Impacts of the Positive Youth Development Program for Expectant and Parenting Teens in California

NCT04181034 | Completed

• 1 other identifier: 50023-CA
• Study Type: interventional
• Target: 1,330
• Locations: 1 country
• Sites: 13

Brief Summary

Under contract to the U.S. Department of Health and Human Services (DHHS), Mathematica is conducting an impact study of California Department of Public Health, Center for Family Health, Maternal, Child and Adolescent Health's (MCAH) Adolescent Family Life Program Positive Youth Development (PYD) program for a Federal Evaluation of Programs for Expectant and Parenting Youth (PEPY). The impact study will be designed to address the impact of PYD, compared to the business-as-usual condition, AFLP, in delaying repeat pregnancies, completing high school, improving health of the parent and child, and improving linkages and networks of support for expectant and parenting teens.

Conditions

Teen Pregnancy Prevention

Keywords

Teen pregnancy prevention; Home visiting; Positive youth development; Adolescent Family Life Program Positive Youth Development

Outcome Measures

Primary Outcomes (56)

• Frequency of case manager visits, as measured by administrative data

  Continuous variable: Total number of visits with program case manager within the first 12 months from consent date

  12 month

• Frequency of case manager visits, as measured by administrative data

  Continuous variable: Total number of visits with program case manager within the first 24 months from consent date

  24 month

• Early exit from program, as measured by administrative data

  Binary variable: equal to one if within the first 12 months of programming the participant the participant conveyed the intent to stop programming prematurely to her case manager or became unresponsive to a case manager's attempt to contact.

  12 months

• Exposure to information on relationships in year 1, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Binary variable: equal to one if respondent reported attending a class or session (individual or group) about relationships, dating, or marriage and that class took place with the case manager or at the recommendation of the case manager, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  12 months

• Exposure to information on relationships in year 2, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Binary variable: equal to one if respondent reported attending a class or session (individual or group) about relationships, dating, or marriage and that class took place with the case manager or at the recommendation of the case manager, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Exposure to information on relationships cumulative measure, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California" and the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Binary variable: equal to one if respondent reported attending a class or session (individual or group) about relationships, dating, or marriage and that class took place with the case manager or at the recommendation of the case manager in Year 1 or Year 2, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California" and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Exposure to information on parenting in year 1, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  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 and that class took place with the case manager or at the recommendation of the case manager, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  12 months

• Exposure to information on family planning in year 1, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Binary variable: equal to one if respondent reported receiving information on birth control or where to get birth control from a doctor, nurse, case manager or clinic in Year 1, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  12 months

• Exposure to information on parenting in year 2, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  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 and that class took place with the case manager or at the recommendation of the case manager, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Exposure to information on family planning in year 2, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Binary variable: equal to one if respondent reported receiving information on birth control or where to get birth control from a doctor, nurse, case manager or clinic in Year 1, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Exposure to information on parenting cumulative measure, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California" and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  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 and that class took place with the case manager or at the recommendation of the case manager in Year 1 or Year 2, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California" and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Exposure to information on family planning cumulative measure, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California" and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Binary variable: equal to one if respondent reported receiving information on birth control or where to get birth control from a doctor, nurse, case manager or clinic in Year 1 or Year 2, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California" and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Exposure to information on child's access to healthcare in year 1, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: standardized count if respondent reported attending a class or session on how to get health insurance or apply for Medicaid for their baby or on where to get health care for the their baby addressed by the case manager directly or through a recommendation by the case manager, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  12 months

• Exposure to information on child's access to healthcare in year 2, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: standardized count if respondent reported attending a class or session on how to get health insurance or apply for Medicaid for their baby or on where to get health care for the their baby addressed by the case manager directly or through a recommendation by the case manager, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Exposure to information on child's access to healthcare cumulative measure, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California" and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: standardized count if respondent reported attending a class or session on how to get health insurance or apply for Medicaid for their baby or on where to get health care for the their baby addressed by the case manager directly or through a recommendation by the case manager in Year 1 or Year 2, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California" and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Exposure to education related services in year 1, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: standardized count of education topics addressed by the case manager directly or through a recommendation by the case manager, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California". Topics include participating in GED preparation, tutoring, or outside help with school work, or program to prepare for a high school diploma

  12 months

• Exposure to education related services in year 2, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: standardized count of education topics addressed by the case manager directly or through a recommendation by the case manager, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California". Topics include participating in GED preparation, tutoring, or outside help with school work, or program to prepare for a high school diploma

  24 months

• Exposure to education related services cumulative measure, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California" and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: standardized count of education topics addressed by the case manager directly or through a recommendation by the case manager in Years 1 and 2, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California" and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California". Topics include participating in GED preparation, tutoring, or outside help with school work, or program to prepare for a high school diploma

  24 months

• Exposure to workforce assistance related services year 1, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: standardized count of workforce topics addressed by the case manager directly or through a recommendation by the case manager, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California". Topics include career counseling, help finding a job or applying for a job training program, job training or help looking for or applying for a job.

  12 months

• Exposure to workforce assistance related services year 2, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: standardized count of workforce topics addressed by the case manager directly or through a recommendation by the case manager, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California". Topics include career counseling, help finding a job or applying for a job training program, job training or help looking for or applying for a job.

  24 months

• Exposure to workforce assistance related services cumulative measure, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California" and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: standardized count of workforce topics addressed by the case manager directly or through a recommendation by the case manager in year 1 and year 2, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California" and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California". Topics include career counseling, help finding a job or applying for a job training program, job training or help looking for or applying for a job.

  24 months

• Exposure to information on access to healthcare in year 1, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: standardized count if respondent reported attending a class or session on how to get health insurance or apply for Medicaid for themselves or on where to get health care for themselves addressed by the case manager directly or through a recommendation by the case manager, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  12 months

• Exposure to information on access to healthcare in year 2, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: standardized count if respondent reported attending a class or session on how to get health insurance or apply for Medicaid for themselves or on where to get health care for themselves addressed by the case manager directly or through a recommendation by the case manager, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Exposure to information on access to healthcare cumulative measure, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California" and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: standardized count if respondent reported attending a class or session on how to get health insurance or apply for Medicaid for themselves or on where to get health care for themselves addressed by the case manager directly or through a recommendation by the case manager in year 1 and year 2, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California" and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Respondent feelings about themselves, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: proportion of 8 statements related to resiliency \& feelings about yourself and the future with which the participant either agreed or disagreed, variable ranges from 0 to 1 with higher values indicating higher resiliency. Each of the individual items ranged from 1 to 4 with higher numbers corresponding to stronger agreement. Items collected by using the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California".

  12 months

• Respondent feelings about themselves, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: proportion of 8 statements related to resiliency \& feelings about yourself and the future with which the participant either agreed or disagreed, variable ranges from 0 to 1 with higher values indicating higher resiliency. Each of the individual items ranged from 1 to 4 with higher numbers corresponding to stronger agreement. Items collected by using the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California".

  24 months

• Respondent feelings about personal goals, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: proportion of 7 statements related to resiliency \& feelings about personal goals with which the participant either agreed or disagreed, variable ranges from 0 to 1 with higher values indicating higher resiliency. Each of the individual items ranged from 1 to 4 with higher numbers corresponding to stronger agreement. Items collected by using the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California".

  12 months

• Respondent feelings about personal goals, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: proportion of 7 statements related to resiliency \& feelings about personal goals with which the participant either agreed or disagreed, variable ranges from 0 to 1 with higher values indicating higher resiliency. Each of the individual items ranged from 1 to 4 with higher numbers corresponding to stronger agreement. Items collected by using the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California".

  24 months

• Linkages and referrals year 1, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: standardized count of topics related to the linkages and referrals addressed by the case manager directly or through a recommendation by the case manager in year 1; variable ranges from 0 to 1, with higher values indicating exposure to more topics about linkages and referrals as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California". Topics include how to get child care for their baby, where to get food assistance and support for themselves and their baby, where to find affordable housing and where to get counseling or treatment for depression or anxiety.

  12 months

• Linkages and referrals year 2, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: standardized count of topics related to the linkages and referrals addressed by the case manager directly or through a recommendation by the case manager in year 2; variable ranges from 0 to 1, with higher values indicating exposure to more topics about linkages and referrals as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California". Topics include how to get child care for their baby, where to get food assistance and support for themselves and their baby, where to find affordable housing and where to get counseling or treatment for depression or anxiety.

  24 months

• Linkages and referrals cumulative measure, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California" and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: standardized count of topics related to the linkages and referrals addressed by the case manager directly or through a recommendation by the case manager in year 1 and year 2; variable ranges from 0 to 1, with higher values indicating exposure to more topics about linkages and referrals as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California" and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California". Topics include how to get child care for their baby, where to get food assistance and support for themselves and their baby, where to find affordable housing and where to get counseling or treatment for depression or anxiety.

  24 months

• Increased access to and strengthened relationship with a trusted adult year 1

  Multiple-item continuous scale variable: Proportion of statements about a supportive adult that the participants agrees with or strongly agrees with, variable ranges from 0 to 1, with higher values indicating more access and stronger relationship with a trusted adult. Each of the four individual statements range from 1 to 4 with higher numbers corresponding to stronger agreement. Items collected by using the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  12 months

• Increased access to and strengthened relationship with a trusted adult year 2

  Multiple-item continuous scale variable: Proportion of statements about a supportive adult that the participants agrees with or strongly agrees with, variable ranges from 0 to 1, with higher values indicating more access and stronger relationship with a trusted adult. Each of the four individual statements range from 1 to 4 with higher numbers corresponding to stronger agreement. Items collected by using the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Unprotected sex, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Binary measure equal to one if the respondent reported having sex without birth control in the three months prior to completing the 12-month survey, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  12 months

• Unprotected sex, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Binary measure equal to one if the respondent reported having sex without birth control in the three months prior to completing the 24-month survey, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Use of birth control, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Binary measure equal to one if the respondent indicated currently using condoms, birth control pills, the patch, the shot, the ring, an intrauterine device (IUD) or an implant as a form of birth control, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  12 months

• Use of birth control, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Binary measure equal to one if the respondent indicated currently using condoms, birth control pills, the patch, the shot, the ring, an intrauterine device (IUD) or an implant as a form of birth control, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Knowledge of condoms, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Multiple-item continuous scale variable that is the standardized count of the mother's correct 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 - California"

  12 months

• Knowledge of condoms, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable that is the standardized count of the mother's correct 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 24 Month Follow-up Survey - California"

  24 months

• Knowledge of birth control pills, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Multiple-item continuous scale variable that is the standardized count of the mother's correct responses to five survey items about her knowledge of birth control pills; each of the five 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 - California"

  12 months

• Knowledge of birth control pills, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable that is the standardized count of the mother's correct responses to five survey items about her knowledge of birth control pills; each of the five 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 24 Month Follow-up Survey - California"

  24 months

• Knowledge of Intrauterine devices (IUDs), as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Multiple-item continuous scale variable that is the standardized count of the mother's correct responses to six survey items about her knowledge of IUDs; 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 - California"

  12 months

• Knowledge of Intrauterine devices (IUDs), as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable that is the standardized count of the mother's correct responses to six survey items about her knowledge of IUDs; 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 24 Month Follow-up Survey - California"

  24 months

• Knowledge of other hormonal and long-acting reversible contraception (LARC) methods, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Multiple-item continuous scale variable that is the standardized count of the mother's correct responses to four survey items about her knowledge of other forms of birth control; each of the four 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 - California"

  12 months

• Knowledge of other hormonal and long-acting reversible contraception (LARC) methods, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable that is the standardized count of the mother's correct responses to four survey items about her knowledge of other forms of birth control; each of the four 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 24 Month Follow-up Survey - California"

  24 months

• Depressive symptoms, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Binary variable equal to one if the respondent was so sad or hopeless for two or more weeks that she stopped doing some usual activities, as measured on the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  12 months

• Depressive symptoms, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Binary variable equal to one if the respondent was so sad or hopeless for two or more weeks that she stopped doing some usual activities, as measured on the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Received postpartum medical checkup, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Binary variable equal to one if the mother reported having a checkup in the 3 months after the child was born, as measured on the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  12 months

• Health insurance for respondent, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

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

  12 months

• Health insurance for respondent, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Binary variable equal to one if the respondent reported currently having health insurance , as reported on the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Continued high school attachment, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Binary variable equal to one if the respondent reported being enrolled in high school or having a high school diploma or General Education Diploma (GED) as reported on the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  12 months

• Continued high school attachment, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Binary variable equal to one if the respondent reported being enrolled in high school or having a high school diploma or General Education Diploma (GED) as reported on the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Subsequent pregnancy, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Binary variable equal to one if the respondent reported a pregnancy after enrollment in the program as reported on the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California" and/or the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Sexually transmitted disease, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"and "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Binary variable equal to one if the respondent reported being diagnosed with a sexually transmitted disease after program enrollment as reported on the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California" and/or the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  24 months

• Positive attitudes towards healthy relationships, as measured by the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: proportion of 6 statements related to attitudes towards healthy relationships with which the participant either agreed or disagreed, variable ranges from 0 to 1 with higher values indicating more positive attitudes toward healthy relationships. Each of the individual items ranged from 1 to 4 with higher numbers corresponding to stronger agreement. Items collected by using the "Positive Adolescent Futures Final 12 Month Follow-up Survey - California".

  12 months

• Positive attitudes towards healthy relationships, as measured by the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California"

  Multiple-item continuous scale variable: proportion of 6 statements related to attitudes towards healthy relationships with which the participant either agreed or disagreed, variable ranges from 0 to 1 with higher values indicating more positive attitudes toward healthy relationships. Each of the individual items ranged from 1 to 4 with higher numbers corresponding to stronger agreement. Items collected by using the "Positive Adolescent Futures Final 24 Month Follow-up Survey - California".

  24 months

Study Arms (2)

PYD

EXPERIMENTAL

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.

Behavioral: Adolescent Family Life Program Positive Youth Development (PYD) program

AFLP

ACTIVE COMPARATOR

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.

Behavioral: Adolescent Family Life Program (AFLP)

Interventions

Adolescent Family Life Program Positive Youth Development (PYD) program BEHAVIORAL

Home visiting program for pregnant and parenting teens with PYD component

PYD

Adolescent Family Life Program (AFLP) BEHAVIORAL

Home visiting program for pregnant and parenting teens

AFLP

Eligibility Criteria

• Age: 14 Years - 18 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:

• Served by enrollment site in six months prior to random assignment
• 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

Sponsors & Collaborators

• Mathematica Policy Research, Inc.: lead
• Office of Population Affairs: collaborator
• California Department of Public Health, MCAH: collaborator

Study Sites (13)

Community Action Partnership of Santa Barbara County

Goleta, California, 93117, United States

Location

Tiburcio Vasquez Health Center

Hayward, California, 94541, United States

Location

Lake Family Resource Center

Kelseyville, California, 95451, United States

Location

AltaMed Health Services

Los Angeles, California, 90063, United States

Location

El Nido Family Centers

Mission Hills, California, 91345, United States

Location

Stanislaus County Health Services

Modesto, California, 95353, United States

Location

Placer County Health and Human Services

Roseville, California, 95661, United States

Location

Sutter Health Teen Programs

Sacramento, California, 95816, United States

Location

1. San Diego Adolescent Pregnancy and Parenting Program (San Diego Unified School District)

San Diego, California, 92113, United States

Location

Felton Institute Family Service Agency of San Francisco

San Francisco, California, 94110, United States

Location

Planned Parenthood Mar Monte

San Jose, California, 95112, United States

Location

Community Action Partnership of San Luis Obispo

San Luis Obispo, California, 93401, United States

Location

Sonoma County Health Department

Santa Rosa, California, 95494, United States

Location

Study Officials

• Susan Zief, PhD

  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: November 26, 2019
• First Posted: November 29, 2019
• Study Start: December 3, 2014
• Primary Completion: May 25, 2018
• Study Completion: May 25, 2018
• Last Updated: February 25, 2021

Record last verified: 2021-02

Locations

US (13)