Creating Project Talanoa: A Culturally Based Community Health Program for U.S. Pacific Islander Adolescents
Article first published online: 22 DEC 2009
© 2009 Wiley Periodicals, Inc.
Public Health Nursing
Volume 27, Issue 1, pages 17–24, January/February 2010
How to Cite
McGrath, B. B. and Ka'ili, T. O. (2010), Creating Project Talanoa: A Culturally Based Community Health Program for U.S. Pacific Islander Adolescents. Public Health Nursing, 27: 17–24. doi: 10.1111/j.1525-1446.2009.00822.x
- Issue published online: 22 DEC 2009
- Article first published online: 22 DEC 2009
- adolescent prevention intervention;
- community-based research;
- Pacific Islander;
- youth risk behavior
ABSTRACT Objective: This is an evaluation of the process and outcome of a research study to determine a culturally targeted health promotion program for U.S. Pacific Islander youth who are at risk for co-occurring problem behaviors, including risky sexual behavior, substance abuse, and interpersonal violence.
Design and Sample: An exploratory design was used and included qualitative interviews (N=54), focus groups (N=16), participant observation (over 3 years), and surveys (N=24) with Pacific Islander adults and youth. After identifying key cultural values and reviewing existing evidence-based prevention interventions, “Project Talanoa” was developed around 4 constructs: (1) cultural identity and pride, (2) teen health, (3) peer relations, and (4) family ties. The program was pilot tested and evaluated by 24 Pacific Islander adolescents (ages 12–15 years).
Results: Results indicate it was culturally appropriate, well liked by the participants, supported by parents and others in the community, and found to be feasible.
Conclusions: Additional research is needed to test it for effectiveness. Project Talanoa provides a model for applying cultural concepts in the development of a risk reduction intervention for adolescents.