Respecting the Circle of Life

About This Program

Updated:10/18/2019

Respecting the Circle of Life: Mind, Body & Spirit (RCL) is an STD/HIV and pregnancy prevention program for Native American youth between ages 11 and 19 and their parents or other trusted adults. The primary goal of RCL is to give youth the knowledge and skills they need to protect themselves from unplanned pregnancy and STDs, including HIV. The program also covers decision making, values, goal setting, communication, and how to talk with parents or other trusted adults about sexual decision making.

Respecting the Circle of Life is adapted from Focus on Youth + ImPACT (Informed Parents and Children Together), an evidence-based intervention for HIV risk reduction proven among urban African-American youth and replicated in cross-cultural contexts around the world. The Johns Hopkins Center for American Indian Health worked with Native American community members to adapt Focus on Youth + ImPACT for use with Native youth and families.

  • Age Group Designed For:

    middle-school, high-school, young-adults
  • LGBT inclusive:

    Yes
  • Program Setting:

    community-based
  • Duration:

    8 youth sessions | 2 hours + 1 follow-up session with a parent and teen | 2 hours
  • Cost To Purchase:

    $569.99 for 2 facilitators, 12 youth participants, 12 parent/trusted adult participants including all facilitator materials, participant workbooks, implementation guide and supplemental resources guide.
  • Teacher Training or Certification Required:

    No
  • Student to Teacher Ratio:

    8-12:1
  • Evidence of Effectiveness:

    best-practice
  • Endorsements:

    CDC’s HIV Effective Interventions, ETR's Evidence-based Programs

Program Contact Information

Training

Training Materials Links:

Teacher Training or Certification Requirements:

Training on Respecting the Circle of Life can be provided by the Johns Hopkins Center for American Indian Health. Please see our Contact information for more information.

Communities can purchase the program through ETR’s catalog, which only includes programs with proven evidence. This will be the first program developed for Native American communities in ETR’s catalog. A starter kit is $569—which will cover everything needed for two facilitators to deliver RCL to 12 youth and 12 parents or trusted adults. As part of the kit, the Center for American Indian Health has created a comprehensive implementation guide including recruitment materials, camp schedules, and a month-by-month planning guide.

Cultural Relevance

Respecting the Circle of Life is adapted from Focus on Youth + ImPACT (Informed Parents and Children Together), an evidence-based intervention for HIV risk reduction proven among urban African-American youth and replicated in cross-cultural contexts around the world. Johns Hopkins Center for American Indian Health worked closely with a tribal community and key tribal stakeholders in the Southwest to adapt Focus on Youth + ImPACT for cultural appropriateness, relevance, and inclusivity and to ensure alignment with Native values and health belief systems.

Evaluation

Johns Hopkins University Center for American Indian Health conducted a randomized controlled trial of RCL with 267 Native American youth ages 13-19. Six months after intervention delivery, compared to control participants, participants who received RCL had improved condom use self-efficacy, HIV prevention and transmission knowledge, were more likely to believe condoms prevent sexually transmitted infections including HIV, and were more likely to talk with a family member or adult about HIV/AIDS. Many of these differences were sustained 12 months after intervention delivery. The Johns Hopkins Center for American Indian Health is currently conducting a second randomized controlled trial of the Respecting the Circle of Life program with n=536 Native American youth ages 11-19 and their parent or other trusted adult as part of the National Teen Pregnancy Prevention program. Impact findings from this second trial will be available in summer 2020 . RCL is the only program in this national evaluation developed specifically for and being rigorously evaluated with Native American youth and families.

Currently, RCL is being replicated with another Southwest tribal community, and several urban Indian organizations and tribal communities in Minnesota, with parallel results.

Assistance with evaluation of Respecting the Circle of Life can be provided by the Johns Hopkins Center for American Indian Health. Please see Program Contact Information to contact the Center for American Indian Health and for more information.

CURRICULUM ENDORSEMENTS

Respecting the Circle of Life

Youth Testimonial

"I learned to always bring condoms and use them, not just carry them."