The WHEEL Club is a culturally-grounded HIV/Substance use prevention program developed for 12- to 15-year-old minority youth. Within the U.S., HIV incidence rates among ethnic/racial minority populations far exceed rates among Caucasians. Unprotected partnered sexual contact and substance use are independent risk factors for HIV seroconversion. The WHEEL Club is a multi-cultural model of HIV prevention for Latino youth. The WHEEL curriculum uses both Western and non-Western learning modalities. Cultural stories, role plays, skill practice, and art are integrated into a holistic program.
The Storytelling for Empowerment program was designed to use both the risk and resiliency models; this was established by using a positive peer group, by teaching a positive cultural identity, and by including storytelling and art for emotional expression. An emphasis on the curriculum was cultural identity using stories to transmit cultural values and identity. The program is delivered by youth workers during school lunches and after school programs. Quasi experimental design analyses have demonstrated the WHEEL program:
1) increases participants’ knowledge about the biological effects of HIV and substance use (including alcohol, nicotine, methamphetamine, and inhalants),
2) increases perceptions of the range of social contexts which may surround or facilitate unprotected sexual behavior or substance use,
3) increases scores on perceived risk of drug use, and
4) increases perceptions that youth can implement self-protective behavior in their social lives.
In this presentation, we outline the WHEEL curriculum, detail the structured activities (based on multiple epistemologies ), and provide efficacy data on intervention effectiveness. This project was funded by SAMHSA/CSAP and is listed by the US government in the National Registry of Effective Prevention Programs.
Conflict of Interest: None disclosed
Financial Support/Funding: Samhsa/Csap (United Stated Federal Government)
Recorded Sydney Australia, April 2007