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Related Experiment Videos

Using randomized designs to evaluate client-centered programs to prevent adolescent pregnancy.

D McBride1, A Gienapp

  • 1Washington Institute for Mental Illness Research and Training, University of Washington, Tacoma, USA.

Family Planning Perspectives
|October 13, 2000
PubMed
Summary

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This summary is machine-generated.

Intensive, client-centered programs show limited success in preventing adolescent pregnancy. More intervention time and services are needed for high-risk youth to achieve significant behavioral changes.

Area of Science:

  • Public Health
  • Adolescent Health
  • Program Evaluation

Background:

  • Adolescent pregnancy prevention programs, particularly curriculum-based ones, lack convincing evidence of success.
  • Existing evaluation methods are often inadequate for assessing program effectiveness.
  • Rigorous evaluation is crucial for identifying effective adolescent pregnancy prevention strategies.

Purpose of the Study:

  • To evaluate the effectiveness of a client-centered approach in reducing pregnancy among high-risk young people.
  • To assess the impact of tailored services like counseling, mentoring, and advocacy.

Main Methods:

  • An experimental design with randomized treatment and control groups was employed.
  • The study involved 1,042 youth (ages 9-13) and 690 teenagers (ages 14-17) across seven communities.
Keywords:
Adolescent Pregnancy--prevention and controlAdolescentsAge FactorsAmericasBehaviorContraceptionContraceptive UsageData CollectionDemographic FactorsDeveloped CountriesFamily PlanningFertilityFocus GroupsNorth AmericaNorthern AmericaOrganization And AdministrationPopulationPopulation CharacteristicsPopulation DynamicsProgram EvaluationProgramsReproductive BehaviorResearch MethodologyResearch ReportSex BehaviorUnited StatesWashingtonYouth

Related Experiment Videos

  • Services included individualized counseling, mentoring, and advocacy.

    • Main Results:

    • Treatment groups received significantly more service hours (14-27 hours) than control groups (2-5 hours).
    • Some positive effects were observed, including reduced intention for intercourse, decreased substance use, and improved contraceptive use in specific sites.
    • No significant effects were found on sexual values, educational aspirations, parent communication, or overall sexual/contraceptive behavior.

    Conclusions:

    • High-risk adolescents require substantially more intervention time and intensive services than typically provided.
    • Rigorous evaluation designs are essential for ongoing assessment and program modification to maximize impact.