NCT01411878

Brief Summary

This study is comparing the impact of two teen pregnancy prevention interventions, Reducing the Risk and Love Note with a non-related training on community building to determine which is most effective for which participants in delaying sexual initiation, enhancing use of condoms and other forms of birth control, decreasing sexually transmitted diseases and decreasing the number of pregnancies. The participants were 1450 youth between the ages of 14 and 19 including those from poor urban settings, those from immigrant and refugee families and those from the foster care system. Both girls and boys were be in the study. The investigators predict that girls, immigrants and refugees and foster youth will have better outcomes when participating in Love Notes, a program focused on healthy relationship formation and maintenance as a frame for how to manage the sexual aspect of relationships while boys and urban youth will have better outcomes when participating in Reducing the Risk. Both groups will have better outcomes than those in the control condition.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,450

participants targeted

Target at P75+ for not_applicable pregnancy

Timeline
Completed

Started Sep 2011

Longer than P75 for not_applicable pregnancy

Geographic Reach
1 country

12 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 4, 2011

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 8, 2011

Completed
24 days until next milestone

Study Start

First participant enrolled

September 1, 2011

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2014

Completed
2.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2016

Completed
Last Updated

April 24, 2017

Status Verified

April 1, 2017

Enrollment Period

2.5 years

First QC Date

August 4, 2011

Last Update Submit

April 20, 2017

Conditions

Keywords

Teen Pregnancy Prevention

Outcome Measures

Primary Outcomes (1)

  • Pregnancy

    Number of girls that get pregnant. Number of girls and times boys impregnate someone.

    2 years

Secondary Outcomes (1)

  • number and type of STIs contracted

    2 years

Study Arms (2)

Reducing the Risk

EXPERIMENTAL

Students will be randomly assigned to participate in Reducing the Risk training

Behavioral: Reducing the Risk

Love Notes

EXPERIMENTAL

The second healthy relationships program for high-risk youth, Love Notes, was developed to educate participants about healthy relationships, including issues of decision-making, communication and conflict resolution, and overall safety, including the prevention of pregnancy and sexually transmitted disease (Pearson, 2009). Love Notes is a derivative of the Prevention and Relationship Enhancement Program (PREP; Stanley, Markman, \& Jenkins, 2009), which is relationship marriage education program listed as an evidence-based practice (EBP) by SAMSHA (www.samhsa.gov).

Behavioral: Love Notes

Interventions

Reducing the Risk: Building Skills to Prevent Pregnancy, STD and HIV (RtR) was developed by Richard Barth, MSW, Ph.D. in California. The training manual is in its 5th Edition and was last published in 2011. This curriculum is one of the first that was evaluated using an experimental design, with a longitudinal follow up (6 months and 18 months) and tested on a large group of high school students (N = 758). It is also one of the first programs to show an impact on beliefs of adolescent sexual behavior prevalence and actual behavior as well as increasing parent-child communication about abstinence and contraception (Kirby, Barth, Leland, and Fetro, 1991).

Also known as: Comprehensive Sex Ed
Reducing the Risk
Love NotesBEHAVIORAL

The second healthy relationships program for high-risk youth, Love Notes, was developed to educate participants about healthy relationships, including issues of decision-making, communication and conflict resolution, and overall safety, including the prevention of pregnancy and sexually transmitted disease (Pearson, 2009). Love Notes is a derivative of the Prevention and Relationship Enhancement Program (PREP; Stanley, Markman, \& Jenkins, 2009), which is relationship marriage education program listed as an evidence-based practice (EBP) by SAMSHA (www.samhsa.gov). This curriculum builds on social exchange theory and meets the needs of youth who are alienated and in need of loving personal relationships.

Also known as: Relationship Ed
Love Notes

Eligibility Criteria

Age14 Years - 19 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Parental Informed Consent for enrollment in the CHAMPS! CAMP and accompanying research sessions,
  • Personal assent for participation in the workshop and research sessions.
  • Age 14 to 19 years old ;
  • Affiliation with youth serving organizations, or part of a current foster youth or former foster youth alumni group.

You may not qualify if:

  • Age 13 or younger, 20 or older;
  • Married
  • Inability to participate verbally in English;
  • Cognitive impairment that precludes the subject from giving assent or informed consent for any reason;
  • Refusal of consent to participate in the study by their parent.
  • Already pregnant or a parent, because we are attempting primary prevention.
  • Prior participation in a comparable local program, such as Love U2.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (12)

Department for Community Based Services: Jefferson County Region

Louisville, Kentucky, 40203, United States

Location

House of Ruth

Louisville, Kentucky, 40203, United States

Location

Presbyterian Community Center

Louisville, Kentucky, 40203, United States

Location

Jewish Family and Career Services

Louisville, Kentucky, 40205, United States

Location

Gate of Hope Ministries

Louisville, Kentucky, 40207, United States

Location

St George Community Center

Louisville, Kentucky, 40210, United States

Location

Neighborhood House

Louisville, Kentucky, 40212, United States

Location

One Plus One Equals You

Louisville, Kentucky, 40212, United States

Location

Americana Community Center

Louisville, Kentucky, 40214, United States

Location

Canaan Community Development Corporation

Louisville, Kentucky, 40218, United States

Location

Maryhurst

Louisville, Kentucky, 40223, United States

Location

The Steward's Staff

Louisville, Kentucky, 40259, United States

Location

Related Publications (1)

  • Barbee AP, Cunningham MR, van Zyl MA, Antle BF, Langley CN. Impact of Two Adolescent Pregnancy Prevention Interventions on Risky Sexual Behavior: A Three-Arm Cluster Randomized Control Trial. Am J Public Health. 2016 Sep;106(S1):S85-S90. doi: 10.2105/AJPH.2016.303429.

MeSH Terms

Conditions

Sexually Transmitted Diseases

Condition Hierarchy (Ancestors)

Communicable DiseasesInfectionsGenital DiseasesUrogenital DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Anita P Barbee, Ph.D.

    Kent School of Social Work University of Louisville

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

August 4, 2011

First Posted

August 8, 2011

Study Start

September 1, 2011

Primary Completion

March 1, 2014

Study Completion

April 1, 2016

Last Updated

April 24, 2017

Record last verified: 2017-04

Locations