A Clustered Randomized Controlled Trial of the Positive Prevention PLUS Adolescent Pregnancy Prevention Program

LaChausse, Robert G.

doi:10.2105/ajph.2016.303414

Cited by 9 publications

(12 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Resultsmentioning

confidence: 99%

“…Of the 40 studies, 14 were NRSIs,25–38 11 were RCTs39–49 and 15 were cRCTs 50–64. Some 29 studies targeted adolescents26 27 29 30 32 35–37 40–42 44–48 50–53 55 57–64 and 11 targeted adolescents and young adults 25 28 31 33 34 38 39 43 49 54 56. Of all the studies, 32 targeted both genders25–35 37 40–42 44 46 47 50–62 64 and 8 included females only 36 38 39 43 45 48 49 63.…”

Section: Resultsmentioning

confidence: 99%

“…Some 29 studies targeted adolescents26 27 29 30 32 35–37 40–42 44–48 50–53 55 57–64 and 11 targeted adolescents and young adults 25 28 31 33 34 38 39 43 49 54 56. Of all the studies, 32 targeted both genders25–35 37 40–42 44 46 47 50–62 64 and 8 included females only 36 38 39 43 45 48 49 63. Of the 32 studies targeting both genders, 13 provided segregated data for females 27 28 33 34 37 41 53 54 56–58 60 64.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Use of contraceptives, empowerment and agency of adolescent girls and young women: a systematic review and meta-analysis

Lassi,

Rahim,

Stavropoulos

et al. 2024

BMJ Sex Reprod Health

View full text Add to dashboard Cite

IntroductionThe evidence on adolescent empowerment, which involves access to personal and material resources for reproductive autonomy and economic equity, is limited. This systematic review assesses the use of contraceptives in empowering and strengthening the agency and vice versa among adolescents and young women.MethodsWe ran the searches in six electronic databases: Cochrane Database of Systematic Reviews (CDSR) and the Cochrane Central Register of Controlled Trials (CENTRAL), The Campbell Library, MEDLINE (PubMed), EMBASE, Cumulated Index to Nursing and Allied Health Literature (CINAHL) and Web of Science. The methodological quality of studies was assessed using ROBINS-I and ROB-II tools as appropriate. Meta-analysis was performed using Review Manager 5.4.ResultsForty studies that assessed the impact of empowerment on contraceptive use were included. Of these, 14 were non-randomised studies for intervention (NRSIs), and the remaining 26 were randomised controlled trials (RCTs). The results from RCTs show a significant effect of the sexual and reproductive health empowerment in increasing ever use of contraception (RR 1.22; 95% CI 1.02, 1.45; n=9; I²=77%; GRADE: Very Low), and insignificant effect on unprotected sex (RR 0.97; 95% CI 0.74, 1.26; n=5; I²=86%; GRADE: Very Low) and adolescent pregnancy (RR 1.07; 95% CI 0.61, 1.87; n=3; I²=36%; GRADE: Very Low). None of the studies assessed impact of contraceptive use on empowerment.ConclusionsEmpowerment of adolescents and young women certainly improves contraceptive use in the immediate or short-term period. However, more robust studies with low risk of bias, longer-term outcomes, and impact of contraceptive use on empowerment and agency-strengthening are required. To increase contraceptive use uptake, tailored policies and delivery platforms are necessary for youth in low- and middle-income countries.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Use of contraceptives, empowerment and agency of adolescent girls and young women: a systematic review and meta-analysis

Lassi,

Rahim,

Stavropoulos

et al. 2024

BMJ Sex Reprod Health

View full text Add to dashboard Cite

show abstract

“…Although mean scores in the intervention groups remained significantly higher at all time points compared to preintervention, it is acknowledged that the mean scores started to decrease 3-and 6-month post-intervention, which is common in education interventions on sensitive topics (e.g., sex and breast cancer education) (83,88). A modular structure with progressive information might be helpful to improve the longterm preservation of knowledge, adherence to health behavior, and stability of attitudes (89,90).…”

Section: The Intervention Moving Forwardmentioning

confidence: 94%

Breast Education Improves Adolescent Girls' Breast Knowledge, Attitudes to Breasts and Engagement With Positive Breast Habits

Omrani

Wakefield-Scurr

Smith

et al. 2020

Front. Public Health

View full text Add to dashboard Cite

Many females experience breast-related issues that are considered to negatively impact health and well-being. These include breast cancer, issues related to incorrect bra fit, and issues related to breast movement including an increased incidence of breast pain, breast sag, and embarrassment, which can be a barrier to physical activity participation. Knowledge and awareness of these breast issues among females is low. Furthermore, these breast concerns are more prevalent in adolescent girls compared to adult females, with 87% of girls reporting ≥ one breast concern. This study evaluated the short-and longer-term impact of a 50 min breast education intervention on adolescent girls' (11 to 14 years) breast knowledge, attitudes to breasts and engagement with positive breast habits. A mixed methods, controlled, longitudinal, cohort design was employed, using two control schools (n: 412; receiving no intervention) and two intervention schools (n: 375; receiving the intervention) from privileged and less privileged areas. Adolescent girls in four schools completed a validated breast survey pre-and immediately post-intervention as well as 3 and 6 months post-intervention. Additionally, in one intervention school, six focus groups were conducted immediately and 4 months after the intervention. The intervention was equally effective in the two intervention schools. Following the intervention, participants in the intervention schools significantly improved their breast knowledge, their attitudes to breasts and their engagement with positive breast habits, compared to participants in the control schools, p < 0.01 (with large effect sizes). These improvements were sustained 6 months post-intervention. Participants described the session as "informative," it made them "feel less embarrassed" about their breasts; they also reported wanting to do more exercise and to change their bra purchasing and bra wearing habits. These novel, positive findings provide insight into the benefits of teaching adolescent girls about breasts from a young age and can be used to inform effective breast education in schools. It is recommended that education on multiple breast topics should be introduced in schools, preferably being first introduced in primary schools, with a modular structure and progressive information.

show abstract

“…27 The field also benefitted from the concurrent movement to reduce the risk of HIV/AIDS, resulting in integrated strategies and curricula to address both pregnancy and sexually transmitted infections. 28 Other emerging approaches focused on positive youth development and actively engaging young people in community settings to develop life skills. Examples of programs going beyond sexual health education include the Teen Outreach Program that incorporated community service learning experiences and the Children's Aid Society's Carrera program that offered job training opportunities, mentoring, and scholarships to attend college among its comprehensive services.…”

Section: School-and Community-based Educational Approaches Historicalmentioning

confidence: 99%

<p>Perspectives on Adolescent Pregnancy Prevention Strategies in the United States: Looking Back, Looking Forward</p>

Brindis¹,

Decker

Gutmann-Gonzalez

et al. 2020

AHMT

View full text Add to dashboard Cite

Attempts to solve the "problem of adolescent pregnancy" have long been a focus of national, state, and local efforts in the United States. This review article summarizes trends and strategies around adolescent pregnancy prevention, provides lessons learned and best practices, and presents ideas for future directions. Over the past decades, a wide variety of policy and programmatic interventions have been implemented-including educational efforts, clinical health services, and community-wide coalitions-accompanied by a growing consensus regarding viable solutions. While notable reductions in adolescent pregnancy and childbearing have occurred across all sociodemographic groups, racial/ethnic, geographic, and socioeconomic disparities persist. Many adolescents who most need sexual health information and services are underserved by current programs and policies. A growing understanding of the role of social determinants of health, the impacts of structural racism, and the need for equity and inclusion must inform the next set of interventions and societal commitments to not only ameliorate the occurrence of unintended adolescent pregnancy but also foster healthy adolescent development. Recommendations for future efforts include improving the content, quality, and sustainability of education programs; actively engaging youth in the design of policies, programs, and clinical services; using technology thoughtfully to improve health literacy; expanding access to services through telehealth and other delivery options; and designing programs and policies that recognize and address structural racism, health equity, and inclusion.

show abstract

A Clustered Randomized Controlled Trial of the Positive Prevention PLUS Adolescent Pregnancy Prevention Program

Abstract: The Positive Prevention PLUS program demonstrated positive impacts on adolescent sexual behavior. This suggests that programs that focus on having students practice risk reduction skills may delay sexual activity and increase birth control use.

Cited by 9 publications

References 10 publications

Use of contraceptives, empowerment and agency of adolescent girls and young women: a systematic review and meta-analysis

Use of contraceptives, empowerment and agency of adolescent girls and young women: a systematic review and meta-analysis

Breast Education Improves Adolescent Girls' Breast Knowledge, Attitudes to Breasts and Engagement With Positive Breast Habits

<p>Perspectives on Adolescent Pregnancy Prevention Strategies in the United States: Looking Back, Looking Forward</p>

Contact Info

Product

Resources

About