Federal Evaluation of Selected Programs for Expectant and Parenting Youth

NCT03419728 | Unknown

• 1 other identifier: 50023
• Study Type: interventional
• Target: 248
• Locations: 1 country
• Sites: 1

Brief Summary

Under contract to the U.S. Department of Health and Human Services (DHHS), Mathematica Policy Research is conducting an impact study of Healthy Families Healthy Futures in Houston, Texas for a Federal Evaluation of Programs for Expectant and Parenting Youth (PEPY). The impact study will be designed to address three main questions:

• Was the program successful in exposing participants to program content, such as information about methods of birth control?
• Was the program successful at improving short-term outcomes, such as use of a LARC and intention to space births?
• To what extent did treatment youth receive the intended program components?

Conditions

Teen Pregnancy Prevention; Contraceptive Usage

Keywords

Teen pregnancy prevention; Long-acting reversible contraception (LARCs); Healthy Families Healthy Futures; Home visiting

Outcome Measures

Primary Outcomes (20)

• Exposure to information on relationships, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  Binary variable: equal to one if respondent reported attending a class or session (individual or group) about relationships, dating, or marriage

  12 months

• Exposure to information on parenting, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  : Binary variable: equal to one if respondent reported attending a class or session (individual or group) about parenting or how to care for their child

  12 months

• Exposure to information on child healthcare, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  Binary variable: equal to one if respondent reported attending a class or session (individual or group) about how to get insurance or apply for Medicaid for their child and where to get health care for their child

  12 months

• Exposure to education related services, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  Binary variable: equal to one if respondent reported participating in GED preparation, tutoring, or outside help with school work, or program to prepare for a high school diploma

  12 months

• Exposure to career counseling or job training, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  Binary variable: equal to one if respondent reported participating in career counseling or job training

  12 months

• Exposure to information about methods of birth control, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  Binary variable: equal to one if respondent reported receiving information from doctor, nurse, home visitor, or clinic regarding methods of birth control

  12 months

• Knowledge of condoms

  Continuous variable that is the proportion correct of a mother's responses to six survey items about her knowledge of condoms; each of the six individual item is binary, indicating correct (individual item=1) or incorrect (individual item=0).The proportion correct ranges from 0 to 1, with higher values indicating greater knowledge. Items collected using the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  12 months

• Knowledge of birth control pills

  Continuous variable that is the proportion correct of a mother's responses to five survey items about her knowledge of birth control pills; each of the five individual items is binary, indicating correct (individual item=1) or incorrect (individual item=0). The proportion correct ranges from 0 to 1, with higher values indicating great knowledge. Items collected using the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  12 months

• Knowledge of IUDs

  Continuous variable that is the proportion correct of a mother's responses to six survey items about her knowledge of IUDs; each of the six individual items is binary, indicating correct (individual item=1) or incorrect (individual item=0). The proportion correct can range from 0 to 1, with higher values indicating greater knowledge. Items collected using the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  12 months

• Knowledge of other hormonal and LARC methods

  Continuous variable that is the proportion correct of a mother's responses to five survey items about her knowledge of other forms of birth control; each of the five individual items is binary, indicating correct (individual item=1) or incorrect (individual item=0) responses. The proportion correct ranges from 0 to 1, with higher values indicating greater knowledge.

  12 months

• Use of a LARC

  Binary measure equal to one if the respondent indicated using an IUD or an implant, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  12 months

• Unprotected sex

  Binary measure equal to one if the respondent indicated having sexual intercourse in the 3 months prior to the survey and having had sexual intercourse without using birth control, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  12 months

• Intention to space births

  Binary variable: equal to one if the woman reports she would like to have her next child two to three years or more than three years from the date of the survey or does not want any more children, and zero if she reports wanting to have her next child less than one year or one to two years from the date of the survey or is pregnant at the time of the survey, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  12 months

• Mother's engagement in play with child

  Multiple-item continuous scale variable that is the average of a mother's responses to five individual categorical survey items; variable ranges from 0 to 3 with higher values indicating more frequent interaction with child. Individual items measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  12 months

• Father's engagement with child

  Multiple-item continuous scale variable: average of a mother's responses to eight survey items about her HFHF child's father; variable ranges from 0 to 3 with higher values indicating more frequent interaction with child. Survey items are from the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  12 months

• Quality of co-parenting relationship

  Multiple-item continuous scale variable: average of mother's responses to seven survey items; variable ranges from 1 to 5 with higher values indicating a stronger co-parenting relationship. Survey items collected using the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  12 months

• Financial support from father

  Binary variable: equal to one if mother reports that her child's father covers about half or more of the expenses associated with raising their child and zero if mother reports that her child's father covers less than half of child's costs as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  12 months

• Capacity for self-sufficiency- Goals, plans, problem solving

  Multiple-item continuous scale variable: average of a mother's responses to seven survey items about her goals, focus, and problem solving. Each item ranges from 1 to 4, with higher numbers corresponding to stronger agreement. Items measured using the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  12 months

• Number of well visits

  Count variable equal to the respondent's reported number of times in which the child saw a doctor, nurse, or other health care professional for a regular checkup, as reported on the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  12 months

• Health insurance for child

  Binary variable equal to one if the respondent reported having health insurance for her child, as reported on the "Positive Adolescent Futures Final 12 Month Follow-up Survey - Texas"

  12 months

Study Arms (2)

Healthy Families, Healthy Futures

EXPERIMENTAL

Family coaches meet with participating pregnant and parenting females, the woman's partner, and the child. Visit frequency varies from once per week to once per month, depending on the length of time in the program, the client's needs, and the accomplishment of program milestones. In the short term, the program seeks to increase the use of Long-Acting Reversible Contraception (LARC), enhance family functioning including improving father involvement, and to meet the baby's child development needs. In the long term, the program aims to delay subsequent pregnancies, ensure positive child development, and increase parents' self-sufficiency.

Behavioral: Healthy Families, Healthy Futures

Control group

NO INTERVENTION

No active treatment for control group. Control group has access to "business as usual" services in community.

Interventions

Healthy Families, Healthy Futures BEHAVIORAL

Home visiting program for pregnant and parenting teens

Healthy Families, Healthy Futures

Eligibility Criteria

• Age: 14 Years - 19 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Must be expectant or parenting

You may not qualify if:

• Participated in HFHF in six months prior to random assignment
• Enrolled in Nurse Family Partnership program at time of random assignment
• Oldest child is older than 3 months at random assignment
• Primary language is neither English nor Spanish

Sponsors & Collaborators

• Mathematica Policy Research, Inc.: lead
• The Office of Adolescent Health, HHS: collaborator
• Decision Information Resources, Inc.: collaborator

Study Sites (1)

Houston Department of Health; participants' homes

Houston, Texas, 77002, United States

Location

MeSH Terms

Conditions

Contraception Behavior

Condition Hierarchy (Ancestors)

Reproductive Behavior; Behavior

Study Officials

• John Deke

  Mathematica Policy Research

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 9, 2018
• First Posted: February 5, 2018
• Study Start: June 1, 2015
• Primary Completion: September 1, 2016
• Study Completion: December 1, 2018
• Last Updated: August 24, 2018

Record last verified: 2018-08

Locations

US (1)