Teen Pregnancy & STI Prevention

We have evaluated over 100 teen pregnancy and STI prevention programs.

We have worked on multiple projects for several organizations including the Office of Population Affairs (formerly the Office of Adolescent Health), the Children’s Aid Society, the New Mexico Teen Pregnancy Coalition, Planned Parenthood of the Great Northwest and Hawaiian Islands, the Georgia Campaign for Adolescent Pregnancy Prevention, the Annie E Casey Foundation, the California Wellness Foundation, the Connecticut Department of Social Services, and Power to Decide (formerly the National Campaign to Prevent Teen and Unplanned Pregnancy).

What makes our teen pregnancy prevention work different?

  • In our over 30-year history, we have worked in 43 states and on over 100 TPP programs. We have worked on several OPA-funded TPP programs for the past ten years.
  • We often work on multi-site studies including some with over 50 sites and hundreds of implementations.
  • We have worked on replications of many evidence-based curricula including All4You2!, Families Talking Together, Get Real, Love Notes, Making Proud Choices, Positive Prevention Plus, SHARP, and SSI.
  • We conducted the first randomized control trials for the Carrera program and the Teen Outreach Program, placing them on evidence-based lists, and have continued to work on replication studies of each.
  • We are experienced in tracking attendance and fidelity data in ways that are easy for facilitators to use so they can spend time focused on the program and not the evaluation.
  • We evaluate programs with hard-to-reach populations, including youth in rural communities, foster youth, LGBTQ youth, Native American youth, and youth on the US-Mexico border.

A few select recent or key teen pregnancy and STI prevention projects include:

Achieving Condom Empowerment (ACE)-Plus, Cicatelli Associates Inc./Office of Population Affairs (formerly the Office of Adolescent Health).

Cicatelli Associates Inc. has been awarded a five year grant from the Office for Adolescent Health to test the effectiveness of Achieving Condom Empowerment (ACE)-Plus, an intervention designed to increase correct and consistent condom use among young males in foster care settings in New York City to help prevent teen pregnancy and improve adolescent health. Philliber is evaluating the implementation and impacts of the program using a random assignment design.

Bedsider, Power to Decide (formerly the National Campaign to Prevent Teen and Unplanned Pregnancy)

Bedsider is an on-line and mobile device system to educate about and support use of birth control and STI protection, developed by The National Campaign to Prevent Teen and Unplanned Pregnancy. Philliber and the University of California at San Francisco worked together to evaluate the use of this tool at a pilot launch in three clinics in Florida.

Carrera, Children’s Aid Society

In 1984, Dr. Michael A. Carrera and The Children’s Aid Society (CAS) developed an Adolescent Pregnancy Prevention Program that uses a holistic approach to empower youth, to help them develop personal goals and the desire for a productive future, in addition to developing their sexual literacy and educating them about the consequences of sexual activity. CAS-Carrera works with boys and girls 11-12 years old and follows them through high school and beyond. Guided by a philosophy that sees youth as at promise instead of at risk, CAS-Carrera works to develop a participant’s capacity and desire to avoid pregnancy. The program model also provides opportunities for young people to discover interests and develop talents, as well as emphasizing education and employment. CAS-Carrera sees the sum of these activities as having a contraceptive effect.

Connecticut Teenage Pregnancy Prevention Programs, The Connecticut Department of Social Services

The Connecticut Department of Social Services implements a teenage pregnancy prevention program in multiple communities across the state. Two different evidence-based programs have been implemented and evaluated over the years. The first is the Children’s Aid Society, Carrera Adolescent Pregnancy Prevention Program and the other is the Teen Outreach Program. Philliber conducts an annual process and outcome evaluation.

Improving the Lives of Teens, The Northwest Coalition for Adolescent Health/Office of Population Affairs (formerly the Office of Adolescent Health)

The Northwest Coalition for Adolescent Health (NWCAH) is bringing evidence-based teen pregnancy prevention (TPP) programs to scale in seven high-need communities. The NWCAH Implementing Teen Pregnancy Programs to Scale, will reach approximately 2,275 youth annually, for a total of 9,100 over the five-year project period. In each community, NWCAH will implement evidence-based TPP programs in schools, after- school and at community-based sites, and in clinics. Key stakeholders, community partners, and youth have selected a wide range of evidence based TPP programs to implement within each community.

Iowa and Colorado Initiatives to Reduce Unintended Pregnancies

The Iowa and Colorado Initiatives to Reduce Unintended Pregnancies funded by a private donor, was designed to increase access to family planning services and reduce unintended pregnancies in Iowa and Colorado. Philliber, along with the University of California San Francisco, monitored activities of over sixty agencies and collected data in both states to evaluate the progress and effectiveness of these Initiatives and, ultimately, to see if there was a decrease in unintended pregnancy after these Initiatives ended.

The Refugee Health Center, The Greater Rochester Health Foundation

The Refugee Health Center in Rochester, New York received funding from the Greater Rochester Health Foundation to enhance medical services provided to newly arrived refugees in the greater Rochester area. In addition to medical services, the clinic provides patients with an orientation to the United States health system, helps patients and their families engage with their medical treatment, and helps prepare patients to be transitioned to local providers. The evaluation was a descriptive design that followed progress in program implementation and client health outcomes over time.

Responsible Sex Education Institute, Planned Parenthood of the Rocky Mountains

Planned Parenthood of the Rocky Mountains (PPRM) is a nonprofit organization committed to ensuring every individual has the information, education, services and freedom to make healthy, responsible decisions about their sexuality. By providing health services, comprehensive sex education, and strategic advocacy, PPRM empowers individuals to make informed choices about their sexual and reproductive health. The Responsible Sex Education Institute, the education arm of PPRM, provides comprehensive, medically accurate and developmentally appropriate sex education through short- and long-term programs that target individuals of all ages. The Institute implements evidence-based programs including Draw the Line, Respect the Line and Safer Choices. Philliber provided program evaluation services for Planned Parenthood Rocky Mountains (PPRM) for eight years.

Teen Outreach Program, Planned Parenthood of the Great Northwest and the Hawaiian Islands/Office of Population Affairs (formerly the Office of Adolescent Health)

Northwest Coalition for Adolescent Health was awarded $20 million by the Office of Population Affairs to replicate the Teen Outreach Program (TOP), an evidence-based youth development program aimed at reducing teen pregnancy. Services were delivered by a coalition of six Planned Parenthood affiliates in Montana, Oregon, Idaho, Washington, and Alaska at over 50 sites. This project was evaluated using a random assignment design wherein students are assigned to receive TOP or a benign alternative program called Community Voices. Philliber developed a system of evaluation which includes managing and conducting surveys across all sites, analyzing data and ensuring fidelity.

The New Mexico Young Fathers Program, New Mexico Teen Pregnancy Coalition

The New Mexico Young Fathers Program serves adolescent fathers, half of whom are incarcerated. The program seeks employment for these fathers and encourages them to assume active roles as fathers to their children. Philliber has been collecting and analyzing data for this program for more than 10 years.

Assessing Positive Prevention PLUS & Making Proud Choices Implementation (Pilot program), The Community Action Partnership of San Luis Obispo County/Office of Population Affairs (formerly the Office of Adolescent Health)

The Community Action Partnership of San Luis Obispo received a five-year grant from the Office of Population Affairs to implement school and community-based interventions to reduce teen pregnancy. Philliber is conducting an implementation evaluation to document the project’s reach and is assessing knowledge gains in youth receiving evidence-based teen pregnancy prevention interventions.

Big Decisions, Healthy Futures of Texas/Office of Population Affairs (formerly the Office of Adolescent Health)

Healthy Futures of Texas (HFTX) is implementing and evaluating Big Decisions, an abstinence-plus approach to preventing teen pregnancy that has been found promising for Hispanic, low-income urban youth. HFTX now seeks to demonstrate the curriculum’s efficacy for low-income Hispanic youth in rural communities and small cities. This study will include 8,540 predominantly Hispanic students attending 9th grade in rural counties in South Texas. Impact will be documented in a three-group study of Big Decisions; Big Decisions Plus, adding service learning and parent sessions; and Youth Voices (Control Group). A standard treatment and control design will be used, including randomized assignment of classes.

Children’s Home and Aid Society, Chicago, Children’s Aid Society/Office of Population Affairs (formerly the Office of Adolescent Health)

Children’s Home and Aid in Chicago was awarded a five-year grant from the Office for Adolescent Health to replicate the CAS-Carrera program in four Chicago schools. Philliber evaluated the implementation and outcomes of the program using an randomized control trial design from 2010 through 2015.

Development for Youth (DFY: Take Charge!), Cicatelli Associates Inc./Office of Population Affairs (formerly the Office of Adolescent Health)

Cicatelli Associates Inc. was awarded a six year grant from the Office for Adolescent Health in 2010 to test the effectiveness of Development for Youth among a randomly selected sample of foster care youth in New York City. The program attempted to delay the initiation of sexual intercourse, increase contraceptive use, and reduce pregnancies. Philliber evaluated the implementation and impacts of the program using a random assignment design.

IN•clued: Inclusive Healthcare—Youth and Providers Empowered, Planned Parenthood of the Great Northwest and Hawaiian Islands/Office of Population Affairs (formerly the Office of Adolescent Health)

Planned Parenthood of the Great Northwest and the Hawaiian Islands is implementing and evaluating IN•clued: Inclusive Healthcare—Youth and Providers Empowered, an innovative approach designed specifically for LGBTQ youth to reduce pregnancies and sexually transmitted infections. This project is a randomized control trial reaching approximately 1,800 youth and 300 healthcare professionals in 12 communities over five years. IN•clued is delivered by trained peer educators and includes two components: (1) a three-hour workshop for health care staff and providers that addresses best practices for working with LGBTQ youth, as well as hands-on practice in mock teen-patient interviews; and 2) a 3-hour interactive workshop for LGBTQ youth that includes education related to sexual risk prevention and healthy relationships, and information about how to access sexual health services.

Linking Families and Teens (LiFT), Planned Parenthood of the Great Northwest and Hawaiian Islands/Office of Population Affairs (formerly the Office of Adolescent Health)

Linking Families and Teens (LiFT) is an innovative program designed by Planned Parenthood of the Great Northwest and Hawaiian Islands for families in rural communities, with the goal of reducing unplanned teen pregnancies by increasing family connectedness and increasing youth’s self-efficacy, knowledge, and skills related to sexual health. LiFT is a two-module curriculum workshop delivered in five hours for youth and their parenting adults. Youth and parenting adults also receive participant guides that encourage communication between them as well as optional weekly texts that offer additional resources and suggestions for fun ways families can communicate for 12 weeks after the workshop. Parenting adults receive a phone call from the facilitator 3 to 5 weeks after the workshop to reinforce the skills learned during the program. Philliber is conducting a random controlled study to measure the impact of this program. The funding is provided by the Office of Population Affairs (OPA).

Stronger Together, Planned Parenthood of the Great Northwest and Hawaiian Islands/Office of Population Affairs (formerly the Office of Adolescent Health)

Stronger Together is a teen pregnancy prevention program providing capacity building assistance to youth serving organizations replicating evidence-based programs. Two Northwest Coalition of Adolescent Health partners, Planned Parenthood of the Great Northwest and Hawaiian Islands and Planned Parenthood Columbia Willamette, have provided capacity building assistance with eleven high risk youth serving organizations in three states. These organizations were selected for participation after completing a readiness assessment process. Two additional organizations completed the readiness assessment process but were not selected. Philliber is conducting an implementation study of this program.

The Illinois Subsequent Pregnancy Program, Options for Youth, Illinois Department of Public Health, Sinai Community Institute

The Illinois Subsequent Pregnancy Program works with adolescent mothers to delay a second pregnancy. This program utilizes two primary interventions: (1) an intensive, long-term one-on-one relationship with an SPP Home Visitor, and (2) substantive training and peer support through group participation. Primary goals of the Subsequent Pregnancy Program are to help young mothers (1) delay a second pregnancy, (2) develop effective and consistent contraceptive Practice, and (3) remain in and graduate from high school. Philliber has been analyzing data for this program since 2008.

The Responsible Sexual Behavior Initiative, AIDS Funding Collaborative

The Responsible Sexual Behavior Initiative, funded by the AIDS Funding Collaborative, provided comprehensive sexuality education to students in grades K -12 in the Cleveland Metropolitan School District. Evaluation of this initiative involved analysis of changes in student knowledge, attitude, and behavioral intent, as well as changes in District policies vis-à-vis sexuality education. Students in each of the selected schools were surveyed using a pre-test/post-test design. Local stakeholders, as well as teachers and principals were interviewed about the curriculum, and parents were asked to complete surveys regarding their thoughts about comprehensive sex education. In addition, a field team from Philliber conducted classroom observations to measure fidelity to the four curricula used in the initiative. Using this design, Philliber was able to provide information about the impact of the curricula on CMSD students, the response to the curricula by local stakeholders, and the extent to which the schools and teachers maintained fidelity to the implementation plan.

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