Teen Pregnancy Clinical Trial
Official title:
Teen Pregnancy Prevention Replication Study
This study is evaluating the effectiveness of three evidence-based teen pregnancy prevention (TPP) programs in reducing sexual risk-taking behaviors of youth. The study is using an experimental design in which youth are randomly assigned to receive either TPP programming or services as usual.
The Teen Pregnancy Prevention Replication Study is being conducted under contract for the
U.S. Department of Health and Human Services (DHHS) Office of the Assistant Secretary for
Planning and Evaluation (ASPE) and Office of Adolescent Health (OAH) by Abt Associates and
its subcontractors, Belmont Research Associates, and Decision Information Resources (DIR).
The study seeks to add to the knowledge base about effective teen pregnancy prevention
programs by examining replications of evidence-based program models currently funded through
the Teen Pregnancy Prevention program, administered by OAH.
Through a series of rigorous experimental design evaluations, the study will test multiple
replications of three widely-used evidence-based program models to determine their
effectiveness across different settings and populations. This strategy of selecting multiple
replications of each program model will allow for an examination of variation in impacts
across replications for each program model and provide evidence about the generalizability
of program effectiveness. A comprehensive implementation study will provide information
about the contexts in which evidence-based programs are implemented, the challenges faced in
implementing them, and the aspects of program implementation that are associated with
program impacts.
The models that will be examined in this study include: ¡Cuidate! (an HIV/STI risk reduction
program); Reducing the Risk (a sexuality education curriculum); and Safer Sex (a
clinic-based HIV/STI prevention program for high-risk adolescent females). Program impacts
will be estimated by using an experimental design in which youth are randomly assigned to
treatment and control conditions. The unit of random assignment will be the individual or
school class, depending upon the program setting.
Overall, the study will be based on a sample of approximately 8,000 youth in nine locations
across the country. The evaluation team will collect baseline information when youth are
enrolled in the program, short-term outcome data at a follow-up survey between 6 and 12
months post-random assignment, and longer-term outcome data at a follow-up survey
administered between 18 and 24 months post-random assignment. Comparison of outcomes for
program and control groups will provide important information about the effectiveness of the
programs in reducing teen pregnancy and associated risk behaviors.
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