Prime Time: Health Promotion for Multiple Risk Behaviors is a five-year intervention research study (2005-2009) with an overall goal to design, implement and evaluate a multi-component intervention among adolescent girls at high risk for early pregnancy that reduces multiple precursors of teen pregnancy including sexual risk taking, violence involvement, and school disconnection. Prime Time targets 13-17 year old girls (n=250) attending school and community clinics in Minneapolis/St Paul who meet specified risk criteria. Using an experimental design, half of study participants are randomly assigned to the intervention condition; half are assigned to the control condition. Intervention participants will be involved with the Prime Time intervention for an 18-month period, while control participants will continue to receive usual clinic services. Self-report data will be collected (via A-CASI surveys) from all study participants at study baseline and at 6, 12, 18, 24, and 30 months following study enrollment. To address core risk and protective factors related to sexual risk behaviors, violence involvement, and school disconnection, the Prime Time intervention employs an innovative combination of previously-tested approaches including one-on-one case management, peer education (Just In Time) and service learning (It's Our Time) experiences. This multi-component intervention was developed and field-tested in the Prime Time pilot study. Using multi-wave data, we evaluate intervention impacts on participants' sexual risk taking and contraceptive behaviors; school connectedness, school misbehavior and school performance; violence involvement and peer-related aggression. We also test the extent to which intervention effects on outcome behaviors are mediated by hypothesized risk and protective factors targeted for change by the Prime Time intervention. If the intervention demonstrates success in preventing risk behaviors, we will actively engage in dissemination efforts to affect best practices in primary care clinics serving adolescent girls. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR008778-02
Application #
7236660
Study Section
Nursing Science: Children and Families Study Section (NSCF)
Program Officer
Weglicki, Linda
Project Start
2006-06-01
Project End
2011-03-31
Budget Start
2007-04-01
Budget End
2008-03-31
Support Year
2
Fiscal Year
2007
Total Cost
$538,953
Indirect Cost
Name
University of Minnesota Twin Cities
Department
Pediatrics
Type
Schools of Medicine
DUNS #
555917996
City
Minneapolis
State
MN
Country
United States
Zip Code
55455
Johnson, Abigail Z; Sieving, Renee E; Pettingell, Sandra L et al. (2015) The roles of partner communication and relationship status in adolescent contraceptive use. J Pediatr Health Care 29:61-9
Lando-King, Elizabeth; McRee, Annie-Laurie; Gower, Amy L et al. (2015) Relationships Between Social-Emotional Intelligence and Sexual Risk Behaviors in Adolescent Girls. J Sex Res 52:835-40
Gower, Amy L; Shlafer, Rebecca J; Polan, Julie et al. (2014) Brief report: Associations between adolescent girls' social-emotional intelligence and violence perpetration. J Adolesc 37:67-71
Secor-Turner, Molly; Garwick, Ann; Sieving, Renee et al. (2014) Characteristics of violence among high-risk adolescent girls. J Pediatr Health Care 28:227-33
Sieving, Renee E; McRee, Annie-Laurie; Secor-Turner, Molly et al. (2014) Prime Time: long-term sexual health outcomes of a clinic-linked intervention. Perspect Sex Reprod Health 46:91-100
Sieving, Renee E; McMorris, Barbara J; Secor-Turner, Molly et al. (2014) Prime time: 18-month violence outcomes of a clinic-linked intervention. Prev Sci 15:460-72
Shlafer, Rebecca J; McMorris, Barbara J; Sieving, Renee E et al. (2013) The impact of family and peer protective factors on girls' violence perpetration and victimization. J Adolesc Health 52:365-71
Secor-Turner, Molly; McMorris, Barbara; Sieving, Renee et al. (2013) Life experiences of instability and sexual risk behaviors among high-risk adolescent females. Perspect Sex Reprod Health 45:101-7
Sieving, Renee E; McRee, Annie-Laurie; McMorris, Barbara J et al. (2013) Prime time: sexual health outcomes at 24 months for a clinic-linked intervention to prevent pregnancy risk behaviors. JAMA Pediatr 167:333-40
Tanner, Amanda E; Secor-Turner, Molly; Garwick, Ann et al. (2012) Engaging vulnerable adolescents in a pregnancy prevention program: perspectives of Prime Time staff. J Pediatr Health Care 26:254-65

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