Randomized controlled trial of ¡®teens and toddlers¡¯: A teenage pregnancy prevention intervention combining youth development and voluntary service in a nursery

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• 作者：Chris Bonell ; Ruth Maisey ; Svetlana Speight ; Susan Purdon ; Peter Keogh ; Ivonne Wollny ; Annik Sorhaindo ; Kaye Wellings
• 关键词：Pregnancy in adolescence [MeSH) ; Health promotion [MeSH] ; Randomized controlled trial [MeSH] ; Adolescent [MeSH] ; Sexual behaviour [MeSH] ; Schools ; nursery [MeSH]
• 刊名：Journal of Adolescence
• 出版年：2013
• 出版时间：October, 2013
• 年：2013
• 卷：36
• 期：5
• 页码：859-870
• 全文大小：279 K

文摘

We conducted an independent evaluation of the ¡°Teens and Toddlers¡± intervention. Our randomized trial examined effects on self-reported last sex without contraception, >1 episode of sex without contraception in previous 3 months, expectation of teenage parenthood and youth development score, plus secondary outcomes among 449 at-risk girls age 13/14 in England. The intervention involves 18-20 weekly sessions in pre-school nurseries. Response rates were 95 % post-intervention and 91 % one year later. At follow-up two, there was no evidence of intervention benefits for primary outcomes and a positive impact for our secondary outcome, low self-esteem. At follow-up one, there was no evidence of benefits for our primary outcomes but evidence of benefits for our secondary outcomes: low self-esteem; low sexual health knowledge; and difficulty discussing the contraceptive pill. The intervention should be refined, with a clearer logic model and more emphasis on sex education, and re-evaluated.