![]() ![]() It is imperative to understand Native history, specifically the strength and health of Native men, as it stands in stark contrast to the health disparities that AIAN men face today. Participants will complete an outcome assessment at pre- and post-intervention (12 weeks later).Īmerican Indian and Alaska Native (AIAN, Native) societies have been at the forefront of resistance against decades of land theft, colonization, and attempts at assimilation since time immemorial ( 1, 2). The outcomes for this study are acceptability, feasibility, and satisfaction with the intervention, as well as father involvement, quality of (co-) parenting communication, healthy relationships, fathers' engagement and communication with their children, protective factors (e.g., cultural connectedness and educational/career aspirations), and economic empowerment and stability. Eligible fathers or father figures are age ≥18 years, live within 50 miles of the participating Diné communities, and must be caregivers of at least one child ≤ 24 years. Each of the 12 group lessons, consisting of 8–12 participants per group, last approximately 2 h. Lesson content includes: honoring our roles as fathers, building healthy relationships, understanding the impact of historical trauma, goal-setting, and budgeting basics. The intervention is composed of 12 weekly group sessions conducted with fathers ( n = 750) that focus on developing knowledge and skills for positive father involvement, economic stability, and healthy relationships. A pre-post study will assess feasibility, acceptability, and satisfaction with the Azhe'é Bidziil intervention, as well as short-term impacts on positive parenting, economic stability, and healthy relationship outcomes. ![]() ![]() Intervention lessons were iteratively reviewed by a tribal working group to ensure that the content is culturally appropriate and relevant. Azhe'é Bidziil was adapted from three evidence-based interventions developed in collaboration with Native communities.
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