title: Prime time: sexual health outcomes at 24 months for a clinic-linked intervention to prevent pregnancy risk behaviors.
abstract: OBJECTIVE
  Preventing early pregnancy among vulnerable adolescents requires innovative and sustained approaches. Prime Time, a youth development intervention, aims to reduce pregnancy risk among adolescent girls seeking clinic services who are at high risk for pregnancy.
  
  
  OBJECTIVE
  To evaluate sexual risk behaviors and related outcomes with a 24-month postbaseline survey, 6 months after the conclusion of the Prime Time intervention.
  
  
  METHODS
  Randomized controlled trial.
  
  
  METHODS
  Community and school-based primary care clinics.
  
  
  METHODS
  Of 253 sexually active 13- to 17-year-old girls meeting specified risk criteria, 236 (93.3%) completed the 24-month follow-up survey.
  
  
  METHODS
  Offered during an 18-month period, Prime Time includes case management and youth leadership programs.
  
  
  METHODS
  Self-reported consistency of condom, hormonal, and dual-method contraceptive use with most recent male sex partner and number of male sex partners in the past 6 months.
  
  
  RESULTS
  At 24-month follow-up, the intervention group reported significantly more consistent use of condoms, hormonal contraception, and dual-method contraception than the control group. Intervention participants also reported improvements in family connectedness and self-efficacy to refuse unwanted sex, and reductions in the perceived importance of having sex. No between-group differences were found in the number of recent male sex partners.
  
  
  CONCLUSIONS
  This study contributes to what has been a dearth of evidence regarding youth development interventions offered through clinic settings, where access to high-risk adolescents is plentiful but few efforts have emphasized a dual approach of strengthening sexual and nonsexual protective factors while addressing risk. Findings suggest that health services grounded in a youth development framework can lead to long-term reductions in sexual risk among vulnerable youth.
authors: University of Minnesota School of Nursing, 5-160 Weaver-Densford Hall, 308 Harvard St SE, Minneapolis, MN 55455, USA. sievi001@umn.edu
authors: Renee E
authors: RE
authors: Sieving
authors: Annie-Laurie
authors: AL
authors: McRee
authors: Barbara J
authors: BJ
authors: McMorris
authors: Kara J
authors: KJ
authors: Beckman
authors: Sandra L
authors: SL
authors: Pettingell
authors: Linda H
authors: LH
authors: Bearinger
authors: Ann W
authors: AW
authors: Garwick
authors: Jennifer A
authors: JA
authors: Oliphant
authors: Shari
authors: S
authors: Plowman
authors: Michael D
authors: MD
authors: Resnick
authors: Molly
authors: M
authors: Secor-Turner
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D057194:Intention to Treat Analysis; D007857:Leadership; D010379:Peer Group; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control*; D012309:Risk-Taking; D012725:Sexual Behavior; D035502:Trust