Roy F Oman1, Sara K Vesely1, Jennifer Green1, Kristen Clements-Nolle1, Minggen Lu1. 1. Roy F. Oman, Kristen Clements-Nolle, and Minggen Lu are with the School of Community Health Sciences, University of Nevada, Reno. Sara K. Vesely is with the Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City. Jennifer Green is with the Riley County Health Department, Manhattan, KS.
Abstract
OBJECTIVES: To determine if the Power Through Choices (PTC) intervention can increase the use of birth control and reduce pregnancy among system-involved youths living in group care homes. METHODS: We performed a 2-arm cluster randomized controlled trial involving group care homes operated by child welfare or juvenile justice systems in California, Maryland, and Oklahoma with assessments immediately before and after the intervention, and at 6- and 12-month follow-up. We collected data from 2012 to 2014 via self-administered questionnaires. Participants (n = 1036) were young (meanage = 16.1 years), predominantly male (79%), racially/ethnically diverse (37% Hispanic, 20% Black, 21% White, 17% multiracial), and sexually experienced (88%). RESULTS: At 6-month follow-up, participants in the intervention group had significantly lower odds of having recent sexual intercourse without using birth control (adjusted odds ratio [AOR] = 0.72; 95% confidence interval [CI] = 0.52, 0.98). At 12-month follow-up assessment, participants in the intervention group had significantly lower odds of ever being pregnant or getting someone pregnant (AOR = 0.67; 95% CI = 0.46, 0.99). CONCLUSIONS: The results suggest that PTC is an effective sexual health education intervention that can be implemented with system-involved youths who represent a sexually experienced multiracial youth population.
RCT Entities:
OBJECTIVES: To determine if the Power Through Choices (PTC) intervention can increase the use of birth control and reduce pregnancy among system-involved youths living in group care homes. METHODS: We performed a 2-arm cluster randomized controlled trial involving group care homes operated by child welfare or juvenile justice systems in California, Maryland, and Oklahoma with assessments immediately before and after the intervention, and at 6- and 12-month follow-up. We collected data from 2012 to 2014 via self-administered questionnaires. Participants (n = 1036) were young (mean age = 16.1 years), predominantly male (79%), racially/ethnically diverse (37% Hispanic, 20% Black, 21% White, 17% multiracial), and sexually experienced (88%). RESULTS: At 6-month follow-up, participants in the intervention group had significantly lower odds of having recent sexual intercourse without using birth control (adjusted odds ratio [AOR] = 0.72; 95% confidence interval [CI] = 0.52, 0.98). At 12-month follow-up assessment, participants in the intervention group had significantly lower odds of ever being pregnant or getting someone pregnant (AOR = 0.67; 95% CI = 0.46, 0.99). CONCLUSIONS: The results suggest that PTC is an effective sexual health education intervention that can be implemented with system-involved youths who represent a sexually experienced multiracial youth population.
Authors: Linda A Teplin; Katherine S Elkington; Gary M McClelland; Karen M Abram; Amy A Mericle; Jason J Washburn Journal: Psychiatr Serv Date: 2005-07 Impact factor: 3.084
Authors: Christine M Markham; Susan R Tortolero; Melissa Fleschler Peskin; Ross Shegog; Melanie Thiel; Elizabeth R Baumler; Robert C Addy; Soledad Liliana Escobar-Chaves; Belinda Reininger; Leah Robin Journal: J Adolesc Health Date: 2011-10-07 Impact factor: 5.012
Authors: Laura Kann; Steve Kinchen; Shari L Shanklin; Katherine H Flint; Joseph Kawkins; William A Harris; Richard Lowry; Emily O'Malley Olsen; Tim McManus; David Chyen; Lisa Whittle; Eboni Taylor; Zewditu Demissie; Nancy Brener; Jemekia Thornton; John Moore; Stephanie Zaza Journal: MMWR Suppl Date: 2014-06-13
Authors: Olivia N Kachingwe; John P Salerno; Bradley O Boekeloo; Jessica N Fish; Melanie Geddings-Hayes; Faduma Aden; Elizabeth M Aparicio Journal: J Adolesc Date: 2020-06-26
Authors: Olga Fernández-García; María Dolores Gil-Llario; Rafael Ballester-Arnal Journal: Int J Environ Res Public Health Date: 2022-10-10 Impact factor: 4.614