title: Prime Time: 12-month sexual health outcomes of a clinic-based intervention to prevent pregnancy risk behaviors.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Center for Adolescent Nursing, School of Nursing, University of Minnesota, Minneapolis, MN 55455-0342, USA. sievi001@umn.edu
authors.forename: Renee E
authors.initials: RE
authors.lastname: Sieving
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: McMorris
authors.forename: Kara J
authors.initials: KJ
authors.lastname: Beckman
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Pettingell
authors.forename: Molly
authors.initials: M
authors.lastname: Secor-Turner
authors.forename: Kari
authors.initials: K
authors.lastname: Kugler
authors.forename: Ann W
authors.initials: AW
authors.lastname: Garwick
authors.forename: Michael D
authors.initials: MD
authors.lastname: Resnick
authors.forename: Linda H
authors.initials: LH
authors.lastname: Bearinger
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D019090:Case Management; D003267:Contraception / Q000523:psychology; D005260:Female; D006801:Humans; D010379:Peer Group; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control*; D012309:Risk-Taking; D012736:Sex Education / Q000379:methods*; D012725:Sexual Behavior; D035862:Vulnerable Populations