142nd APHA Annual Meeting and Exposition

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312621
You Geaux Girl!, a randomized control trial of an Web-based pregnancy prevention intervention for young African American women

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 11:30 AM - 11:50 AM

Jakevia Green, MPH , Department of Epidemiology, Tulane University, New Orleans, LA
Norine Schmidt, MPH , Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
Jennifer Latimer, MPH , Department of Epidemiology, Tulane University, New Orleans, LA
Steffani Bangel, MPH , Department of Epidemiology, Tulane University, New Orleans, LA
Taylor Johnson, MPH , Department of Epidemiology, Tulane University, New Orleans, LA
Upama Aktaruzzaman, BA , Department of Epidemiology, Tulane University, New Orleans, LA
Emily Flanigan, BA , Department of Epidemiology, Tulane University, New Orleans, LA
Yewande Olugbade, BS , Department of Epidemiology, Tulane University, New Orleans, LA
Aubrey Spriggs Madkour, PhD , Department of Community Health Sciences, Tulane School of Public Health and Tropical Medicine, New Orleans, LA
Gretchen Clum, PhD, MA , Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
Carolyn C. Johnson, PhD , Global Community Health and Behavioral Sciences, Tulane School of Public Health and Tropical Medicine, New Orleans, LA
Patricia Kissinger, BSN, MPH, PhD , Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
Audio (mp3) recording Recorded Presentation (mp4)
Background:
  Unintended pregnancy rates remain high among African-American (AA) teen women aged 18-19.  While many prevention programs target younger youth, there is a need for innovative and accessible health programming for older teens who face competing priorities while transitioning to adulthood.  The evidence-based group-session HIV prevention intervention, SiHLE, was translated into an interactive, culturally and age relevant web-based pregnancy prevention intervention for older AA teen women named BUtiful (Be yoU! Talented, Informed, Fearless, Uncompromised, and Loved).  An RCT, “You Geaux Girl!,” (YGG!) is underway to evaluate the efficacy of BUtiful to increase reliable contraceptive use.


Methods:  YGG! recruits from partnering schools, community organizations and events, and social media.  Once randomized, women have 4 weeks to complete sessions; staff use text messaging to maintain contact, provide inspiration and recognition.  Behavioral surveys and pregnancy/STI screening occur at baseline, 3-, 6- and 12-months.



Results:  
At baseline (N=412), risk is evident as 67.2% report past 3 month sexual activity (range 1-6 partners), 72.5% intend to have sex in next year, 42.0% report no reliable contraceptive use; and the Chlamydia positivity rate at baseline is 9.4%.  Acceptability of the program is high: 96.3% report enjoying and 98.3% would recommend the program.

Conclusions:
  Adapting a group intervention to electronic format is a novel approach which maximizes accessibility to health information, delivers content in a culturally-relevant context, and empowers at-risk youth with decision-making tools and strategies for obtaining and adhering to contraceptive choices.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Epidemiology
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Discuss the need for accessible health education programming for at-risk older teen women with competing priorities. Describe the process of translating a community-based group-session evidence-based intervention to a web-based program. Explain evaluation of the BUtiful pregnancy prevention program within the "You Geaux Girl!" randomized controlled trial.

Keyword(s): African American, Teen Pregnancy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I became involved in program design and implementation of the "You Geaux Girl!" randomized controlled trial of Tulane University SPHTM in May 2012, and since then have become the Senior Program Coordinator for the project. Alongside my work for the project, I earned an MPH in Epidemiology. Among my public health interests are the development, implementation, and evaluation of pregnancy and STI prevention interventions; minority reproductive health; adolescent reproductive health; and health education and promotion.
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: 3187.0: Healthography that women navigate to access care: From a special populations perspective