Klerman L V
Eval Health Prof. 1979 Mar;2(1):55-70. doi: 10.1177/016327877900200106.
In response to increasing societal concern about school-age pregnancy, many communities have developed special medical, educational, and counseling service programs for pregnant girls and young parents. A small number of these programs have attempted to evaluate their accomplishments. Unfortunately, most of the reports suffer from methodological weaknesses. Such studies could be improved by use of properly selected control groups, improved analytic procedures, and specification of realistic program goals. To date, the range of evaluative methods has been narrow and most studies have been of largely minority populations. The reports indicate some success in the medical and short-range educational areas; but limited accomplishments in terms of long-term continuation of education, avoidance or delay of subsequent pregnancies, and achievement of economic independence. Suggestions are provided for improving both study design and program effectiveness.
针对社会对学龄期怀孕问题日益增加的关注，许多社区为怀孕少女和年轻父母制定了专门的医疗、教育和咨询服务项目。其中少数项目试图评估其成果。不幸的是，大多数报告都存在方法上的缺陷。通过使用恰当选择的对照组、改进分析程序以及明确现实的项目目标，此类研究可以得到改进。迄今为止，评估方法的范围较窄，而且大多数研究主要针对少数族裔群体。报告表明，在医疗和短期教育领域取得了一些成功；但在长期继续教育、避免或推迟后续怀孕以及实现经济独立方面成就有限。文中针对改进研究设计和项目效果提出了建议。
