Long-Term Effects of the Booster-Enhanced READY-Girls Preconception Counseling Program on Intentions and Behaviors for Family Planning in Teens With Diabetes
| Autor: | Denise Charron-Prochownik, Feng Guo, Susan M. Sereika, Dorothy J. Becker, Neil H. White, Andrea Rodgers Fischl, Patricia L. Schmitt, William H. Herman, Laura N. McEwen, A. Blair Powell, Julie S. Downs, Ana M. Diaz, Jacquelyn Jones, Monica DiNardo |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Counseling
Research design Pediatrics medicine.medical_specialty Time Factors Adolescent Sexual Behavior Endocrinology Diabetes and Metabolism media_common.quotation_subject Population 030209 endocrinology & metabolism Intention law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Pregnancy law Diabetes Mellitus Internal Medicine medicine Humans 030212 general & internal medicine Young adult education Original Research media_common Reproductive health Advanced and Specialized Nursing Physician-Patient Relations education.field_of_study business.industry Clinical Care/Education/Nutrition/Psychosocial Research Abstinence 3. Good health Family planning Family Planning Services Female Health education business Follow-Up Studies Demography |
| Zdroj: | Diabetes care, 36(12):3870-3874 Diabetes Care |
| Popis: | OBJECTIVE To examine 12-month effects of a booster-enhanced preconception counseling (PC) program (READY-Girls) on family planning for teen girls with type 1 and type 2 diabetes. RESEARCH DESIGN AND METHODS Participants 13–19 years of age (n = 109) were randomized to a standard care control group (CG) or intervention group (IG) that received PC over three consecutive clinic visits. Prepost data were collected at baseline, 3- and 6-month booster sessions, and a 12-month follow-up visit. RESULTS Mean age was 15.8 years; 9 (8%) subjects had type 2 diabetes; and 18 (17%) subjects were African American. At baseline, 20% (n = 22 of 109) had been sexually active, and of these, 50% (n = 11) had at least one episode of unprotected sex. Over time, IG participants retained greater PC knowledge (F[6, 541] = 4.05, P = 0.0005) and stronger intentions regarding PC (significant group-by-time effects) especially after boosters. IG participants had greater intentions to discuss PC (F[6, 82.4] = 2.56, P = 0.0254) and BC (F[6, 534] = 3.40, P = 0.0027) with health care providers (HCPs) and seek PC when planning a pregnancy (F[6, 534] = 2.58, P = 0.0180). Although not significant, IG participants, compared with CG, showed a consistent trend toward lower rates of overall sexual activity over time: less sexual debut (35 vs. 41%) and higher rates of abstinence (44 vs. 32%). No pregnancies were reported in either group throughout the study. CONCLUSIONS READY-Girls appeared to have long-term sustaining effects on PC knowledge, beliefs, and intentions to initiate discussion with HCPs that could improve reproductive health behaviors and outcomes. Strong boosters and providing PC at each clinic visit could play important roles in sustaining long-term effects. |
| Databáze: | OpenAIRE |
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