Adolescents Clinical Trial
Official title:
Young Parents Program, Project Connect
1. Specific Aims
1. To evaluate the effects of life skills/parenting groups that are embedded within a
comprehensive multidisciplinary clinic for adolescent parents (the Young Parents
Program), using a randomized control design. Specifically, the effect of group
participation on the following adolescent parent outcomes will be investigated:
- Parenting attitudes and skills including empathy, non-violent discipline, role
appropriateness and developmentally appropriate expectations.
- Skills of daily living, social relationships, and work/study at follow-up, as
measured by the Ansell-Casey Life Skills Assessment Scale.
- Depression and perceived social support using the CESD-C and Duke Social Support
scale.
- Repeat pregnancy rates at 12 and 24 months after first delivery.
2. To evaluate the overall Young Parents Program service delivery as required by the Office
of Adolescent Pregnancy Programs (project funder) using a cross cutting evaluation of
health services utilization, social needs and work/educational outcomes.
The Young Parents Program (YPP), a specialty clinic within Children's Hospital Primary Care
Center, provides comprehensive medical care, mental health services, and advocacy to high
risk, urban teen parents and their young children through a teen-tot model. YPP serves 152
teenage mothers and their babies annually with a multi-disciplinary team knowledgeable in the
medical, social, and developmental issues of adolescence and early childhood. Project Connect
is an evaluation of both the medical and social services provided by YPP and a randomized
controlled trial of an intensive educational arm of YPP.
YPP serves the population that economically, ethnically, and geographically represents the
highest rates of subsequent pregnancies and the greatest risk for poor birth outcomes. The
staff of physicians, nurse practitioners, social workers, and nurse consists of experienced
professionals work with parents, adolescents, and children. YPP has cooperative relationships
with Boston area education and job training sites, Early Intervention Programs, the
Massachusetts Department of Revenue, community agencies, mental health services, and teen
living programs.
By providing an integrated family based comprehensive medical home and a randomized
controlled trial of intensive parenting/life skills training, Project Connect enhances teen
parents' connections to child, family, peers, partners, medical care, and mental health.
Medical care, home visiting, child/adolescent health services, mental health, and fathers'
programming are all linked into a continuous program. Goals of the intensive intervention are
to enhance parenting and life skills, help participants optimize family interactions, and
build self-efficacy.
Project Connect brings together YPP at Boston Children's Hospital (BCH), Healthy Baby/Healthy
Child (HB/HC) nurse home visiting program and Families First, a parenting education agency,
to provide a state-of-the art model of care for parenting teens in Boston. The model builds
on lessons learned and strengths of each program, adding critical new elements of randomized
control trial of parenting/life skills modules, and home visiting. Prenatal services will
encourage breast-feeding, and support infant care and parenting. YPP provides a medical home
with coordinated, continuous health care services, psychosocial support, parenting/life
skills modules and individual services for teen mothers and fathers. Integrated fathers'
services emphasize male parenting roles, communication, life skills training, violence
prevention and positive youth development.
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