Study Details
Lewin, Amy, Stephanie Mitchell, and Michel Boudreaux. "Improved Contraceptive Use Among Teen Mothers in a Family-Centered Medical Home." Unpublished manuscript, University of Maryland, 2015.
Lewin, A., Mitchell, S., Beers, L., Schmitz, K., Boudreaux, M. (2016). Improved contraceptive use among teen mothers in a patient-centered medical home. Journal of Adolescent Health, 59(2), 171-176.
Lewin, A., Mitchell, S.J., Quinn, D.A., Street, T.M., Schmitz, K., Beers, L.S. (2019). A primary care intervention to prevent repeat pregnancy among teen mothers. American Journal of Preventive Medicine, 56(3), 404-410. https://doi.org/10.1016/j.amepre.2018.10.015
Generations
Program Information
Evaluation Setting
Study Sample
Research Design
124
2
24 from BL
Study Findings
NA = Not available. This means the authors did not report the information in the manuscripts associated with the studies we reviewed.
a This information was not available whenever authors did not report information for the treatment and comparison groups separately on outcome means, standard deviations, and/or sample sizes.
b Authors reported that the program effect (impact) estimate is statistically significant with a p-value of less than 0.05 based on a two-tailed test.
c For some outcomes, having less of that outcome is favorable. In those cases, an effect with a negative sign is favorable to the treatment group (that is, the treatment group had a more favorable outcome than the comparison group, on average).
d An effect shows credibly estimated, statistically significant evidence whenever it has a p-value of less than 0.05 based on a two-tailed test, includes the appropriate adjustment for clustering (if applicable), and it is not based on an endogenous subgroup.
The study examined the effectiveness of the program using a quasi-experimental design conducted in six community-based primary health care clinics serving primarily urban, low-income, African-American patients in the Washington, D.C., area. The study compared the outcomes of 74 teen-mothers seeking services in three intervention sites that implemented the Generations program with the outcomes of 50 teen mothers seeking services in three comparison sites that did not offer the program but provided standard community-based pediatric primary care. Outcomes were measured 12 and 24 months after baseline.
The study found that 12 months after study enrollment, mothers in the intervention group were more likely to report using effective contraception the last time they had sex (effect size = 0.694). Mothers in the intervention group were also more likely to report using a condom the last time they had sex (effect size = 0.500). Findings at the 24-month follow-up received a low rating because the study did not demonstrate that the treatment and control groups in the sample at this follow-up were sufficiently similar before the introduction of the program.