Trial reportJAMA pediatrics2013
Prime time: sexual health outcomes at 24 months for a clinic-linked intervention to prevent pregnancy risk behaviors.
Trial report in JAMA pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 5 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
15 citing papers in PubMed, 5 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Strength-based interventions for HIV prevention and sexual risk reduction among girls and young women: A resilience-focused systematic review.Global public health · 2019Pooled it
- Theory-based interventions for contraception.The Cochrane database of systematic reviews · 2016Pooled it
- Interventions for preventing unintended pregnancies among adolescents.The Cochrane database of systematic reviews · 2016Pooled it
- Comprehensive adolescent health programs that include sexual and reproductive health services: a systematic review.American journal of public health · 2014Pooled it
- Behavioral interventions for improving dual-method contraceptive use.The Cochrane database of systematic reviews · 2014Pooled it
- Positive deviance for promoting dual-method contraceptive use among women in Uganda: a cluster randomised controlled trial.BMJ open · 2021Trial
- Yo Puedo--a conditional cash transfer and life skills intervention to promote adolescent sexual health: results of a randomized feasibility study in san francisco.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2014Trial
- Prime Time: long-term sexual health outcomes of a clinic-linked intervention.Perspectives on sexual and reproductive health · 2014Trial
- Systematic review: risk sexual behavior, sexually transmitted infections, and adolescent pregnancy prevention interventions.Journal of public health in Africa · 2023Article
- Development and Feasibility Testing of a Video Game to Reduce High-Risk Heterosexual Behavior in Spanish-Speaking Latinx Adolescents: Mixed Methods Study.JMIR serious games · 2020Article
- Adolescent Women's Sexual Self-Efficacy: Associations with Personal and Perceived Partner Beliefs that Condoms Interfere with Pleasure.American journal of sexuality education · 2020Article
- Adolescent Connectedness and Adult Health Outcomes.Pediatrics · 2019Article
- Development of an intervention delivered by mobile phone aimed at decreasing unintended pregnancy among young people in three lower middle income countries.BMC public health · 2018Article
- Evidence-Based Practice in the United States: Challenges, Progress, and Future Directions.Health care for women international · 2016Article
- Relationships Between Social-Emotional Intelligence and Sexual Risk Behaviors in Adolescent Girls.Journal of sex research · 2015Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 2 countries.
Funding
Abstract
importancePreventing early pregnancy among vulnerable adolescents requires innovative and sustained approaches. Prime Time, a youth development intervention, aims to reduce pregnancy risk among adolescent girls seeking clinic services who are at high risk for pregnancy.
objectiveTo evaluate sexual risk behaviors and related outcomes with a 24-month postbaseline survey, 6 months after the conclusion of the Prime Time intervention.
designRandomized controlled trial.
settingCommunity and school-based primary care clinics.
participantsOf 253 sexually active 13- to 17-year-old girls meeting specified risk criteria, 236 (93.3%) completed the 24-month follow-up survey.
interventionOffered during an 18-month period, Prime Time includes case management and youth leadership programs.
main outcome measuresSelf-reported consistency of condom, hormonal, and dual-method contraceptive use with most recent male sex partner and number of male sex partners in the past 6 months.
resultsAt 24-month follow-up, the intervention group reported significantly more consistent use of condoms, hormonal contraception, and dual-method contraception than the control group. Intervention participants also reported improvements in family connectedness and self-efficacy to refuse unwanted sex, and reductions in the perceived importance of having sex. No between-group differences were found in the number of recent male sex partners. CONCLUSIONS AND RELEVANCE: This study contributes to what has been a dearth of evidence regarding youth development interventions offered through clinic settings, where access to high-risk adolescents is plentiful but few efforts have emphasized a dual approach of strengthening sexual and nonsexual protective factors while addressing risk. Findings suggest that health services grounded in a youth development framework can lead to long-term reductions in sexual risk among vulnerable youth.
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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.