title: Promoting Teen Contraceptive Use by Intervention With Their Mothers.
abstract: BACKGROUND
  The purpose of this pilot study was to test a community outreach model designed to help mothers in a rural, medically underserved area navigate their teen daughters to health department services for long-acting reversible contraception (LARC) or alternative contraception.
  
  
  METHODS
  The pilot study used a single-group, post-test only design. Mothers of teen daughters (N=142) received a 1-hour, one-to-one intervention session (in outreach settings) from Community Liaisons. Mothers received training on how to communicate with their daughters about LARC and other contraceptive methods. Data were collected from June through October 2014, and analyzed in September 2015.
  
  
  RESULTS
  The authors re-contacted 104 of 142 mothers enrolled in the study, achieving a 73.2% retention rate. Of these, 12.5% had daughters receiving LARC. An additional 11.0% had daughters with health department-verified initiation of birth control pills. Only one correlate-whether a mother believed her daughter was having sex-was associated with receiving either LARC or birth control pills. Among those indicating they knew their daughters were having sex, 31.7% of the daughters received LARC/birth control pills. By contrast, among mothers not indicating they knew their daughters were having sex, only 2.9% had daughters receiving LARC or birth control pills.
  
  
  CONCLUSIONS
  Findings suggest that an outreach-based program delivered directly to mothers of teen daughters may be a highly effective method for enhancing service utilization of LARC and the initiation of birth control pill use in a rural, medically underserved area.
authors.affiliation: College of Public Health, University of Kentucky, Lexington, Kentucky; Kinsey Institute for Research in Sex, Gender, and Reproduction, Bloomington, Indiana; University of Mississippi Medical Center, Jackson, Mississippi;. Electronic address: crosbyr3@gmail.com.
authors.forename: Richard A
authors.initials: RA
authors.lastname: Crosby
authors.affiliation: Rural Cancer Prevention Center, College of Public Health, University of Kentucky, Lexington, Kentucky.
authors.forename: Tom
authors.initials: T
authors.lastname: Collins
authors.affiliation: Rural Cancer Prevention Center, College of Public Health, University of Kentucky, Lexington, Kentucky.
authors.forename: Lindsay R
authors.initials: LR
authors.lastname: Stradtman
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D000368:Aged; D003268:Contraception Behavior; D005260:Female; D006293:Health Promotion; D006801:Humans; D008875:Middle Aged; D009034:Mother-Child Relations; D010865:Pilot Projects; D055815:Young Adult