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Evaluating service programs for school-age parents: design problems.

L V Klerman

    Evaluation & the Health Professions
    |February 11, 1979
    PubMed
    Summary
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    Special programs for pregnant teens show some success in medical and short-term education but struggle with long-term goals like continued schooling and economic independence.

    Area of Science:

    • Public Health
    • Sociology
    • Adolescent Health

    Background:

    • Societal concern over school-age pregnancy has led to specialized service programs.
    • Many such programs for pregnant girls and young parents exist in communities.
    • Few programs have undergone rigorous evaluation of their effectiveness.

    Purpose of the Study:

    • To review and assess the evaluation methodologies of existing school-age pregnancy programs.
    • To identify strengths and weaknesses in current program evaluations.
    • To provide recommendations for improving future program design and evaluation.

    Main Methods:

    • Analysis of existing reports on program evaluations for pregnant adolescents.
    • Identification of common methodological limitations in these studies.

    Related Experiment Videos

  • Review of reported program outcomes across medical, educational, and counseling domains.

    • Main Results:

    • Most evaluations suffer from significant methodological weaknesses, including lack of control groups and unclear goals.
    • Programs show some success in immediate medical care and short-term educational support.
    • Limited success is reported in long-term educational continuation, prevention of subsequent pregnancies, and economic self-sufficiency.

    Conclusions:

    • Current evaluations of teen pregnancy programs are often methodologically flawed.
    • While short-term gains are observed, long-term impacts on education and independence remain a challenge.
    • Improved study designs, realistic goals, and broader evaluative methods are crucial for enhancing program effectiveness.