Randomized Trials of the Teen Outreach Program in Louisiana and Rochester, New York.
OBJECTIVE
To evaluate the Teen Outreach Program, a pregnancy prevention program, in 2 community-based settings.


METHODS
We evaluated the Teen Outreach Program, a 9-month positive youth development program, in 3 cohorts of youths from 2012 to 2015 in 2 states. In Louisiana, 7 agencies participated in an individualized randomized controlled trial, with youths randomly assigned to a treatment or control condition. Fourteen agencies in Rochester, New York, participated in a cluster randomized controlled trial.


RESULTS
We found no differences between the intervention and control youths on delay of sexual onset in Louisiana (adjusted odds ratio [AOR] = 0.80; 95% confidence interval [CI] = 0.62, 1.03) or in Rochester, New York (AOR = 0.89; 95% CI = 0.45, 1.77), or for sex with no effective means of birth control (Louisiana, AOR = 1.18; 95% CI = 0.78, 1.78; Rochester, AOR = 0.41; 95% CI = 0.13, 1.27) after controlling for relevant covariates.


CONCLUSIONS
We found no short-term effects for the offer of the intervention. Research might be needed for the long-term and intermediate impacts of youth development programs on these and other adolescent risk behaviors.
William T. Robinson is with the Louisiana State University Health Sciences Center, New Orleans School of Public Health, and the STD/HIV Program, Office of Public Health, Louisiana Department of Health, Baton Rouge. Susan M. Seibold-Simpson is with Binghamton University, State University of New York, Binghamton. Hugh F. Crean is with the University of Rochester, Rochester, NY. Briana Spruille-White is with the Office of Public Health, Louisiana Department of Health, Baton Rouge.
William T
WT
Robinson
William T. Robinson is with the Louisiana State University Health Sciences Center, New Orleans School of Public Health, and the STD/HIV Program, Office of Public Health, Louisiana Department of Health, Baton Rouge. Susan M. Seibold-Simpson is with Binghamton University, State University of New York, Binghamton. Hugh F. Crean is with the University of Rochester, Rochester, NY. Briana Spruille-White is with the Office of Public Health, Louisiana Department of Health, Baton Rouge.
Susan M
SM
Seibold-Simpson
William T. Robinson is with the Louisiana State University Health Sciences Center, New Orleans School of Public Health, and the STD/HIV Program, Office of Public Health, Louisiana Department of Health, Baton Rouge. Susan M. Seibold-Simpson is with Binghamton University, State University of New York, Binghamton. Hugh F. Crean is with the University of Rochester, Rochester, NY. Briana Spruille-White is with the Office of Public Health, Louisiana Department of Health, Baton Rouge.
Hugh F
HF
Crean
William T. Robinson is with the Louisiana State University Health Sciences Center, New Orleans School of Public Health, and the STD/HIV Program, Office of Public Health, Louisiana Department of Health, Baton Rouge. Susan M. Seibold-Simpson is with Binghamton University, State University of New York, Binghamton. Hugh F. Crean is with the University of Rochester, Rochester, NY. Briana Spruille-White is with the Office of Public Health, Louisiana Department of Health, Baton Rouge.
Briana
B
Spruille-White
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