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John S. Santelli - One of the best experts on this subject based on the ideXlab platform.
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Mobilizing communities for teen Pregnancy Prevention: associations between coalition characteristics and perceived accomplishments.
The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2020Co-Authors: Michelle C. Kegler, Clayton W. Williams, Carol Cassell, John S. Santelli, Scott R. Kegler, Mary Lou Bell, Yolanda G. Martinez, Jonathan D. Klein, Susanne B Montgomery, Peter F. MulhallAbstract:To describe coalition membership, examine associations between coalition processes and short-term coalition outcomes, and assess the relative contribution of key coalition processes to perceived accomplishments in teen Pregnancy Prevention coalitions. A self-administered survey was distributed to active members of 21 teen Pregnancy Prevention coalitions in 13 communities. The overall response rate was 67%, with 471 surveys returned. Process measures included staff competence, member influence in decision making, and coalition functioning. Short-term outcome measures included perceived accomplishments, member satisfaction, member participation, and coalition viability. About 50% of coalition members represented health or teen Pregnancy Prevention or youth development service organizations, with 13% participating primarily as residents or youth. None of the process measures were associated with coalition viability (defined as active 2 years post-survey). Many bivariate associations between coalition processes and other short-term outcomes were significant at the individual and coalition levels of analysis. In a multivariate random coefficients model, coalition functioning (p <.001) and member influence in decision making (p = .019) were significantly associated with perceived coalition accomplishments. Consistent with research on coalitions that have addressed other health issues, good coalition processes were associated with short-term indicators of effectiveness in these teen Pregnancy Prevention coalitions. Coalition processes were not associated with coalition viability 2 years post-survey, however, suggesting that other factors influence coalition survival.
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Mobilizing communities for teen Pregnancy Prevention: Associations between coalition characteristics and perceived accomplishments
Journal of Adolescent Health, 2005Co-Authors: Michelle C. Kegler, Clayton W. Williams, Carol Cassell, John S. Santelli, Scott R. Kegler, Susanne Montgomery, Mary Lou Bell, Yolanda G. Martinez, Jonathan D. Klein, Peter F. MulhallAbstract:Abstract Purpose To describe coalition membership, examine associations between coalition processes and short-term coalition outcomes, and assess the relative contribution of key coalition processes to perceived accomplishments in teen Pregnancy Prevention coalitions. Methods A self-administered survey was distributed to active members of 21 teen Pregnancy Prevention coalitions in 13 communities. The overall response rate was 67%, with 471 surveys returned. Process measures included staff competence, member influence in decision making, and coalition functioning. Short-term outcome measures included perceived accomplishments, member satisfaction, member participation, and coalition viability. Results About 50% of coalition members represented health or teen Pregnancy Prevention or youth development service organizations, with 13% participating primarily as residents or youth. None of the process measures were associated with coalition viability (defined as active 2 years post-survey). Many bivariate associations between coalition processes and other short-term outcomes were significant at the individual and coalition levels of analysis. In a multivariate random coefficients model, coalition functioning ( p p = .019) were significantly associated with perceived coalition accomplishments. Conclusion Consistent with research on coalitions that have addressed other health issues, good coalition processes were associated with short-term indicators of effectiveness in these teen Pregnancy Prevention coalitions. Coalition processes were not associated with coalition viability 2 years post-survey, however, suggesting that other factors influence coalition survival.
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missed opportunities for sexually transmitted diseases human immunodeficiency virus and Pregnancy Prevention services during adolescent health supervision visits
Pediatrics, 2003Co-Authors: Gale R Burstein, Jonathan D. Klein, Richard Lowry, John S. SantelliAbstract:Objective. To describe Prevention counseling on Pregnancy and sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV), received by sexually experienced youth in the primary care setting and to test associations between recent sexual risk behaviors and preventive counseling. Methods. Using data from the 1999 Youth Risk Behavior Surveillance survey, a nationally representative survey (N = 15 349) of high school students, we analyzed responses to questions about sexual experience, time since last preventive health care visit, and discussion of STD, HIV, or Pregnancy Prevention with a doctor or nurse during their last preventive health care visit. Logistic regression was used to test associations; students’ demographic characteristics were controlled. Results. More than half of the US high school students surveyed reported a preventive health care visit in the 12 months preceding the survey: 60.4% (95% confidence interval [CI]: 57.2%–63.6%) of female students and 57.5% (95% CI: 53.9%–61.1%) of male students. For female students, sexual experience was positively associated with a preventive health care visit (odds ratio [OR]: 1.3; 95% CI: 1.1–1.6), but for male students, sexual experience had a negative effect (OR: 0.8; 95% CI: 0.7–0.9). Of the students who reported a preventive health care visit in the 12 months preceding the survey, 42.8% (95% CI: 38.6%–47.1%) of female students and 26.4% (95% CI: 22.7%–30.2%) of male students reported having discussed STD, HIV, or Pregnancy Prevention at those visits. Sexual experience was associated with a higher likelihood of engaging in a dialogue about sexual health once a student entered the health care system: female students (OR: 3.8; 95% CI: 3.0–4.9) and male students (OR: 1.9; 95% CI: 1.3–2.7). Conclusion. Primary care providers miss opportunities to provide STD, HIV, and Pregnancy Prevention counseling to high-risk youth.
Amy Feldman Farb - One of the best experts on this subject based on the ideXlab platform.
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the teen Pregnancy Prevention program 2010 2015 synthesis of impact findings
American Journal of Public Health, 2016Co-Authors: Amy Feldman Farb, Amy L MargolisAbstract:The authors discuss the findings of the U.S. Department of Health and Human Services (HHS) Office of Adolescent Health (OAH) Teen Pregnancy Prevention (TPP) Program from 2010 to 2015, and it mentions how the OAH TPP is designed to reduce the risky behavior that is associated with adolescent Pregnancy. American government funding for organizations to replicate evidence-based TPP programs and additional teenage Pregnancy Prevention plans is examined, along with organizational goals.
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historical context for the creation of the office of adolescent health and the teen Pregnancy Prevention program
Journal of Adolescent Health, 2014Co-Authors: Evelyn M Kappeler, Amy Feldman FarbAbstract:In Fiscal Year 2010, Federal funds were dedicated to support evidence-based approaches to effectively target teen Pregnancy Prevention and resulted in the establishment of the Office of Adolescent Health (OAH) and the Teen Pregnancy Prevention (TPP) Program. Through the tiered TPP Program, OAH supports replication and evaluation of programs using models whose effectiveness has been demonstrated through rigorous evaluation and the development and testing of promising or innovative Pregnancy Prevention strategies and approaches. This article documents the creation of OAH and the development of the TPP Program, the identification of a TPP evidence base, current program and evaluation efforts at OAH, and government coordination and partnerships related to reducing teen Pregnancy. This article is of interest to those working to improve the health and wellbeing of adolescents.
Jonathan D. Klein - One of the best experts on this subject based on the ideXlab platform.
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Mobilizing communities for teen Pregnancy Prevention: associations between coalition characteristics and perceived accomplishments.
The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2020Co-Authors: Michelle C. Kegler, Clayton W. Williams, Carol Cassell, John S. Santelli, Scott R. Kegler, Mary Lou Bell, Yolanda G. Martinez, Jonathan D. Klein, Susanne B Montgomery, Peter F. MulhallAbstract:To describe coalition membership, examine associations between coalition processes and short-term coalition outcomes, and assess the relative contribution of key coalition processes to perceived accomplishments in teen Pregnancy Prevention coalitions. A self-administered survey was distributed to active members of 21 teen Pregnancy Prevention coalitions in 13 communities. The overall response rate was 67%, with 471 surveys returned. Process measures included staff competence, member influence in decision making, and coalition functioning. Short-term outcome measures included perceived accomplishments, member satisfaction, member participation, and coalition viability. About 50% of coalition members represented health or teen Pregnancy Prevention or youth development service organizations, with 13% participating primarily as residents or youth. None of the process measures were associated with coalition viability (defined as active 2 years post-survey). Many bivariate associations between coalition processes and other short-term outcomes were significant at the individual and coalition levels of analysis. In a multivariate random coefficients model, coalition functioning (p <.001) and member influence in decision making (p = .019) were significantly associated with perceived coalition accomplishments. Consistent with research on coalitions that have addressed other health issues, good coalition processes were associated with short-term indicators of effectiveness in these teen Pregnancy Prevention coalitions. Coalition processes were not associated with coalition viability 2 years post-survey, however, suggesting that other factors influence coalition survival.
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Mobilizing communities for teen Pregnancy Prevention: Associations between coalition characteristics and perceived accomplishments
Journal of Adolescent Health, 2005Co-Authors: Michelle C. Kegler, Clayton W. Williams, Carol Cassell, John S. Santelli, Scott R. Kegler, Susanne Montgomery, Mary Lou Bell, Yolanda G. Martinez, Jonathan D. Klein, Peter F. MulhallAbstract:Abstract Purpose To describe coalition membership, examine associations between coalition processes and short-term coalition outcomes, and assess the relative contribution of key coalition processes to perceived accomplishments in teen Pregnancy Prevention coalitions. Methods A self-administered survey was distributed to active members of 21 teen Pregnancy Prevention coalitions in 13 communities. The overall response rate was 67%, with 471 surveys returned. Process measures included staff competence, member influence in decision making, and coalition functioning. Short-term outcome measures included perceived accomplishments, member satisfaction, member participation, and coalition viability. Results About 50% of coalition members represented health or teen Pregnancy Prevention or youth development service organizations, with 13% participating primarily as residents or youth. None of the process measures were associated with coalition viability (defined as active 2 years post-survey). Many bivariate associations between coalition processes and other short-term outcomes were significant at the individual and coalition levels of analysis. In a multivariate random coefficients model, coalition functioning ( p p = .019) were significantly associated with perceived coalition accomplishments. Conclusion Consistent with research on coalitions that have addressed other health issues, good coalition processes were associated with short-term indicators of effectiveness in these teen Pregnancy Prevention coalitions. Coalition processes were not associated with coalition viability 2 years post-survey, however, suggesting that other factors influence coalition survival.
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missed opportunities for sexually transmitted diseases human immunodeficiency virus and Pregnancy Prevention services during adolescent health supervision visits
Pediatrics, 2003Co-Authors: Gale R Burstein, Jonathan D. Klein, Richard Lowry, John S. SantelliAbstract:Objective. To describe Prevention counseling on Pregnancy and sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV), received by sexually experienced youth in the primary care setting and to test associations between recent sexual risk behaviors and preventive counseling. Methods. Using data from the 1999 Youth Risk Behavior Surveillance survey, a nationally representative survey (N = 15 349) of high school students, we analyzed responses to questions about sexual experience, time since last preventive health care visit, and discussion of STD, HIV, or Pregnancy Prevention with a doctor or nurse during their last preventive health care visit. Logistic regression was used to test associations; students’ demographic characteristics were controlled. Results. More than half of the US high school students surveyed reported a preventive health care visit in the 12 months preceding the survey: 60.4% (95% confidence interval [CI]: 57.2%–63.6%) of female students and 57.5% (95% CI: 53.9%–61.1%) of male students. For female students, sexual experience was positively associated with a preventive health care visit (odds ratio [OR]: 1.3; 95% CI: 1.1–1.6), but for male students, sexual experience had a negative effect (OR: 0.8; 95% CI: 0.7–0.9). Of the students who reported a preventive health care visit in the 12 months preceding the survey, 42.8% (95% CI: 38.6%–47.1%) of female students and 26.4% (95% CI: 22.7%–30.2%) of male students reported having discussed STD, HIV, or Pregnancy Prevention at those visits. Sexual experience was associated with a higher likelihood of engaging in a dialogue about sexual health once a student entered the health care system: female students (OR: 3.8; 95% CI: 3.0–4.9) and male students (OR: 1.9; 95% CI: 1.3–2.7). Conclusion. Primary care providers miss opportunities to provide STD, HIV, and Pregnancy Prevention counseling to high-risk youth.
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Adolescent Pregnancy Prevention: impact of siblings who are teen parents
Journal of Adolescent Health, 2003Co-Authors: Jonathan D. Klein, Caryn A. Graff, Amy E. Green, Cheryl KodjoAbstract:Conclusions: While many adolescents report using contraception and condoms adolescents living in households with parenting siblings are more likely to have unmet health care needs. A high proportion of all adolescents report having ever been pregnant; those with parenting siblings have their own children 2 1/2 times more often than those without parenting teen siblings. These findings suggest a need for targeted interventions addressing secondary as well as primary Pregnancy Prevention. (excerpt)
Nassim Assefi - One of the best experts on this subject based on the ideXlab platform.
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school based teenage Pregnancy Prevention programs a systematic review of randomized controlled trials
Journal of Adolescent Health, 2005Co-Authors: Sylvana E Bennett, Nassim AssefiAbstract:We compared school-based abstinence-only programs with those including contraceptive information (abstinence-plus) to determine which has the greatest impact on teen Pregnancy. The United States has one of the highest rates of teen Pregnancy in the industrialized world. Programs aimed at reducing the rate of teen Pregnancy include a myriad of approaches including encouraging abstinence, providing education about birth control, promoting community service activities, and teaching skills to cope with peer pressure. We systematically reviewed all published randomized controlled trials of secondary-school-based teen Pregnancy Prevention programs in the United States that used sexual behavior, contraceptive knowledge, contraceptive use, and Pregnancy rates as outcomes.
Brian Goesling - One of the best experts on this subject based on the ideXlab platform.
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Making Sense of Replication Studies: Guidance for Teen Pregnancy Prevention Researchers
Mathematica Policy Research Reports, 2015Co-Authors: Brian GoeslingAbstract:This research brief provides practical guidance for making sense of the growing body of replication studies in teen Pregnancy Prevention research. It is intended primarily for researchers, policymakers, and practitioners working in the field of teen Pregnancy Prevention research, to help them navigate and make the best use of findings from the growing number of replication studies.
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Improving the Rigor of Quasi-Experimental Impact Evaluations: Lessons for Teen Pregnancy Prevention Researchers
Mathematica Policy Research Reports, 2015Co-Authors: Brian GoeslingAbstract:This research brief highlights three ways to improve the rigor of quasi-experimental impact evaluations of social and public health interventions, focusing specifically on evaluations of teen Pregnancy Prevention programs.
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Updated Findings from the HHS Teen Pregnancy Prevention Evidence Review: April 2013 Through July 2014
Mathematica Policy Research Reports, 2015Co-Authors: Brian Goesling, Julieta Lugo-gil, Timothy NovakAbstract:Since 2009, the U.S. Department of Health and Human Services (HHS) has sponsored an ongoing systematic review of the teen Pregnancy Prevention research literature to help identify programs with evidence of effectiveness in reducing teen Pregnancy, sexually transmitted infections (STIs), and associated sexual risk behaviors. The HHS Teen Pregnancy Prevention (TPP) Evidence Review was created in response to fiscal year (FY) 2010 Consolidated Appropriations Act legislation indicating that funded teen Pregnancy Prevention programs must have been “proven effective through rigorous evaluation to reduce teenage Pregnancy, behavioral risk factors underlying teenage Pregnancy, or other associated risk factors.” Mathematica Policy Research and Child Trends conduct the TPP Evidence Review, which is sponsored by the Office of the Assistant Secretary for Planning and Evaluation (ASPE), the Office of Adolescent Health (OAH) within the Office of the Assistant Secretary for Health, and the Family and Youth Services Bureau (FYSB) within the Administration for Children and Families (ACF).