IMPORTANCE: Preventing early pregnancy among vulnerable adolescents requires innovative and sustained approaches. Prime Time, a youth development intervention, aims to reduce pregnancy risk among adolescent girls seeking clinic services who are at high risk for pregnancy. OBJECTIVE: To evaluate sexual risk behaviors and related outcomes with a 24-month postbaseline survey, 6 months after the conclusion of the Prime Time intervention. DESIGN: Randomized controlled trial. SETTING: Community and school-based primary care clinics. PARTICIPANTS: Of 253 sexually active 13- to 17-year-old girls meeting specified risk criteria, 236 (93.3%) completed the 24-month follow-up survey. INTERVENTION: Offered during an 18-month period, Prime Time includes case management and youth leadership programs. MAIN OUTCOME MEASURES: Self-reported consistency of condom, hormonal, and dual-method contraceptive use with most recent male sex partner and number of male sex partners in the past 6 months. RESULTS: At 24-month follow-up, the intervention group reported significantly more consistent use of condoms, hormonal contraception, and dual-method contraception than the control group. Intervention participants also reported improvements in family connectedness and self-efficacy to refuse unwanted sex, and reductions in the perceived importance of having sex. No between-group differences were found in the number of recent male sex partners. CONCLUSIONS AND RELEVANCE: This study contributes to what has been a dearth of evidence regarding youth development interventions offered through clinic settings, where access to high-risk adolescents is plentiful but few efforts have emphasized a dual approach of strengthening sexual and nonsexual protective factors while addressing risk. Findings suggest that health services grounded in a youth development framework can lead to long-term reductions in sexual risk among vulnerable youth.
RCT Entities:
IMPORTANCE: Preventing early pregnancy among vulnerable adolescents requires innovative and sustained approaches. Prime Time, a youth development intervention, aims to reduce pregnancy risk among adolescent girls seeking clinic services who are at high risk for pregnancy. OBJECTIVE: To evaluate sexual risk behaviors and related outcomes with a 24-month postbaseline survey, 6 months after the conclusion of the Prime Time intervention. DESIGN: Randomized controlled trial. SETTING: Community and school-based primary care clinics. PARTICIPANTS: Of 253 sexually active 13- to 17-year-old girls meeting specified risk criteria, 236 (93.3%) completed the 24-month follow-up survey. INTERVENTION: Offered during an 18-month period, Prime Time includes case management and youth leadership programs. MAIN OUTCOME MEASURES: Self-reported consistency of condom, hormonal, and dual-method contraceptive use with most recent male sex partner and number of male sex partners in the past 6 months. RESULTS: At 24-month follow-up, the intervention group reported significantly more consistent use of condoms, hormonal contraception, and dual-method contraception than the control group. Intervention participants also reported improvements in family connectedness and self-efficacy to refuse unwanted sex, and reductions in the perceived importance of having sex. No between-group differences were found in the number of recent male sex partners. CONCLUSIONS AND RELEVANCE: This study contributes to what has been a dearth of evidence regarding youth development interventions offered through clinic settings, where access to high-risk adolescents is plentiful but few efforts have emphasized a dual approach of strengthening sexual and nonsexual protective factors while addressing risk. Findings suggest that health services grounded in a youth development framework can lead to long-term reductions in sexual risk among vulnerable youth.
Authors: Nancy D Brener; Laura Kann; Tim McManus; Steven A Kinchen; Elizabeth C Sundberg; James G Ross Journal: J Adolesc Health Date: 2002-10 Impact factor: 5.012
Authors: Richard F Catalano; Abigail A Fagan; Loretta E Gavin; Mark T Greenberg; Charles E Irwin; David A Ross; Daniel T L Shek Journal: Lancet Date: 2012-04-25 Impact factor: 79.321
Authors: Alan E Hubbard; Jennifer Ahern; Nancy L Fleischer; Mark Van der Laan; Sheri A Lippman; Nicholas Jewell; Tim Bruckner; William A Satariano Journal: Epidemiology Date: 2010-07 Impact factor: 4.822
Authors: Renee E Sieving; Debra H Bernat; Michael D Resnick; Jennifer Oliphant; Sandra Pettingell; Shari Plowman; Carol Skay Journal: Health Promot Pract Date: 2011-05-23
Authors: Elizabeth Lando-King; Annie-Laurie McRee; Amy L Gower; Rebecca J Shlafer; Barbara J McMorris; Sandra Pettingell; Renee E Sieving Journal: J Sex Res Date: 2015-01-26
Authors: Renee E Sieving; Annie-Laurie McRee; Molly Secor-Turner; Ann W Garwick; Linda H Bearinger; Kara J Beckman; Barbara J McMorris; Michael D Resnick Journal: Perspect Sex Reprod Health Date: 2014-03-20
Authors: Alexandra M Minnis; Evan vanDommelen-Gonzalez; Ellen Luecke; William Dow; Sergio Bautista-Arredondo; Nancy S Padian Journal: J Adolesc Health Date: 2014-02-08 Impact factor: 5.012
Authors: Anna Kågesten; Jenita Parekh; Ozge Tunçalp; Shani Turke; Robert William Blum Journal: Am J Public Health Date: 2014-10-16 Impact factor: 9.308
Authors: Chioma Oringanje; Martin M Meremikwu; Hokehe Eko; Ekpereonne Esu; Anne Meremikwu; John E Ehiri Journal: Cochrane Database Syst Rev Date: 2016-02-03