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  1. The effect of monetary incentives and peer support groups on repeat adolescent pregnancies : A randomized trial of the Dollar-a-Day program.

    Article - En anglais

    Objectives

    - To test the hypotheses that (1) a monetary incentive promotes peer-support group participation ; and (2) peer-support group participation decreases repeat adolescent pregnancies.

    Design

    - Two-year, prospective, randomized controlled trial.

    Setting

    - Denver, Colo.

    Participants

    - A total of 286 primiparous girls younger than 18 years, whose infants were younger than 5 months.

    Intervention

    - Participants were randomized to 4 interventions : monetary incentive and peer-support group, peer-support group only, monetary incentive only, or no intervention.

    Main Outcome Measures

    - Consistency of participation in planned intervention and repeat pregnancy.

    Results

    - Participation in interventions was generally low.

    Hypothesis 1 was supported : 58% of those offered a monetary incentive participated in the peer-support groups, compared with 9% of those who were not offered the incentive.

    Hypothesis 2 was rejected : the peer-support group experience failed to prevent repeat pregnancies.

    The incidence of second pregnancies at 6 months (9%, 22/248), at 12 months (20%, 49/248), at 18 months (29%, 72/248), and at 24 months (39%, 97/248) following delivery did not vary significantly in relation to intervention strategy.

    Background sociodemographic characteristics significantly affected the timing of subsequent conceptions but not intervention participation.

    Conclusion

    (...)

    Mots-clés Pascal : Gestation, Rémunération, Relation interpair, Support social, Prévention, Education santé, Adolescent, Homme, Femme, Etude comparative, Prospective, Randomisation, Etude en condition contrôlée, Appareil génital femelle

    Mots-clés Pascal anglais : Pregnancy, Remuneration, Peer relation, Social support, Prevention, Health education, Adolescent, Human, Woman, Comparative study, Prospective, Randomization, Controlled environment study, Female genital system

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0256424

    Code Inist : 002B30A03B. Création : 11/06/1997.