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result(s) for
"Teenage pregnancy Prevention."
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Implementation evaluation of a collective impact initiative to promote adolescent health in Oklahoma County, USA
by
Criswell, Brittney
,
Garcia, Kristen E.
,
Mathews, Ronneal
in
Adolescence
,
Adolescent
,
Adolescent Health
2022
Background
The teenage birth rate in the USA has considerably decreased in recent decades; however, more innovative, collaborative approaches are needed to promote adolescent health and prevent teenage pregnancy at the community level. Despite literature on the promising results of the collective impact (CI) model for health promotion, there is limited literature on the model’s ability to reduce teenage pregnancies in a community. The Central Oklahoma Teen Pregnancy Prevention Collaboration is applying the CI model to foster collaboration among multiple stakeholders with the goal of increasing community and organizational capacity to improve adolescent health outcomes. This paper reports the findings from the initiative’s implementation evaluation, which sought to understand whether the CI model improved collaboration among organizations and understand barriers and facilitators that affected program delivery.
Methods
Program implementers and evaluators jointly developed research questions to guide the intervention and evaluation design. The Consolidated Framework for Implementation Research (CFIR) was used to assess program components including the intervention characteristics, organization setting, community setting, facilitator characteristics, and the process of implementation. Primary sources of data included performance measures, meeting observations (
n
= 11), and semi-structured interviews (
n
= 10). The data was thematically analyzed using CFIR constructs, community capacity domains, and the five constructs of CI.
Results
Key findings include the need for shortened meeting times for meaningful engagement, opportunities for organizations to take on more active roles in the Collaboration, and enhanced community context expertise (i.e., those with lived experience) in all Collaboration initiatives. We identified additional elements to the core constructs of CI that are necessary for successful implementation: distinct role identification for partner organizations and incorporation of equity and inclusivity into collaboration processes and procedures.
Conclusions
Results from this implementation evaluation provide valuable insights into implementation fidelity, participant experience, and implementation reach of an innovative, systems-level program. Findings demonstrate the context and requirements needed to successfully implement this innovative program approach and CI overall. Additional core elements for CI are identified and contribute to the growing body of literature on successful CI initiatives.
Journal Article
Adolescent pregnancy : policy and prevention services
by
Farber, Naomi author
in
Teenage pregnancy Government policy United States
,
Teenage pregnancy United States Prevention
2003
This study provides social workers with research-based advice for developing youth pregnancy prevention programs and policies that take into account young people's different levels of early sex, pregnancy, and parenthood experiences. Farber (social work, U. of South Carolina) also considers the special needs of children of teens, and the links between alcohol, drug use, early sex and pregnancy. Brown (social work, S. Carolina College) and Shapiro (social work and research, Bryn Mawr College) each contribute a chapter to the book. Annotation (c)2003 Book News, Inc., Portland, OR (booknews.com).
Latina adolescent childbearing in East Los Angeles
by
Erickson, Pamela I. (Pamela Irene)
in
Adolescents
,
California (Los Angeles)
,
Cultural Differences
1998
This book is about teenage pregnancy among Latina teenagers in East Los Angeles (California). It focuses on teenage pregnancy and motherhood among economically disadvantaged Latinas aged 17 and under. The young mothers in this study were participants in a series of intervention efforts to prevent repeat pregnancy at a family planning clinic. This book was inspired by the observation that most of these young women had relatively good birth outcomes despite poor prenatal care. Many had, in fact, planned their pregnancies, and most had a high level of support from partners and families. Data came from two surveys of teen mothers, 1,017 in 1986-87, and 1,293 in 1992-94, and from a longitudinal study of 173 young Latina mothers participating in the pregnancy prevention project. Other data came from qualitative interviews with 28 teens and 13 service providers, and interviews and conversations with teens, project staff, and clinic service providers. Chapter 1 describes the study population, and chapter 2 discusses the problem of teenage pregnancy in America and an overview of research on Latino adolescent sexual behavior and cultural factors. Chapters 3 and 4 describe the repeat pregnancy prevention project. In chapter 5, young Latina mothers and the social context of their pregnancies are described. Chapters 6 through 8 discuss issues of health care use and outcomes. Chapter 9 explores \"Implications for America's War on Teenage Pregnancy.\" (Contains 5 figures, 31 tables, and 202 references.) (SLD)
Adolescent pregnancy
by
Naomi B. Farber
in
Teenage pregnancy
,
Teenage pregnancy -- Government policy -- United States
,
Teenage pregnancy -- United States -- Prevention
2009
This new edition of Adolescent Pregnancy contains everything a social worker needs to know to address adolescent sexual health risks and the recent rise in teen pregnancy rates. The second edition presents a new focus on cultural competence, presenting up-to-the-minute research on ethnically diverse populations. This edition goes beyond just adolescent pregnancy, discussing STI and HIV risks, as well as drug and alcohol abuse. Other cutting-edge topics include the sexualization of children, secondary prevention, the impact of abstinence-only programs, and controversies over access to birth control and abortion.
Risking the future
1987
More than 1 million teenage girls in the United States become pregnant each year; nearly half give birth. Why do these young people, who are hardly more than children themselves, become parents? This volume reviews in detail the trends in and consequences of teenage sexual behavior and offers thoughtful insights on the issues of sexual initiation, contraception, pregnancy, abortion, adoption, and the well-being of adolescent families. It provides a systematic assessment of the impact of various programmatic approaches, both preventive and ameliorative, in light of the growing scientific understanding of the topic.
Changes in Formal Sex Education: 1995-2002
by
Singh, Susheela
,
Santelli, John S.
,
Lindberg, Laura Duberstein
in
Abstinence
,
Adolescent
,
Adolescents
2006
Context: Although comprehensive sex education is broadly supported by health professionals, funding for abstinence-only education has increased. Methods: Using data from the 1995 National Survey of Adolescent Males, the 1995 National Survey of Family Growth (NSFG) and the 2002 NSFG, changes in male and female adolescents' reports of the sex education they have received from formal sources were examined. Life-table methods were used to measure the timing of instruction, and t tests were used for changes over time. Results: From 1995 to 2002, reports of formal instruction about birth control methods declined among both genders (males, from 81% to 66%; females, from 87% to 70%). This, combined with increases in reports of abstinence education among males (from 74% to 83%), resulted in a lower proportion of teenagers' overall receiving formal instruction about both abstinence and birth control methods (males, 65% to 59%; females, 84% to 65%), and a higher proportion of teenagers' receiving instruction only about abstinence (males, 9% to 24%; females, 8% to 21%). Teenagers in 2002 had received abstinence education about two years earlier (median age, 11.4 for males, 11.8 for females) than they had received birth control instruction (median age, 13.5 for both males and females). Among sexually experienced adolescents, 62% of females and 54% of males had received instruction about birth control methods prior to first sex. Conclusions: A substantial retreat from formal instruction about birth control methods has left increasing proportions of adolescents receiving only abstinence education. Efforts are needed to expand teenagers' access to medically accurate and comprehensive reproductive health information.
Journal Article
Embarazo temprano : evidencias de la investigación en Colombia
by
Vargas Trujillo, Elvia
in
Teenage pregnancy-Colombia-Prevention
,
Teenage pregnancy-Government policy-Colombia
2019
En este libro, escrito por un equipo de investigación de diversas disciplinas, se examina la información disponible de diferentes fuentes acerca del embarazo temprano y sus determinantes próximos y distales, desde una aproximación socioecológica y de derechos humanos con énfasis en la perspectiva diferencial de género. Asimismo, se analizan las iniciativas que se han emprendido en las últimas décadas en Colombia para su prevención. De esta manera, se identifican las lecciones aprendidas que las instancias interesadas en el fenómeno deben tener en consideración al tomar decisiones sobre las acciones de investigación e intervención que se emprendan a futuro, con el fin de cumplir con los compromisos del país frente a los objetivos de desarrollo sostenible.
Adolescent Pregnancy
2009
\"Adolescent pregnancy is an important public health issue and this valuable, well-referenced book covers the risk factors, child-family outcomes, and preventionÖ.This is a very useful book for social workers and other professionals as a single source of current information about adolescent pregnancy and prevention.\" -- Doody's This new edition of.