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Although studies have shown no differences in rates by race,\n                      <jats:styled-content style=\"fixed-case\">FASD<\/jats:styled-content>\n                      is of particular concern for American Indian communities. One tribally run prevention program is the Oglala Sioux Tribe (\n                      <jats:styled-content style=\"fixed-case\">OST<\/jats:styled-content>\n                      )\n                      <jats:styled-content style=\"fixed-case\">CHOICES<\/jats:styled-content>\n                      Program, which is modeled after the evidence\u2010based\n                      <jats:styled-content style=\"fixed-case\">CHOICES<\/jats:styled-content>\n                      program that was focused on preconceptional prevention of alcohol\u2010exposed pregnancy (\n                      <jats:styled-content style=\"fixed-case\">AEP<\/jats:styled-content>\n                      ) by reducing risky drinking in women at risk for pregnancy and\/or preventing unintended pregnancy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The\n                      <jats:styled-content style=\"fixed-case\">OST CHOICES<\/jats:styled-content>\n                      Program was made culturally appropriate for American Indian women and implemented with 3 communities, 2 on the reservation and 1 off. Data on drinking, sexual activity, and contraception use were collected at baseline and 3 and 6\u00a0months postintervention. Data were analyzed using descriptive statistics, 1\u2010way analysis of variance, and a random intercept generalized estimating equation\u00a0model.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 193 nonpregnant American Indian women enrolled in the\n                      <jats:styled-content style=\"fixed-case\">OST CHOICES<\/jats:styled-content>\n                      Program, and all were at risk for\n                      <jats:styled-content style=\"fixed-case\">AEP<\/jats:styled-content>\n                      because of binge drinking and being at risk for an unintended pregnancy. Fifty\u2010one percent of participants completed both 3\u2010 and 6\u2010month follow\u2010ups. Models showed a significant decrease in\n                      <jats:styled-content style=\"fixed-case\">AEP<\/jats:styled-content>\n                      risk from baseline at both 3\u2010 and 6\u2010month follow\u2010ups, indicating the significant impact of the\n                      <jats:styled-content style=\"fixed-case\">OST CHOICES<\/jats:styled-content>\n                      intervention. Women in the\n                      <jats:styled-content style=\"fixed-case\">OST CHOICES<\/jats:styled-content>\n                      Program were more likely to reduce their risk for\n                      <jats:styled-content style=\"fixed-case\">AEP<\/jats:styled-content>\n                      by utilizing contraception, rather than decreasing binge drinking.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Even with minor changes to make the\n                      <jats:styled-content style=\"fixed-case\">CHOICES<\/jats:styled-content>\n                      intervention culturally and linguistically appropriate and the potential threats to program validity those changes entail, we found a significant impact in reducing\n                      <jats:styled-content style=\"fixed-case\">AEP<\/jats:styled-content>\n                      risk. This highlights the capacity for the\n                      <jats:styled-content style=\"fixed-case\">CHOICES<\/jats:styled-content>\n                      intervention to be implemented in a wide variety of settings and populations.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.13348","type":"journal-article","created":{"date-parts":[[2017,2,7]],"date-time":"2017-02-07T19:32:42Z","timestamp":1486495962000},"page":"828-835","source":"Crossref","is-referenced-by-count":39,"title":["Impact of the\n                    <scp>CHOICES<\/scp>\n                    Intervention in Preventing Alcohol\u2010Exposed Pregnancies in American Indian Women"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0824-1920","authenticated-orcid":false,"given":"Jessica D.","family":"Hanson","sequence":"first","affiliation":[{"name":"Sanford Research Sioux Falls South Dakota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan E.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Sanford Research Sioux Falls South Dakota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie L.","family":"Jensen","sequence":"additional","affiliation":[{"name":"Sanford Research Sioux Falls South Dakota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Willman","sequence":"additional","affiliation":[{"name":"Sanford Research Sioux Falls South Dakota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacque","family":"Jacobs\u2010Knight","sequence":"additional","affiliation":[{"name":"Oglala Sioux Tribe CHOICES Program Pine Ridge South Dakota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Ingersoll","sequence":"additional","affiliation":[{"name":"University of Virginia School of Medicine Charlottesville Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2,28]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Agency for Healthcare Research and Quality(2014)Diabetes disparities among racial and ethnic minorities. 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