Healthy Adolescent Transitions (HAT)

Phase 2CompletedNCT03194672

Jack Stevens331 enrolled

Overview

Randomized trial of a rapid repeat pregnancy prevention program for adolescent mothers. Five hundred adolescent mothers from central Ohio will be enrolled--half will be assigned to an intervention that features nurses and social workers providing extra assistance during late pregnancy and the early postnatal period and half will be assigned to a standard of care intervention. OhioHealth is the lead entity. Nationwide Children's Hospital serves as the local independent evaluator. This federally funded contract is supported by the Family and Youth Services Bureau.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

331

Conditions

Pregnancy Prevention Life Skill Development

Interventions

Healthy Adolescent Transitions (HAT) programBEHAVIORAL

The components of the intervention are described in the arm description. The intervention is based upon the theoretical framework of behavioral economics, which suggests that low intensity "nudges" can help recipients accomplish their own goals. All components of the intervention are voluntary; some participants may wish to discuss all components, while other participants may wish to discuss selected components consistent with their priorities.

Eligibility

Sex: FEMALEMin age: 14 YearsMax age: 19 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria (at baseline) 1. Age 14-19 years 2. 24-35 weeks gestation 3. Medicaid insurance 4. Central Ohio resident 5. English speaking 6. Ability to provide informed consent (18-19 years of age) or minor assent and parental consent (\<18 years of age) 7. Willingness to complete study-related surveys and coaching sessions 8. Patient must have her own smartphone, capable of running the study-related mobile application 9. Patient must have regular access to cellular or WiFi service Exclusion Criteria 1. Patients \< 13 years or \>19 years 2. Non-English speaking 3. \<24 or \>35 weeks of gestation 4. Primary residence is located outside of central Ohio 5. Another adolescent from the household has already been enrolled in the program

Locations (1)

OhioHealth Innovation Institute

Columbus, Ohio, United States

Outcomes

Primary Outcomes

Long acting reversible contraception

Use of long acting reversible contraception

Time frame: 12 months post enrollment

Repeat pregnancy