Life Skill Development, Pregnancy Prevention
Conditions
Brief summary
Randomized trial of a rapid repeat pregnancy prevention program for adolescent mothers. Five hundred adolescent mothers from central Ohio will be enrolled--half will be assigned to an intervention that features nurses and social workers providing extra assistance during late pregnancy and the early postnatal period and half will be assigned to a standard of care intervention. OhioHealth is the lead entity. Nationwide Children's Hospital serves as the local independent evaluator. This federally funded contract is supported by the Family and Youth Services Bureau.
Interventions
BEHAVIORALHealthy Adolescent Transitions (HAT) program
The components of the intervention are described in the arm description. The intervention is based upon the theoretical framework of behavioral economics, which suggests that low intensity nudges can help recipients accomplish their own goals. All components of the intervention are voluntary; some participants may wish to discuss all components, while other participants may wish to discuss selected components consistent with their priorities.
Sponsors
OhioHealth Research and Innovation Institute
Jack Stevens
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
14 Years to 19 Years
Healthy volunteers
Yes
Inclusion criteria
(at baseline) 1. Age 14-19 years 2. 24-35 weeks gestation 3. Medicaid insurance 4. Central Ohio resident 5. English speaking 6. Ability to provide informed consent (18-19 years of age) or minor assent and parental consent (\<18 years of age) 7. Willingness to complete study-related surveys and coaching sessions 8. Patient must have her own smartphone, capable of running the study-related mobile application 9. Patient must have regular access to cellular or WiFi service
Exclusion criteria
1. Patients \< 13 years or \>19 years 2. Non-English speaking 3. \<24 or \>35 weeks of gestation 4. Primary residence is located outside of central Ohio 5. Another adolescent from the household has already been enrolled in the program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Long acting reversible contraception | 12 months post enrollment | Use of long acting reversible contraception |
| Repeat pregnancy | 21 months post enrollment | Repeat pregnancy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| School completion | 21 months post enrollment | Highest grade completed |
| Medical home | 21 months post enrollment | Use of primary care services |
| Nicotine use | 21 months post enrollment | Use of cigarettes and vapor products |
| Employment | 21 months post enrollment | Number of hours worked per week |
| Healthy eating behaviors | 21 months post enrollment | Eating nutritional food according to items from Youth Risk Behavior Survey |
| Financial literacy | 21 months post enrollment | Understanding of financial terminology |
Countries
United States
Outcome results
None listed