Community-Based Care Management For Teen/Young Adult Mothers and Fathers - Full Text View

Sponsors and Collaborators:	University of Maryland UMB School of Medicine Department of Family and Community Medicine Department of Health and Human Services
Information provided by:	University of Maryland
ClinicalTrials.gov Identifier:	NCT00537108

Purpose

Teenagers who become parents often struggle with new challenges as they try to take care of their children and themselves. Programs that provide teens with support, education, and counseling may help teens to become the best parents they can be and reach their own goals. Health care providers who take care of pregnant and parenting teenagers are trying to find out what types of programs are most helpful for the physical, emotional, and social health of pregnant and parenting teenagers. The purpose of this study is to find out what kinds of activities help teens be successful as parents and achieve success in their lives.

Condition	Intervention
Pregnancy	Behavioral: Home visiting and care management

MedlinePlus related topics: Parenting

Drug Information available for: BaseLine

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Prevention, Randomized, Single Blind (Outcomes Assessor), Single Group Assignment
Official Title:	BRIDGES: A Randomized Trial of Community-Based Care Management For Teen/Young Adult Mothers and Fathers

Further study details as provided by University of Maryland:

Primary Outcome Measures:

Repeat pregnancy [ Time Frame: Within 2 years of the index birth ]
Parenting attitudes and behaviors [ Time Frame: at 1 year and 2 years postpartum ]
School continuation or graduation [ Time Frame: at 2 years postpartum ]

Secondary Outcome Measures:

Remission of depression [ Time Frame: at 1 year and 2 years postpartum ]

Estimated Enrollment:	350
Study Start Date:	August 2007
Estimated Study Completion Date:	March 2011

Arms	Assigned Interventions
HV: Experimental Intervention arm.	Behavioral: Home visiting and care management Third trimester teens are assigned a Care Manager (CM) who establishes a continuity relationship and provides monthly visits until the index child is 2 years old. Core services for intervention group include: 1)Baseline and ongoing assessment of health, mental health, housing, daycare, and school needs; 2)Administration of a culturally sensitive, developmentally relevant parenting curriculum; 3)Computer Assisted Motivational Interviewing to promote healthy relationships, improve contraceptive practices, focus on goals, and promote school continuation; 4)Efforts to engage the young father; 5)Linkage and coordination with primary care for teen, child, young father; 6)Support & skills-building for school continuation, higher education, and job readiness.
Cntr: No Intervention Usual care control

Arms

Assigned Interventions

HV: Experimental

Intervention arm.

Behavioral: Home visiting and care management

Third trimester teens are assigned a Care Manager (CM) who establishes a continuity relationship and provides monthly visits until the index child is 2 years old. Core services for intervention group include: 1)Baseline and ongoing assessment of health, mental health, housing, daycare, and school needs; 2)Administration of a culturally sensitive, developmentally relevant parenting curriculum; 3)Computer Assisted Motivational Interviewing to promote healthy relationships, improve contraceptive practices, focus on goals, and promote school continuation; 4)Efforts to engage the young father; 5)Linkage and coordination with primary care for teen, child, young father; 6)Support & skills-building for school continuation, higher education, and job readiness.

Cntr: No Intervention

Usual care control

Detailed Description:

Pregnant teenagers and teenagers who have children less than 2 weeks old and who attend either University Family Medicine, the Maryland Women's Center, Teen Tot Clinic, University Care at Edmonson Village, Weinberg Community Health Center, or Maryland General Outpatient clinics will be asked to participate in a home visiting and care management program and study. Those agreeing to participate are placed into one of two groups. One group receives a Home Visiting and Care Management Program along with their usual medical care. The other group receives only their usual medical care.

If placed into the home visiting group, the teen is given a home visitor (also called a Care Manager). The Care Manager arranges to meet with the teen every month until the teen's baby is 2 years old. The meetings last about 1 hour and usually take place in the teen's home.

The Care Manager provides 4 Core Services to the teen:

Baseline and ongoing monthly needs assessment for healthcare, mental health, school/job attainment, daycare, housing stability;
Computer Assisted Motivational Interviewing (CAMI) sessions with teen mother. In CAMI sessions, the teen answers questions on a laptop computer that assess partner relationships, sexual behaviors, & risk for repeat pregnancy. Following the assessment, the trained Care Manager conducts motivational interviewing, a counseling technique aimed at assisting the teen to improve contraceptive and condom use, focus on goals, and promote school continuation;
Parenting instruction with a culturally sensitive, developmentally relevant parenting curriculum; and
Coordination and linkage with primary care and community partners (e.g. UMB Division of Community Psychiatry) with respect to health care, mental health care, and other services.

If the teen grants permission, we will try to contact her baby's father and invite him to participate in similar activities.

Eligibility

Ages Eligible for Study:	12 Years to 18 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Pregnant teenagers
Ages 12-18 years old
>= 24 weeks gestation
Attending any of 5 West Baltimore prenatal care sites.
Male partner (baby's father) if the pregnant teenager agrees to let the program contact him to invite participation.

Exclusion Criteria:

Age < 18 years and no parent/guardian able to grant consent.
Male partner of a pregnant teen/teen mother if she does not grant consent to let us contact him and invite participation.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00537108

Locations

United States, Maryland
UMB School of Medicine Department of Family and Community Medicine
Baltimore, Maryland, United States, 21201

Sponsors and Collaborators

University of Maryland

UMB School of Medicine Department of Family and Community Medicine

Department of Health and Human Services

Investigators

Principal Investigator:

Beth Barnet, M.D.

University of Maryland

More Information

Study ID Numbers:	H-29138
Study First Received:	September 27, 2007
Last Updated:	September 27, 2007
ClinicalTrials.gov Identifier:	NCT00537108
Health Authority:	United States: Institutional Review Board

Keywords provided by University of Maryland:

Pregnancy in adolescence

ClinicalTrials.gov processed this record on January 15, 2009