Impacts of the Positive Youth Development Program for Expectant and Parenting Teens in California
NCT ID: NCT04181034
Last Updated: 2021-02-25
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
1330 participants
INTERVENTIONAL
2014-12-03
2018-05-25
Brief Summary
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Detailed Description
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The evaluation includes two sub-studies, each with a distinct design. In the first sub-study, individuals were randomly assigned as part of the enrollment process within two provider sites to receive either PYD or AFLP. These two provider sites could support individual random assignment because they had enough case managers and clients to support both study conditions (PYD and AFLP). In the second sub-study, 13 provider sites, each with a smaller number of case managers and clients, were randomly assigned to PYD or AFLP. In this second sub-study, participants enrolled after sites were randomly assigned. Potential study participants were recruited between December 2014 and January 2017, and were considered eligible for participation if they were they (1) were interested in the program, (2) were pregnant or parenting, (3) had not been served at the site in the prior six months, (4) spoke either English or Spanish, (5) were between ages 14 and 18, and (6) were not enrolled in Nurse Family Partnerships.
For sub-study 1, potential participants who were eligible were randomly assigned to (1) a treatment group that was eligible for PYD or (2) a control group that received AFLP. Random assignment was conducted within two blocks determined by random assignment site and whether study participants were pregnant at the time of random assignment or were parenting at the time of random assignment. After random assignment, the study enrollment manager assigned the young mother to a case manager delivering the program to which she was assigned. The assigned case manager then tried to locate and conduct a first visit with each randomized youth mother, but not all could be found. For most who were found and visited, case managers were instructed to follow a script that described the program in general terms (without differentiating between AFLP and PYD) and the study in detail. The script did not reveal the group to which the young mother was assigned. As part of the scripted interaction, case managers sought study consent from young mothers to participate in the study data collection.
For sub-study 2, provider sites were first randomized to either the PYD or AFLP. Young mothers were then referred to sites in the same manner as in the first sub-study, went through the same initial eligibility screening process. Eligible mothers were assigned a case manager. The assigned case manager then tried to locate and conduct a first visit with each eligible youth mother, but not all could be found. For most who were found and visited, case managers were instructed to follow a script that described the program in general terms (without differentiating between AFLP and PYD) and the study in detail. The script did not reveal the group to which the young mother was assigned. As part of the scripted interaction, case managers sought study consent from young mothers to participate in the study data collection.
The study draws on data from LodeStar, MCAH's administrative records on service receipt, a baseline survey administered after enrollment into the study, a follow-up survey administered approximately 12 months after enrollment and a follow up survey administered approximately 24 months after enrollment.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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PYD
Case managers meet with participating pregnant and parenting females at least two times a month over 12 months. In the short term, the program seeks to improve social competence, problem-solving skills, autonomy, increased sense of purpose, improved knowledge and use of contraceptives, increased linkages and support networks, improved quality of relationships, increased access to and strengthen relationship with a trusted adult, increased knowledge of and access to healthcare and improved health and well-being of expectant or parenting mother. In the long term, the program aims to delay subsequent pregnancy and reduction in health risk behaviors, improved health and well-being of parent and child, improved educational and employment outcomes and increased self-sufficiency.
Adolescent Family Life Program Positive Youth Development (PYD) program
Home visiting program for pregnant and parenting teens with PYD component
AFLP
Case managers meet with participating pregnant and parenting females once a month over 24 months to deliver older, business-as-usual version of the program that does not have positive youth development component.
Adolescent Family Life Program (AFLP)
Home visiting program for pregnant and parenting teens
Interventions
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Adolescent Family Life Program Positive Youth Development (PYD) program
Home visiting program for pregnant and parenting teens with PYD component
Adolescent Family Life Program (AFLP)
Home visiting program for pregnant and parenting teens
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Enrolled in Nurse Family Partnership program at time of random assignment
* younger than 14 years of age or older than 18 years of age
* Primary language is neither English nor Spanish
14 Years
18 Years
FEMALE
No
Sponsors
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Office of Population Affairs
UNKNOWN
California Department of Public Health, MCAH
UNKNOWN
Mathematica Policy Research, Inc.
OTHER
Responsible Party
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Principal Investigators
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Susan Zief, PhD
Role: PRINCIPAL_INVESTIGATOR
Mathematica Policy Research
Locations
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Community Action Partnership of Santa Barbara County
Goleta, California, United States
Tiburcio Vasquez Health Center
Hayward, California, United States
Lake Family Resource Center
Kelseyville, California, United States
AltaMed Health Services
Los Angeles, California, United States
El Nido Family Centers
Mission Hills, California, United States
Stanislaus County Health Services
Modesto, California, United States
Placer County Health and Human Services
Roseville, California, United States
Sutter Health Teen Programs
Sacramento, California, United States
1. San Diego Adolescent Pregnancy and Parenting Program (San Diego Unified School District)
San Diego, California, United States
Felton Institute Family Service Agency of San Francisco
San Francisco, California, United States
Planned Parenthood Mar Monte
San Jose, California, United States
Community Action Partnership of San Luis Obispo
San Luis Obispo, California, United States
Sonoma County Health Department
Santa Rosa, California, United States
Countries
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Other Identifiers
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50023-CA
Identifier Type: -
Identifier Source: org_study_id
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