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Replicating the use of motivational interviewing and facilitated contraceptive access to reduce repeat adolescent pregnancy: A randomized trial.

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Titel: Replicating the use of motivational interviewing and facilitated contraceptive access to reduce repeat adolescent pregnancy: A randomized trial.
Autoren: Harding JF; Mathematica, Princeton, NJ, United States. Electronic address: jharding@mathematica-mpr.com., Walzer J; Mathematica, Princeton, NJ, United States., Piatt R; Mathematica, Princeton, NJ, United States., Goesling B; Mathematica, Princeton, NJ, United States.
Quelle: Contraception [Contraception] 2025 Dec; Vol. 152, pp. 111200. Date of Electronic Publication: 2025 Sep 01.
Publikationsart: Journal Article; Randomized Controlled Trial
Sprache: English
Info zur Zeitschrift: Publisher: Elsevier Country of Publication: United States NLM ID: 0234361 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-0518 (Electronic) Linking ISSN: 00107824 NLM ISO Abbreviation: Contraception Subsets: MEDLINE
Imprint Name(s): Publication: New York : Elsevier
Original Publication: Los Altos, Calif., Geron-X.
MeSH-Schlagworte: Motivational Interviewing*/methods , Pregnancy in Adolescence*/prevention & control , Contraception Behavior*/statistics & numerical data , Health Services Accessibility* , Contraception*/methods, Humans ; Adolescent ; Female ; Pregnancy ; Young Adult ; Child ; New York City ; Pregnancy, Unplanned ; Family Planning Services ; Male
Abstract: Objectives: It is important to identify programs that can work in multiple contexts to support adolescent parents in achieving their reproductive health goals. A randomized controlled trial in Ohio in 2012 found that the Teen Options to Prevent Pregnancy program increased contraceptive use and reduced repeat pregnancy, including unintended pregnancy, among adolescent parents. To facilitate access to contraceptives and support adolescents who wish to avoid repeat pregnancy, this 18-month program offers monthly motivational interviewing sessions with health care workers and assistance from social workers. This randomized controlled trial examined whether program impacts on increased contraceptive use and reduced repeat pregnancies could be replicated in New York City (NYC).
Study Design: From 2020 to 2022, 702 pregnant and parenting adolescents ages 10 to 20 years were enrolled from seven NYC hospitals. Participants were randomized to either NYC-Teen Options to Prevent Pregnancy or a usual-care control condition, which included potential access to contraceptives through either Title X or federally qualified health centers. Five hundred and fifteen participants completed follow-up surveys approximately 18 months after enrollment. Differences in outcomes were assessed using ordinary least squares regression.
Results: The study did not detect impacts on receipt of reproductive health information, contraceptive knowledge, contraceptive use, repeat pregnancy (the preregistered primary outcome), repeat unintended pregnancy, or other sexual risk behaviors. Participants in the treatment group agreed more strongly that they had received information to find community resources to support their family. The null results may be due to implementation challenges, including low treatment dosage, staff turnover, and limitations on in-person meetings and access to contraceptives related to the COVID-19 pandemic.
Conclusions: More research is needed to replicate evidence-based programs to support adolescent parents' reproductive planning.
Implications: An effort to replicate Teen Options to Prevent Pregnancy in NYC did not detect impacts on contraceptive use or repeat pregnancy outcomes. Future replications of this and other programs are needed to identify whether multicomponent programs can work in multiple contexts and at scale to support adolescent parents in achieving their reproductive health goals, such as avoiding repeat pregnancy.
(Copyright © 2025 Elsevier Inc. All rights reserved.)
Contributed Indexing: Keywords: Adolescent pregnancy; Contraceptive access; LARC use; Motivational interviewing; Rapid repeat pregnancy
Entry Date(s): Date Created: 20250903 Date Completed: 20251031 Latest Revision: 20251031
Update Code: 20251101
DOI: 10.1016/j.contraception.2025.111200
PMID: 40902966
Datenbank: MEDLINE
Beschreibung
Abstract:Objectives: It is important to identify programs that can work in multiple contexts to support adolescent parents in achieving their reproductive health goals. A randomized controlled trial in Ohio in 2012 found that the Teen Options to Prevent Pregnancy program increased contraceptive use and reduced repeat pregnancy, including unintended pregnancy, among adolescent parents. To facilitate access to contraceptives and support adolescents who wish to avoid repeat pregnancy, this 18-month program offers monthly motivational interviewing sessions with health care workers and assistance from social workers. This randomized controlled trial examined whether program impacts on increased contraceptive use and reduced repeat pregnancies could be replicated in New York City (NYC).<br />Study Design: From 2020 to 2022, 702 pregnant and parenting adolescents ages 10 to 20 years were enrolled from seven NYC hospitals. Participants were randomized to either NYC-Teen Options to Prevent Pregnancy or a usual-care control condition, which included potential access to contraceptives through either Title X or federally qualified health centers. Five hundred and fifteen participants completed follow-up surveys approximately 18 months after enrollment. Differences in outcomes were assessed using ordinary least squares regression.<br />Results: The study did not detect impacts on receipt of reproductive health information, contraceptive knowledge, contraceptive use, repeat pregnancy (the preregistered primary outcome), repeat unintended pregnancy, or other sexual risk behaviors. Participants in the treatment group agreed more strongly that they had received information to find community resources to support their family. The null results may be due to implementation challenges, including low treatment dosage, staff turnover, and limitations on in-person meetings and access to contraceptives related to the COVID-19 pandemic.<br />Conclusions: More research is needed to replicate evidence-based programs to support adolescent parents' reproductive planning.<br />Implications: An effort to replicate Teen Options to Prevent Pregnancy in NYC did not detect impacts on contraceptive use or repeat pregnancy outcomes. Future replications of this and other programs are needed to identify whether multicomponent programs can work in multiple contexts and at scale to support adolescent parents in achieving their reproductive health goals, such as avoiding repeat pregnancy.<br /> (Copyright © 2025 Elsevier Inc. All rights reserved.)
ISSN:1879-0518
DOI:10.1016/j.contraception.2025.111200