Center for Adolescent Nursing, School of Nursing, University of Minnesota, Minneapolis, MN 55455-0342, USA.
J Adolesc Health. 2011 Aug;49(2):172-9. doi: 10.1016/j.jadohealth.2010.12.002. Epub 2011 Mar 15.
Prime Time, a youth development intervention, aims to reduce pregnancy risk among adolescent girls seeking clinic service who are at high risk for pregnancy. This article examines sexual risk behaviors and hypothesized psychosocial mediators after 12 months of the Prime Time intervention.
This study was a randomized controlled trial with 253 girls aged 13-17 years meeting specified risk criteria. Intervention participants were involved in Prime Time programming plus usual clinic services for 18 months, control participants received usual clinic services. The intervention used a combination of case management and peer leadership programs. Participants in this interim outcomes study completed self-report surveys at baseline and 12 months after enrollment. Surveys assessed sexual risk behaviors and psychosocial factors targeted for change by Prime Time.
At the 12-month interim, the intervention group reported more consistent use of condoms, hormonal contraception, and dual contraceptive methods with their most recent partner as compared with the control group. The intervention group also reported greater stress management skills with trends toward higher levels of prosocial connectedness at school and with family. No between-group differences were noted in psychosocial measures specific to sex and contraceptive use.
Preventing early pregnancy among high-risk adolescents requires multifaceted, sustained approaches. An important research focus involves testing youth development interventions offered through clinic settings, where access to high-risk adolescents is plentiful and few efforts have emphasized a dual approach of building protective factors while addressing risk. Findings suggest that youth development interventions through clinic settings hold promise in reducing pregnancy risk among high-risk youth.
黄金时段是一项青少年发展干预计划，旨在减少寻求诊所服务且处于高妊娠风险的少女怀孕的风险。本文研究了黄金时段干预 12 个月后青少年的性风险行为和假设的心理社会中介因素。
本研究为随机对照试验，共有 253 名年龄在 13-17 岁之间、符合特定风险标准的女孩参与。干预组参与黄金时段项目和常规诊所服务 18 个月，对照组仅接受常规诊所服务。干预措施结合了个案管理和同伴领导项目。参加本中期结果研究的参与者在基线和入组后 12 个月完成了自我报告调查。调查评估了性风险行为和黄金时段针对改变的心理社会因素。
在 12 个月的中期，与对照组相比，干预组报告称在最近的伴侣中更一致地使用避孕套、激素避孕和双重避孕方法。干预组还报告称在学校和家庭中具有更好的压力管理技能，并且有朝着更高水平的亲社会联系发展的趋势。在与性和避孕使用相关的特定心理社会措施方面，两组之间没有差异。
预防高危青少年的早期怀孕需要多方面、持续的方法。一个重要的研究重点是测试通过诊所提供的青少年发展干预措施，在这些诊所中，高危青少年很容易接触到，而且很少有努力强调同时建立保护因素和解决风险的双重方法。研究结果表明，通过诊所提供的青少年发展干预措施有希望降低高危青少年的怀孕风险。
