Prime time: 12-month sexual health outcomes of a clinic-based intervention to prevent pregnancy risk behaviors

Renee E. Sieving, Barbara J. McMorris, Kara J. Beckman, Sandra L. Pettingell, Molly Secor-Turner, Kari Kugler, Ann W. Garwick, Michael D. Resnick, Linda H. Bearinger

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Purpose Prime Time, a youth development intervention, aims to reduce pregnancy risk among adolescent girls seeking clinic service who are at high risk for pregnancy. This article examines sexual risk behaviors and hypothesized psychosocial mediators after 12 months of the Prime Time intervention. Methods This study was a randomized controlled trial with 253 girls aged 1317 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 used a combination of case management and peer leadership programs. Participants in this interim outcomes study completed self-report surveys at baseline and 12 months after enrollment. Surveys assessed sexual risk behaviors and psychosocial factors targeted for change by Prime Time. Results 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 as compared with the control group. The intervention group also reported greater stress management skills with trends toward higher levels of prosocial connectedness at school and with family. No between-group differences were noted in psychosocial measures specific to sex and contraceptive use. Conclusion 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.

Original languageEnglish (US)
Pages (from-to)172-179
Number of pages8
JournalJournal of Adolescent Health
Volume49
Issue number2
DOIs
StatePublished - Aug 1 2011

Fingerprint

Reproductive Health
Risk-Taking
Pregnancy
High-Risk Pregnancy
Contraception
Sexual Behavior
Condoms
Case Management
Contraceptive Agents
Self Report
Randomized Controlled Trials
Outcome Assessment (Health Care)
Psychology
Control Groups
Research

Keywords

  • Adolescent clinical services
  • Randomized trial
  • Teen pregnancy prevention
  • Vulnerable populations
  • Youth development interventions

Cite this

Prime time : 12-month sexual health outcomes of a clinic-based intervention to prevent pregnancy risk behaviors. / Sieving, Renee E.; McMorris, Barbara J.; Beckman, Kara J.; Pettingell, Sandra L.; Secor-Turner, Molly; Kugler, Kari; Garwick, Ann W.; Resnick, Michael D.; Bearinger, Linda H.

In: Journal of Adolescent Health, Vol. 49, No. 2, 01.08.2011, p. 172-179.

Research output: Contribution to journalArticle

@article{dd80d8d97d6d4adf8b6b367a3da1abfb,
title = "Prime time: 12-month sexual health outcomes of a clinic-based intervention to prevent pregnancy risk behaviors",
abstract = "Purpose Prime Time, a youth development intervention, aims to reduce pregnancy risk among adolescent girls seeking clinic service who are at high risk for pregnancy. This article examines sexual risk behaviors and hypothesized psychosocial mediators after 12 months of the Prime Time intervention. Methods This study was a randomized controlled trial with 253 girls aged 1317 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 used a combination of case management and peer leadership programs. Participants in this interim outcomes study completed self-report surveys at baseline and 12 months after enrollment. Surveys assessed sexual risk behaviors and psychosocial factors targeted for change by Prime Time. Results 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 as compared with the control group. The intervention group also reported greater stress management skills with trends toward higher levels of prosocial connectedness at school and with family. No between-group differences were noted in psychosocial measures specific to sex and contraceptive use. Conclusion 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.",
keywords = "Adolescent clinical services, Randomized trial, Teen pregnancy prevention, Vulnerable populations, Youth development interventions",
author = "Sieving, {Renee E.} and McMorris, {Barbara J.} and Beckman, {Kara J.} and Pettingell, {Sandra L.} and Molly Secor-Turner and Kari Kugler and Garwick, {Ann W.} and Resnick, {Michael D.} and Bearinger, {Linda H.}",
year = "2011",
month = "8",
day = "1",
doi = "10.1016/j.jadohealth.2010.12.002",
language = "English (US)",
volume = "49",
pages = "172--179",
journal = "Journal of Adolescent Health",
issn = "1054-139X",
publisher = "Elsevier USA",
number = "2",

}

TY - JOUR

T1 - Prime time

T2 - 12-month sexual health outcomes of a clinic-based intervention to prevent pregnancy risk behaviors

AU - Sieving, Renee E.

AU - McMorris, Barbara J.

AU - Beckman, Kara J.

AU - Pettingell, Sandra L.

AU - Secor-Turner, Molly

AU - Kugler, Kari

AU - Garwick, Ann W.

AU - Resnick, Michael D.

AU - Bearinger, Linda H.

PY - 2011/8/1

Y1 - 2011/8/1

N2 - Purpose Prime Time, a youth development intervention, aims to reduce pregnancy risk among adolescent girls seeking clinic service who are at high risk for pregnancy. This article examines sexual risk behaviors and hypothesized psychosocial mediators after 12 months of the Prime Time intervention. Methods This study was a randomized controlled trial with 253 girls aged 1317 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 used a combination of case management and peer leadership programs. Participants in this interim outcomes study completed self-report surveys at baseline and 12 months after enrollment. Surveys assessed sexual risk behaviors and psychosocial factors targeted for change by Prime Time. Results 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 as compared with the control group. The intervention group also reported greater stress management skills with trends toward higher levels of prosocial connectedness at school and with family. No between-group differences were noted in psychosocial measures specific to sex and contraceptive use. Conclusion 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.

AB - Purpose Prime Time, a youth development intervention, aims to reduce pregnancy risk among adolescent girls seeking clinic service who are at high risk for pregnancy. This article examines sexual risk behaviors and hypothesized psychosocial mediators after 12 months of the Prime Time intervention. Methods This study was a randomized controlled trial with 253 girls aged 1317 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 used a combination of case management and peer leadership programs. Participants in this interim outcomes study completed self-report surveys at baseline and 12 months after enrollment. Surveys assessed sexual risk behaviors and psychosocial factors targeted for change by Prime Time. Results 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 as compared with the control group. The intervention group also reported greater stress management skills with trends toward higher levels of prosocial connectedness at school and with family. No between-group differences were noted in psychosocial measures specific to sex and contraceptive use. Conclusion 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.

KW - Adolescent clinical services

KW - Randomized trial

KW - Teen pregnancy prevention

KW - Vulnerable populations

KW - Youth development interventions

UR - http://www.scopus.com/inward/record.url?scp=79960732693&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79960732693&partnerID=8YFLogxK

U2 - 10.1016/j.jadohealth.2010.12.002

DO - 10.1016/j.jadohealth.2010.12.002

M3 - Article

C2 - 21783050

AN - SCOPUS:79960732693

VL - 49

SP - 172

EP - 179

JO - Journal of Adolescent Health

JF - Journal of Adolescent Health

SN - 1054-139X

IS - 2

ER -