Community-Based Care Management For Teen/Young Adult Mothers and Fathers

NCT00537108 | Completed

• 1 other identifier: H-29138
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

Teenagers who become parents often struggle with new challenges as they try to take care of their children and themselves. Programs that provide teens with support, education, and counseling may help teens to become the best parents they can be and reach their own goals. Health care providers who take care of pregnant and parenting teenagers are trying to find out what types of programs are most helpful for the physical, emotional, and social health of pregnant and parenting teenagers. The purpose of this study is to find out what kinds of activities help teens be successful as parents and achieve success in their lives.

Conditions

Pregnancy

Keywords

Pregnancy in adolescence

Outcome Measures

Primary Outcomes (3)

• Repeat pregnancy

  Within 2 years of the index birth

• Parenting attitudes and behaviors

  at 1 year and 2 years postpartum

• School continuation or graduation

  at 2 years postpartum

Secondary Outcomes (1)

• Remission of depression

  at 1 year and 2 years postpartum

Study Arms (2)

HV

EXPERIMENTAL

Intervention arm.

Behavioral: Home visiting and care management

Cntr

NO INTERVENTION

Usual care control

Interventions

Home visiting and care management BEHAVIORAL

Third trimester teens are assigned a Care Manager (CM) who establishes a continuity relationship and provides monthly visits until the index child is 2 years old. Core services for intervention group include: 1)Baseline and ongoing assessment of health, mental health, housing, daycare, and school needs; 2)Administration of a culturally sensitive, developmentally relevant parenting curriculum; 3)Computer Assisted Motivational Interviewing to promote healthy relationships, improve contraceptive practices, focus on goals, and promote school continuation; 4)Efforts to engage the young father; 5)Linkage and coordination with primary care for teen, child, young father; 6)Support \& skills-building for school continuation, higher education, and job readiness.

HV

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Pregnant teenagers
• Ages 12-18 years old
• \>= 24 weeks gestation
• Attending any of 5 West Baltimore prenatal care sites.
• Male partner (baby's father) if the pregnant teenager agrees to let the program contact him to invite participation.

You may not qualify if:

• Age \< 18 years and no parent/guardian able to grant consent.
• Male partner of a pregnant teen/teen mother if she does not grant consent to let us contact him and invite participation.

Sponsors & Collaborators

• University of Maryland, Baltimore: lead
• UMB School of Medicine Department of Family and Community Medicine: collaborator
• Department of Health and Human Services: collaborator

Study Sites (1)

UMB School of Medicine Department of Family and Community Medicine

Baltimore, Maryland, 21201, United States

Location

MeSH Terms

Interventions

House Calls

Intervention Hierarchy (Ancestors)

Professional Practice; Organization and Administration; Health Services Administration

Study Officials

• Beth Barnet, M.D.

  University of Maryland

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, Family and Community Medicine

Model Details: Motivational intervention and support

Study Record Dates

• First Submitted: September 27, 2007
• First Posted: September 28, 2007
• Study Start: August 1, 2007
• Primary Completion: September 1, 2011
• Study Completion: September 1, 2011
• Last Updated: November 2, 2022

Record last verified: 2022-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)