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Evaluating Teen Pregnancy Interventions: Trends, Insights, and Recommendations

This report evaluates the effectiveness of teen pregnancy prevention initiatives from 2003 to 2012, focusing on curriculum delivery, participation rates, and pre/post test outcomes. Despite a national decrease in teen pregnancy rates, local data reveals mixed trends. The study highlights the importance of parental involvement and protective factors in influencing teen behavior. Recommendations include improved communication strategies, continued education efforts, and community engagement to address rising trends in intentional pregnancies. The report calls for actionable change to enhance educational outreach and support.

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Evaluating Teen Pregnancy Interventions: Trends, Insights, and Recommendations

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Presentation Transcript

  1. Progress Report September 2012

  2. Why Evaluate? • Required by granting agencies • Used to improve performance • Used to generate additional funding • By agencies • By Worth the Wait

  3. In-School Time Series Design O1 X O2 O3 X O4 O5 X O6 O=Observation (Survey) X=Curriculum Odd numbers=Pre-tests Even numbers=Post-tests Compare O4 to O3and O2 Average Participation Rate is 55%

  4. Qualitative methods • Focus groups with • Teens • Parents • Teachers • Depth Interviews with • Campus leaders

  5. What Changed – stayed same • 2nd Year of Total WAIT Training • Teachers delivered WT materials • On their own schedules • Their own preference of lessons taught • WTW Nurses/Educators delivered Medical Presentations • Assemblies were delivered

  6. Variance in survey participation

  7. What makes it work? Protective Factors: Parents or Mentors

  8. Significant Pre/Post Outcomes in Each Category Protective Factors: Parents or Mentors Not Normal Results ?

  9. Key Question Do intentions lead to behavior?

  10. 2003-2012Willing Intercourse

  11. Trends are down Why be concerned? • Pre was down • Increase pre/post is growing WE HAVE THE POTENTIAL TO DO MUCH BETTER THAN WE ARE AND WE ARE NOT DOING AS WELL AS WE HAVE

  12. HS Health Trend

  13. Comparison to YRBS, 2011

  14. Potter County Teen Pregnancy • Trends on Pregnancy are flat • County not the worst in Texas, but in the “bottom” 5 % • Some AISD schools seeing increase, some decrease

  15. Trends: National & state • Teen Pregnancy Down from 118/1000 (1991) to 69/1000 (2008) • Texas Decline follows national trend but at a slower rate

  16. Impact on Condom Usage Return to National Average suggests last year was abnomal

  17. Why Pregnant? • Having sex to have a baby begins at 1% (7th grade) and grows to 7% (start of 9th), then goes to 5% • Trend is upward • Consistent with focus group findings that “intentional” pregnancies are happening earlier • Clearly a socially desirable activity in some circles early, not later

  18. Focus Group Results • Getting pregnant is NOT seen as a negative consequence • All teen moms had access to condoms and, in many cases, other forms of birth control but chose not to use it • Most pregnancies occur in a “serious” relationship so protection against STDs is not a concern

  19. Girl, 15, Shot at Party • Shooting occurred at 3:30 a.m. • Girl was pregnant

  20. Conclusion • Could promote condoms and birth control, but until pregnancy is viewed as a negative consequence, behavior won’t change • Keeping high school message in only health is not enough • We are losing opportunities to reach kids, especially in middle school • If we can’t reach parents, too, then we are going to continue to face strong challenges

  21. Best Practices from research • Motivate, Educate, Prepare • Offer reasons why • Must be medically accurate • Improve decision making overall • Teachers have to believe in & be comfortable with subject • Reach parents and involve them in the conversation • Include community service • Don’t stop messaging – continue through HS • Recognize power of Developmental Assets

  22. Recommendations • Take over teaching the curriculum • Spread out delivery • Exhibit local administrator support • Find a way to reach more High School students • Reach parents more regularly • Seek new media channels since no new funding is available • Involve peer resources

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