Effects associated with trial outcomes
In Spring 2020 at the onset of the COVID-19 pandemic, a series of COVID-related questions were added to the existing youth survey to measure the perceived impact of COVID-19 on SRH [Questionnaire items were adapted from newly developed measures for COVID-19 [In-depth qualitative interviews were conducted to better understand how the conditions of COVID-19 impacted everyday life at Fort Peck. Interviews were conducted with 31 youths across the reservation who had participated in the first baseline survey during the Spring of 2019. The scope of the qualitative interviews conducted was much larger than the subset of questions used to inform this current analysis. Interview questions and responses regarding the perceived impacts of COVID on sexual and other types of behaviors were extracted from transcripts to inform this current study. During the semi-structured interview, study participants were asked about their personal and friends' engagement in romantic and/or sexual relationships during the COVID-19 pandemic. Participants were asked: “Are you in a romantic and/or sexual relationship? If so, how the COVID-19 pandemic over the last year affected your relationship?” and “How did people in romantic relationships maintain their romantic relationships over the past year during COVID-19 pandemic?” among others. These questions were fielded in order to provide additional context regarding the study’s primary outcome variable.