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Adolescent pregnancy prevention among youths living in group care homes: A cluster randomized controlled trial

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  • Oman, R.F.
  • Vesely, S.K.
  • Green, J.
  • Clements-Nolle, K.
  • Lu, M.

Abstract

Objectives. 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. Methods. 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%). Results. 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). Conclusions. 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.

Suggested Citation

  • Oman, R.F. & Vesely, S.K. & Green, J. & Clements-Nolle, K. & Lu, M., 2018. "Adolescent pregnancy prevention among youths living in group care homes: A cluster randomized controlled trial," American Journal of Public Health, American Public Health Association, vol. 108, pages 38-44.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2017.304126_7
    DOI: 10.2105/AJPH.2017.304126
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    Cited by:

    1. Lieberman, Lisa D. & Kaplan, Alejandra & Scholey, Laura & Kohomban, Jeremy & Lausell-Bryant, Linda, 2020. "Strategic partners: Enhancing the ability of foster care agencies to serve the special needs of young mothers," Children and Youth Services Review, Elsevier, vol. 110(C).
    2. Finigan-Carr, Nadine M. & Craddock, Jaih B. & Johnson, Tonya, 2021. "Predictors of condom use among system-involved youth: The importance of Sex Ed," Children and Youth Services Review, Elsevier, vol. 127(C).
    3. Salerno, John P. & Kachingwe, Olivia N. & Fish, Jessica N. & Parekh, Eshana & Geddings-Hayes, Melanie & Boekeloo, Bradley O. & Aparicio, Elizabeth M., 2020. "“Even if you think you can trust them, don’t trust them”: An exploratory analysis of the lived experiences of sexual health among sexual minority girls in foster care," Children and Youth Services Review, Elsevier, vol. 116(C).
    4. Combs, Katie Massey & Aparicio, Elizabeth M. & Prince, Dana M. & Grinnell-Davis, Claudette & Marra, Laura & Faulkner, Monica, 2019. "Evidence-based sexual health programs for youth involved with juvenile justice and child welfare systems: Outcomes across settings," Children and Youth Services Review, Elsevier, vol. 100(C), pages 64-69.
    5. Olga Fernández-García & María Dolores Gil-Llario & Rafael Ballester-Arnal, 2022. "Sexual Health among Youth in Residential Care in Spain: Knowledge, Attitudes and Behaviors," IJERPH, MDPI, vol. 19(19), pages 1-14, October.
    6. Ellie Brown & Samantha Lo Monaco & Brian O’Donoghue & Hayley Nolan & Elizabeth Hughes & Melissa Graham & Magenta Simmons & Richard Gray, 2021. "Improving the Sexual Health of Young People (under 25) in High-Risk Populations: A Systematic Review of Behavioural and Psychosocial Interventions," IJERPH, MDPI, vol. 18(17), pages 1-25, August.

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