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Outreach to Mothers Targeted to Increase Contraceptive Use by Teen Girls

CPH Researchers undertook a pilot study, “Promoting Teen Contraceptive Use by Intervention with Their Mothers,” the results of which have been published in the American Journal of Preventive Medicine. Dr. Richard Crosby, Endowed Professor of Health, Behavior & Society; Tom CollinsAssociate Director of the Rural Cancer Prevention Center; and Lindsay Stradtman, RCPC Research Analyst, are the authors.

The purpose of the pilot study was to test a community outreach model designed to help mothers in a rural, medically underserved area navigate their teen daughters to health department services for long-acting reversible contraception (LARC) or alternative contraception.

The pilot study used a single-group, post-test only design. Mothers of 142 teen daughters received a 1-hour, one-to-one intervention session in outreach settings. Mothers received training on how to communicate with their daughters about LARC and other contraceptive methods. Data were collected from June through October 2014, and analyzed in September 2015.

The authors re-contacted 104 of 142 mothers enrolled in the study, achieving a 73.2% retention rate. Of these, 12.5% had daughters receiving LARC. An additional 11.0% had daughters with health department-verified initiation of birth control pills. Only one correlate - whether a mother believed her daughter was sexually active - was associated with receiving either LARC or birth control pills. Among those indicating they knew their daughters were having sex, 31.7% of the daughters received LARC/birth control pills. By contrast, among mothers not indicating they knew their daughters were having sex, only 2.9% had daughters receiving LARC or birth control pills.

Findings suggest that an outreach-based program delivered directly to mothers of teen daughters may be a highly effective method for enhancing service utilization of LARC and the initiation of birth control pill use in a rural, medically underserved area.