268593 Evaluation of the Oklahoma City Promise Place Program for pregnant and parenting teens: A school-based intervention with a focus on case management

Monday, October 29, 2012

Eleni Tolma, MPH, PhD , College of Public Health, Oklahoma University Health Sciences Center, Oklahoma City, OK
Julie Stoner, PhD , Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City, OK
Tracey Douglas, MS, LPC , NorthCare, Oklahoma City, OK
Background: The NorthCare Promise Place Program (PPP), funded by the Office of Adolescence Pregnancy Programs (OAPP), provided case management services to pregnant and parenting teens in an Oklahoma City high school. Program goals were to decrease repeat teen-pregnancy rates, improve graduation rates, and improve health outcomes for participants and their babies. Methods: A quasi-experimental design was employed to assess intervention effectiveness. A total of 203 students in grades 7-12 from the intervention and comparison schools participated in the study (140 intervention, 63 comparison). Enrollment was continuous with a follow-up period up to 2 years and an overall retention rate of 53%. Annual focus groups were conducted with intervention participants. Rigorous process evaluation was employed throughout the intervention. Effectiveness measures included the “AFL” (Adolescent Family Life) Questionnaire, as required by OAPP. Data analysis included Chi-square or Fisher's exact tests for categorical measures, and a log-rank test for time-to-event distributions. Results: Both qualitative and qualitative research indicated that the PPP had a positive impact upon students in the intervention group. First, the time to repeat pregnancy was delayed among participants in the intervention school compared to the comparison school (p<0.0001). Second, there were reduced drop-out rates among parenting teens (15% vs. 55%, p=0.0064) and finally, pregnant intervention teens were also less likely to deliver before 36 weeks (10% vs. 27%, p=0.049). Conclusion: PPP is effective in delaying repeat pregnancies, facilitating graduation and promoting healthy outcomes. Case management through Family Advocates is a promising approach to decrease repeat teen-pregnancy rates.

Learning Areas:
Implementation of health education strategies, interventions and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Discuss the core elements of a comprehensive case management program for pregnant/parenting teens. 2. Describe the difficulties in working with vulnerable populations in an evaluation study involving participant follow-up.

Keywords: Evaluation, Teen Pregnancy Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Iam qualified to present this study since I have been the Principal investigator of the study for 5 years. I have 13 years of experience in evaluation of health promotion programs in community-based settings.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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