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Longitudinal Evaluation of a Teenage Pregnancy Case Management Program in Oklahoma
Authors:Eleni L. Tolma  Julie A. Stoner  Micah McCumber  Kathleen Montella  Tracey Douglas  Siri A. Digney
Affiliation:1. Department of Health Promotion Sciences, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahomaeleni-tolma@ouhsc.edu;3. Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma;4. College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma;5. NorthCare, Oklahoma City, Oklahoma;6. Department of Health Promotion Sciences, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma
Abstract:
The purpose of this study was to evaluate the efficacy of a school-based case management intervention in reducing teen-pregnancy. A nonrandomized intervention/comparison schools mixed-method evaluation design was employed. Participants included 203 pregnant and parenting teens with annual follow-up over a 3-year period. The results indicated that the time to repeat pregnancy was delayed among pregnant teens, high school drop-out rates were reduced among parenting teens, and pregnant teens were less likely to deliver before 36 weeks in the intervention versus the comparison school. Case management at a school setting is a promising approach to decrease repeat teen pregnancy.
Keywords:evaluation  teen-pregnancy  case management
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