Native It's Your Game (NIYG)Native It’s Your Game (NIYG): is an online, 13 lesson, culturally-appropriate sexual health curriculum that was adapted for American Indian and Alaska Native (AI/AN) middle school youth, 12-14 years-old. Each lesson lasts between 30-45 minutes, and includes a mix of videos, interactive activities, quizzes, animations, and journal activities. Lessons cover healthy relationships, puberty and reproduction, HIV/STIs, pregnancy, refusal skills-training, and contraception. The study was funded by the Centers for Disease Control and Prevention (CDC) and the Administration for Children and Families (ACF) as a five-year study.