Pregnancy Related Clinical Trial
Official title:
Computer-Assisted Motivational Interviewing Intervention to Facilitate Teen Pregnancy Prevention and Fitness Behavior Changes: A Randomized Trial for Young Men
The present study aims to test and rigorously evaluate the effectiveness of a
computer-assisted motivational interviewing (CAMI) intervention that has already been shown
to be successful with young women by reducing the risk of rapid subsequent birth among
adolescent mothers, and applying this intervention to young men.
The purpose of the intervention is to increase condom use, increase female partner use of
moderately or highly effective contraception, and increase completion of a reproductive
health visit and STI/HIV testing.
The primary hypothesis is that the CAMI-TPP (CAMI aimed at Teen Pregnancy Prevention)
intervention will increase the proportion of participants who do not engage in risky sex,
report condom use at last intercourse as well as partner use of contraception compared to
those in the Fitness group. It is also predicted that young men who receive the CAMI-TPP will
report higher completion of a reproductive health service visit with sexually transmitted
infection (STI) testing over the course of study participation compared to those in the
CAMI-Fitness (CAMI aimed at healthy diet, physical activity and tobacco avoidance) group.
Most teen pregnancies (82%) in the United States are unintended. Actively engaging young men
in preventing teen pregnancy is a necessary and central component to effecting change. Young
men, aged 15-19 and 20-24 years, father most of the children born to teen mothers. Few
interventions have been designed specifically or shown to be effective for young men in
reducing teen pregnancy.
Counseling and feedback based on Motivational Interviewing (MI) principles demonstrated
greater success than standard, didactic advice in several domains of behavior change. The
effectiveness of this type of counseling to alter young men's sexual and contraceptive
behaviors has not been rigorously evaluated.
Participants will be randomly chosen (like flipping a coin) to take part in one of the two MI
projects, and you will get coaching and use an app for that project to improve your health.
One project is on teen pregnancy prevention and the other is on healthy eating, physical
activity, and avoiding cigarettes. Participants will use an app via phone to do the project,
answer survey questions, keep track of health, and learn more about healthy behaviors.
Three hundred young men, ages 15 to 24 years, will be randomized to one of two intervention
arms, a modified CAMI aimed at Teen Pregnancy Prevention (CAMI-TPP) or a CAMI aimed at
healthy diet, physical activity and tobacco avoidance (CAMI-Fitness). The two interventions
are identical in length and timing but vary in the target behavior focus (pregnancy
prevention versus fitness).
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