Trial reportAnnals of family medicine
Home visiting for adolescent mothers: effects on parenting, maternal life course, and primary care linkage.
Trial report in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 11 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 11 syntheses or guidelines pooled it, 124 citations in OpenAlex.
- Psychosocial interventions targeting mental health in pregnant adolescents and adolescent parents: a systematic review.Reproductive health · 2020Pooled it
- The Effects of Youth Mentoring Programs: A Meta-analysis of Outcome Studies.Journal of youth and adolescence · 2019Pooled it
- Identifying Effective Components of Child Maltreatment Interventions: A Meta-analysis.Clinical child and family psychology review · 2018Pooled it
- Psychoeducational interventions in adolescent depression: A systematic review.Patient education and counseling · 2018Pooled it
- Pooled it
- Theory-based interventions for contraception.The Cochrane database of systematic reviews · 2016Pooled it
- Cognitive behavioural therapy (CBT), third-wave CBT and interpersonal therapy (IPT) based interventions for preventing depression in children and adolescents.The Cochrane database of systematic reviews · 2016Pooled it
- Education for contraceptive use by women after childbirth.The Cochrane database of systematic reviews · 2015Pooled it
- Where to go from here? An exploratory meta-analysis of the most promising approaches to depression prevention programs for children and adolescents.International journal of environmental research and public health · 2015Pooled it
- Outreach and integration programs to promote family planning in the extended postpartum period.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2014Pooled it
- Community-based prevention programs for anxiety and depression in youth: a systematic review.The journal of primary prevention · 2010Pooled it
- Effectiveness of a combined home visiting and group intervention for low income African American mothers: the pride in parenting program.Maternal and child health journal · 2011Trial
- Efficacy of a randomized cell phone-based counseling intervention in postponing subsequent pregnancy among teen mothers.Maternal and child health journal · 2011Trial
- Effects of group prenatal care on psychosocial risk in pregnancy: results from a randomised controlled trial.Psychology & health · 2011Trial
- Motivational intervention to reduce rapid subsequent births to adolescent mothers: a community-based randomized trial.Annals of family medicineTrial
- Measurement of Human Flourishing Constructs in Evaluation of Voluntary Family Planning Interventions: A Modified Scoping Review of the Literature.International journal of environmental research and public health · 2026Article
- Psychosocial Prenatal Interventions for Teenage Pregnant: A Systematic Review.Journal of family & reproductive health · 2025Review
- The community support and its role in adolescent pregnancy and school reintegration in rural Rwanda: a mixed-methods study.Global health action · 2024Article
- Third-Grade Educational Outcomes of the Children of Adolescent Women.Maternal and child health journal · 2023Article
- The Effect of Parenting Peer Education Interventions for Young Mothers on the Growth and Development of Children under Five.Children (Basel, Switzerland) · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAdolescent mothers are at risk for rapidly becoming pregnant again and for depression, school dropout, and poor parenting. We evaluated the impact of a community-based home-visiting program on these outcomes and on linking the adolescents with primary care.
methodsPregnant adolescents aged 12 to 18 years, predominantly with low incomes and of African American race, were recruited from urban prenatal care sites and randomly assigned to home visiting or usual care. Trained home visitors, recruited from local communities, were paired with each adolescent and provided services through the child's second birthday. They delivered a parenting curriculum, encouraged contraceptive use, connected the teen with primary care, and promoted school continuation. Research assistants collected data via structured interviews at baseline and at 1 and 2 years of follow-up using validated instruments to measure parenting (Adult-Adolescent Parenting Inventory) and depression (Center for Epidemiologic Studies Depression). School status and repeat pregnancy were self-reported. We measured program impact over time with intention-to-treat analyses using generalized estimating equations (GEE).
resultsOf 122 eligible pregnant adolescents, 84 consented, completed baseline assessments, and were randomized to a home-visited group (n = 44) or a control group (n = 40). Eighty-three percent completed year 1 or year 2 follow-up assessments, or both. With GEE, controlling for baseline differences, follow-up parenting scores for home-visited teens were 5.5 points higher than those for control teens (95% confidence interval, 0.5-10.4 points; P = .03) and their adjusted odds of school continuation were 3.5 times greater (95% confidence interval, 1.1-11.8; P <.05). The program did not have any impact on repeat pregnancy, depression, or linkage with primary care.
conclusionsThis community-based home-visiting program improved adolescent mothers' parenting attitudes and school continuation, but it did not reduce their odds of repeat pregnancy or depression or achieve coordination with primary care. Coordinated care may require explicit mechanisms to promote communication between the community program and primary care.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.