Prime Time: 12-Month Sexual Health Outcomes of a Clinic-Based Intervention to Prevent Pregnancy Risk Behaviors
Published Date:Mar 15 2011
Source:J Adolesc Health. 49(2):172-179.
Pubmed Central ID:PMC3143373
Funding:5R01-NR008778/NR/NINR NIH HHS/United States
R01 NR008778/NR/NINR NIH HHS/United States
R01 NR008778-01A2/NR/NINR NIH HHS/United States
R01 NR008778-02/NR/NINR NIH HHS/United States
R01 NR008778-03/NR/NINR NIH HHS/United States
R01 NR008778-04/NR/NINR NIH HHS/United States
R01 NR008778-05/NR/NINR NIH HHS/United States
T01-DP000112/DP/NCCDPHP CDC HHS/United States
U48-DP001939/DP/NCCDPHP CDC HHS/United States
Prime Time, a youth development intervention, aims to reduce pregnancy risk among adolescent girls seeking clinic services who are at high risk for pregnancy. This paper examines sexual risk behaviors and hypothesized psychosocial mediators after 12 months of the Prime Time intervention.
Randomized controlled trial with 253 girls ages 13-17 years meeting specified risk criteria. Intervention participants were involved in Prime Time programming plus usual clinic services for 18 months, control participants received usual clinic services. The intervention employed a combination of case management and peer leadership programs. Participants in this interim outcomes study completed self-report surveys at baseline and 12 months following enrollment. Surveys assessed sexual risk behaviors and psychosocial factors targeted for change by Prime Time.
At the 12-month interim, the intervention group reported more consistent use of condoms, hormonal contraception and dual contraceptive methods with their most recent partner than did the control group. The intervention group also reported greater stress management skills with trends towards higher levels of pro-social connectedness at school and with family. No between-group differences were noted in psychosocial measures specific to sex and contraceptive use.
Preventing early pregnancy among high-risk adolescents requires multifaceted, sustained approaches. An important research focus involves testing youth development interventions offered through clinic settings, where access to high-risk adolescents is plentiful and few efforts have emphasized a dual approach of building protective factors while addressing risk. Findings suggest that youth development interventions through clinic settings hold promise in reducing pregnancy risk among high-risk youth.
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