Online Program

Text-messaging to enhance an effective teen pregnancy prevention project

Tuesday, November 5, 2013

Sheana Bull, PhD, MPH, Community and Behavioral Health, Colorado School of Public Health, Aurora, CO
Sharon Devine, JD, PhD, Department of Health and Behavioral Sciences, University of Colorado, Denver, Denver, CO
Charlene Barrientos Ortiz, Colorado School of Public Health, University of Colorado, Aurora, CO
Amber Leytem, MNM, Denver Health - Denver Public Health Department, Denver, CO
Caroline Leeds, BA, Denver Health - Denver Public Health Department, Denver, CO
Marissa Vasquez, Denver Health - Denver Public Health Department, Denver, CO
Leslie Pickard, BA, Boys & Girls Clubs of Metro Denver, Denver, CO
Stephanie Winfield, Colorado Youth Matter, Denver, CO
Judith Shlay, MD, MSPH, Denver Public Health Department, Denver Health, Denver, CO
Introduction Effective teen pregnancy prevention programs are limited by the numbers of people they can reach and lack of sustainability. We wish to enhance effective programs with supplemental text messaging reinforcing and intensifying program effects. Methods In this four year intervention, we are partnering with Boys & Girls Clubs of Metro Denver to deliver Wyman's Teen Outreach Program (TOP®) with 32 groups, 8 groups each year. We select four groups at random each year and deliver a supplemental program of text messages to enhance program components. We reviewed two years of pre and post data on sexual risk and school performance comparing those with standard TOP® to those with TOP® plus text messaging enhancement. Results We have enrolled 458 participants aged 14-18 across 16 clubs; participants are primarily Latino and African American. Results from the first year of program implementation (to be updated) indicate that those with the text message enhanced program had fewer instances of sexual activity at nine-month follow up compared to baseline and to those enrolled in TOP® alone (intervention 73% baseline, 68% follow-up; control 68% baseline, 76% follow-up) and greater declines in non-use of contraception (intervention baseline 27%, follow-up 23%, control baseline 24% vs. follow-up 24%). Conclusions Interim findings suggest the text message enhancement of TOP® could facilitate greater program effects for those with high risk for teen pregnancy than standard TOP®. Having low-cost, easy to implement and replicate opportunities to intensify effects for participants who likely face challenges in attendance and continuity is promising.

Learning Areas:

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

Learning Objectives:
Demonstrate interim data on ways that text messaging enhanced a program with proven efficacy for prevention of teen pregnancy. Consider how we can improve on existing programs using technology Discuss the advantages to technological program enhancements in terms of cost and access to high-risk youth

Keyword(s): Technology, Reproductive Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am directing the evaluation of this project, and have been directly involved in all evaluation design, data collection and analysis activities.
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.

Back to: 4374.0: Prevention of teen pregnancy