors (d = .28). For caregivers, effects indicated the program prevented intimate partner violence victimization (IRR = .36) and perpetration (IRR = .45), harsh parenting (g = –.35), and depression (d = –.24), and increased emotion regulation (d = .37), social support (d = .33), and cultural connection (d = .34).
  
  Conclusions:
  
  The TWP holds great promise in preventing ACEs among low-income, Indigenous children, showing potential promise for widespread public health impact. Future rigorous research on the TWP is warranted.
  
  
• Subjects:
  Adolescent Adverse Childhood Experiences Bullying Child Female Humans Indigenous Peoples Male Pilot Projects Poverty
• Source:
  Pediatrics. 154(3)
• Pubmed ID:
  39136077
• Pubmed Central ID:
  PMC11616712
• Document Type:
  Journal Article
• Funding:
  R01 CE003190/CE/NCIPC CDC HHSUnited States/
• Volume:
  154
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:c445b7bb98151734a47a0b48256485abcd7b5144c74ed8acdf8b884ee6515d409c0698e68f967d388c4aadaf16c3efb4cbf050a8464a05f2a0ed3b8ecec92a3a
• Download URL:
  https://stacks.cdc.gov/view/cdc/174266/cdc_174266_DS1.pdf
• File Type:
  [PDF - 980.04 KB ]