Details:

Alternative Title:
Contemp Clin Trials
Publisher's site:
http://dx.doi.org/10.1016/j.cct.2016.12.014
Personal Author:
Ewing, Alexander C. ; Kottke, Melissa J. ; Kraft, Joan Marie ; Sales, Jessica M. ; Brown, Jennifer L. ; ... More +
Ewing, Alexander C. ; Kottke, Melissa J. ; Kraft, Joan Marie ; Sales, Jessica M. ; Brown, Jennifer L. ; Goedken, Peggy ; Wiener, Jeffrey ; Kourtis, Athena P. ; Less -
Description:
Background African American adolescent females are at elevated risk for unintended pregnancy and sexually transmitted infections (STIs). Dual protection (DP) is defined as concurrent prevention of pregnancy and STIs. This can be achieved by abstinence, consistent condom use, or the dual methods of condoms plus an effective non-barrier contraceptive. Previous clinic-based interventions showed short-term effects on increasing dual method use, but evidence of sustained effects on dual method use and decreased incident pregnancies and STIs are lacking. Methods/Design This manuscript describes the 2GETHER Project. 2GETHER is a randomized controlled trial of a multi-component intervention to increase dual protection use among sexually active African American females aged 14–19 years not desiring pregnancy at a Title X clinic in Atlanta, GA. The intervention is clinic-based and includes a culturally tailored interactive multimedia component and counseling sessions, both to assist in selection of a DP method and to reinforce use of the DP method. The participants are randomized to the study intervention or the standard of care, and followed for 12 months to evaluate how the intervention influences DP method selection and adherence, pregnancy and STI incidence, and participants’ DP knowledge, intentions, and self-efficacy. Discussion The 2GETHER Project is a novel trial to reduce unintended pregnancies and STIs among African American adolescents. The intervention is unique in the comprehensive and complementary nature of its components and its individual tailoring of provider-patient interaction. If the trial interventions are shown to be effective, then it will be reasonable to assess their scalability and applicability in other populations.
Subject:
[+]
Adolescent
Adolescents
African Americans
Article
Condoms
Contraception
Counseling
Dual Protection
Female
Georgia
Health Knowledge, Attitudes, Practice
Humans
Intention
Kaplan-Meier Estimate
Motivational Interviewing
Multimedia
Patient Compliance
Patient Education As Topic
Pregnancy
Pregnancy In Adolescence
Proportional Hazards Models
Reproductive Health
Self Efficacy
Sexual Abstinence
Sexually Transmitted Diseases
Sexually Transmitted Infections
Unintended Pregnancy
Young Adult

Source:
Contemp Clin Trials. 54:1-7. ;
Pubmed ID:
28007634
Pubmed Central ID:
PMC5890330
Document Type:
Journal Article ;
Funding:
U01 DP003894/DP/NCCDPHP CDC HHS/United States ;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:402929e401ef898817949f642b93ce87213d439cbeb706f638d99e3405a4ff5a
File Type:

Supporting Files

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