Adolescent Pregnancy Prevention: Meta-Analysis of Federally Funded Program Evaluations.

American Journal of Public Health
Randall JurasJean Layzer

Abstract

Beginning in 2010, the US Department of Health and Human Services (HHS) funded more than 40 evaluations of adolescent pregnancy prevention interventions. The government's emphasis on rigor and transparency, along with a requirement that grantees collect standardized behavioral outcomes, ensured that findings could be meaningfully compared across evaluations. We used random and mixed-effects meta-analysis to analyze the findings generated by these evaluations to learn whether program elements, program implementation features, and participant demographics were associated with effects on adolescent sexual risk behavior. We screened all 43 independent evaluation reports, some of which included multiple studies, funded by HHS and completed before October 1, 2016. HHS released, and our team considered, all such studies regardless of favorability or statistical significance. Of these studies, we included those that used a randomized or high-quality quasi-experimental research design. We excluded studies that did not use statistical matching or provide pretest equivalence data on a measure of sexual behavior or a close proxy. We also excluded studies that compared 2 pregnancy prevention interventions without a control group. A total of...Continue Reading

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Citations

Apr 28, 2019·The Journal of Primary Prevention·Melissa F PeskinSusan Tortolero Emery
Sep 14, 2019·Sexually Transmitted Diseases·Julia L Marcus, Jonathan M Snowden
Dec 1, 2020·Evaluation Review·Jean Knab, Russell Cole
Apr 16, 2020·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Marit L Bovbjerg
Dec 11, 2020·The Journal of Pediatrics·Megan M KelseyPhilip S Zeitler
Mar 31, 2021·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Jennifer ManloveKate Welti
Sep 24, 2021·The Journal of School Health·Jennifer ManloveSamantha Ciaravino
Jun 12, 2020·Pediatrics·Reina EvansJulia Brasileiro

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