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Adolescent Pregnancy Prevention Among Youths Living in Group Care Homes: A Cluster Randomized Controlled Trial

Roy F Oman1, Sara K Vesely1, Jennifer Green1

  • 1Roy 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.

American Journal of Public Health
|February 15, 2018
PubMed

Insights

The Power Through Choices (PTC) intervention effectively reduced unprotected sex and pregnancy among system-involved youth in group homes. This sexual health education program shows promise for improving reproductive health outcomes in this vulnerable population.

Area of Science:

  • Public Health
  • Reproductive Health
  • Adolescent Health

Background:

  • System-involved youth in group care are a vulnerable population with high rates of sexual activity and unintended pregnancies.
  • Effective sexual health interventions are crucial for this demographic to improve reproductive health outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of the Power Through Choices (PTC) intervention in increasing birth control use and reducing pregnancy among system-involved youths.
  • To assess the impact of PTC on sexual behaviors and pregnancy rates in a group care setting.

Main Methods:

  • A 2-arm cluster randomized controlled trial was conducted in group care homes across three states.
  • 1036 sexually experienced, racially diverse adolescents (mean age 16.1) participated, with data collected via self-administered questionnaires at baseline, post-intervention, and 6- and 12-month follow-ups.

Main Results:

  • At 6-month follow-up, the intervention group showed significantly lower odds of recent unprotected sexual intercourse (AOR=0.72).
  • At 12-month follow-up, the intervention group had significantly lower odds of ever being pregnant or causing a pregnancy (AOR=0.67).

Conclusions:

  • The Power Through Choices intervention is an effective sexual health education program for system-involved youth.
  • PTC can be successfully implemented in group care settings to improve reproductive health among sexually experienced, multiracial adolescents.
Abstract

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