Research has determined that the prevention of alcohol-exposed
pregnancies (AEP) must occur pre-conceptually with women, either by reducing
alcohol intake in women planning pregnancy or at-risk for becoming pregnant, or
by preventing pregnancy in women drinking at risky levels. One such AEP
prevention programme with non-pregnant American Indian women is the Oglala Sioux
Tribe (OST) CHOICES (Changing High-risk alcohOl use and Increasing Contraception
Effectiveness Study) Programme, which shows promise in reducing AEP risk in
American Indian women aged 18 or older. A community needs assessment was
conducted with key informant interviews and focus groups with an emphasis on how
to expand OST CHOICES. To identify interconnected themes, a content analysis
methodology was used on the qualitative feedback from the focus groups and
interviews. Altogether, key informant interviews were completed with 25 health
and social service professionals. Eight focus groups were held with 58 American
Indian participants, including adult women of child-bearing age, elder women,
and adult men. Several sub-themes regarding the prevention of AEP with youth
were identified, expanding the OST CHOICES curriculum into the schools, and the
role of family and culture within AEP prevention.