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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Motivational intervention to reduce rapid subsequent births to adolescent mothers: A community-based randomized trial

TitleMotivational intervention to reduce rapid subsequent births to adolescent mothers: A community-based randomized trial
Publication TypeJournal Article
Year of Publication2009
AuthorsBarnet, B, Liu, J, Devoe, M, Duggan, AK, Gold, MA, Pecukonis, E
JournalAnnals of Family Medicine
Volume7
Pagination436-445
ISBN Number15441709 (ISSN)
KeywordsAdolescent, Adolescent Behavior, Adolescent mother, Adult, African American, article, behavior, birth, birth certificate, Birth Intervals, childbirth education, clinical trial, Community Health Services, computer assisted motivational intervention, Computer-Assisted Instruction, contraception, controlled clinical trial, controlled study, family planning, Family Planning Services, Female, Gestational Age, Health Behavior, health education, Home Care Services, human, Humans, interview, lowest income group, major clinical study, MARYLAND, Mothers, Motivation, Outcome Assessment (Health Care), parenting education, patient care, Pregnancy, Pregnancy in Adolescence, professional practice, Program Evaluation, Proportional Hazards Models, puerperium, randomized controlled trial, Reproductive Behavior, sexuality, theoretical model, urban area
Abstract

PURPOSE: One-quarter of adolescent mothers bear another child within 2 years, compounding their risk of poorer medical, educational, economic, and parenting outcomes. Most efforts to prevent rapid subsequent birth to teenagers have been unsuccessful but have seldom addressed motivational processes. METHODS: We conducted a randomized trial to determine the effectiveness of a computer-assisted motivational intervention (CAMI) in preventing rapid subsequent birth to adolescent mothers. Pregnant teenagers (N = 235), aged 18 years and older who were at more than 24 weeks' gestation, were recruited from urban prenatal clinics serving low-income, predominantly African American communities. After completing baseline assessments, they were randomly assigned to 3 groups: (1) those in CAMI plus enhanced home visit (n = 80) received a multicomponent home-based intervention (CAMI+); (2) those in CAMI-only (n = 87) received a single component home-based intervention; (3) and those in usualcare control (n = 68) received standard usual care. Teens in both intervention groups received CAMI sessions at quarterly intervals until 2 years' postpartum. Those in the CAMI+ group also received monthly home visits with parenting education and support. CAMI algorithms, based on the transtheoretical model, assessed sexual relationships and contraception-use intentions and behaviors, and readiness to engage in pregnancy prevention. Trained interventionists used CAMI risk summaries to guide motivational interviewing. Repeat birth by 24 months' postpartum was measured with birth certificates. RESULTS: Intent-to-treat analysis indicated that the CAMI+ group compared with the usual-care control group exhibited a trend toward lower birth rates (13.8% vs 25.0%; P = .08), whereas the CAMI-only group did not (17.2% vs 25.0%; P = .32). Controlling for baseline group differences, the hazard ratio (HR) for repeat birth was significantly lower for the CAMI+ group than it was with the usual-care group (HR = 0.45; 95% CI, 0.21-0.98). We developed complier average causal effects models to produce unbiased estimates of intervention effects accounting for variable participation. Completing 2 or more CAMI sessions signifi cantly reduced the risk of repeat birth in both groups: CAMI+ (HR = 0.40; 95% CI, 0.16-0.98) and CAMI-only (HR = 0.19; 95% CI, 0.05-0.69). CONCLUSIONS: Receipt of 2 or more CAMI sessions, either alone or within a multicomponent home-based intervention, reduced the risk of rapid subsequent birth to adolescent mothers.