The effect of monetary incentives and peer support groups on repeat adolescent pregnancies : A randomized trial of the Dollar-a-Day program.
- To test the hypotheses that (1) a monetary incentive promotes peer-support group participation ; and (2) peer-support group participation decreases repeat adolescent pregnancies.
- Two-year, prospective, randomized controlled trial.
- Denver, Colo.
- A total of 286 primiparous girls younger than 18 years, whose infants were younger than 5 months.
- 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.
- 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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0256424
Code Inist : 002B30A03B. Création : 11/06/1997.