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

To determine if the Power Through Choices (PTC) intervention can increase the use of birth control and reduce pregnancy among system-involved youths living in group care homes. We performed a 2-arm cluster randomized controlled trial involving group care homes operated by child welfare or juvenile j...

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Bibliographic Details
Published in:American journal of public health (1971) 2018-02, Vol.108 (S1), p.S38-S44
Main Authors: Oman, Roy F, Vesely, Sara K, Green, Jennifer, Clements-Nolle, Kristen, Lu, Minggen
Format: Article
Language:English
Subjects:
Addictive behaviors
Adolescent Health
Age
AJPH Research
Behavior
Birth
Birth control
Child welfare
Childbirth & labor
Clinical trials
Clusters
Confidence intervals
Contraception
Curricula
Data collection
Educational systems
Foster care
Group homes
Health education
Health Promotion
Intervention
Juvenile delinquency
Juvenile justice
Multiculturalism & pluralism
Other Birth Control
Personal health
Population
Pregnancy
Prevention
Public health
Questionnaires
Randomization
Response rates
Sexual behavior
Sexual Health
Sexual intercourse
Substance abuse treatment
Teenage pregnancy
Teenagers
Trust
Young adults
Youth
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Summary:To determine if the Power Through Choices (PTC) intervention can increase the use of birth control and reduce pregnancy among system-involved youths living in group care homes. We performed a 2-arm cluster randomized controlled trial involving group care homes operated by child welfare or juvenile justice systems in California, Maryland, and Oklahoma with assessments immediately before and after the intervention, and at 6- and 12-month follow-up. We collected data from 2012 to 2014 via self-administered questionnaires. Participants (n = 1036) were young (mean age = 16.1 years), predominantly male (79%), racially/ethnically diverse (37% Hispanic, 20% Black, 21% White, 17% multiracial), and sexually experienced (88%). At 6-month follow-up, participants in the intervention group had significantly lower odds of having recent sexual intercourse without using birth control (adjusted odds ratio [AOR] = 0.72; 95% confidence interval [CI] = 0.52, 0.98). At 12-month follow-up assessment, participants in the intervention group had significantly lower odds of ever being pregnant or getting someone pregnant (AOR = 0.67; 95% CI = 0.46, 0.99). The results suggest that PTC is an effective sexual health education intervention that can be implemented with system-involved youths who represent a sexually experienced multiracial youth population.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2017.304126