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See Latest ArticlesMotivational Intervention to Reduce Rapid Subsequent Births to Adolescent Mothers: A Community-Based Randomized Trial
Annals of Family Medicine, 09/15/09
Barnet B et al. – Receipt of 2 or more computer–assisted motivational intervention (CAMI) sessions, either alone or within a multicomponent home–based intervention, reduced the risk of rapid subsequent birth to adolescent mothers.
Methods- A randomized trial. Pregnant teenagers (N = 235), aged 18 years and older who were at more than 24 weeks’ gestation, were recruited from urban prenatal clinics serving low–income, predominantly African American communities.
- After completing baseline assessments, they were randomly assigned to 3 groups: (1) those in CAMI plus enhanced home visit (n = 80) received a multi–component home–based intervention (CAMI+); (2) those in CAMI–only (n = 87) received a single component home–based intervention; (3) and those in usual–care control (n = 68) received standard usual care.
- Teens in both intervention groups received CAMI sessions at quarterly intervals until 2 years’ postpartum.
- Those in the CAMI+ group also received monthly home visits with parenting education and support. CAMI algorithms, based on the transtheoretical model, assessed sexual relationships and contraception–use intentions and behaviors, and readiness to engage in pregnancy prevention.
- Trained interventionists used CAMI risk summaries to guide motivational interviewing.
- Repeat birth by 24 months’ postpartum was measured with birth certificates.
- Intent–to–treat analysis indicated that the CAMI+ group compared with the usual–care control group exhibited a trend toward lower birth rates, whereas the CAMI–only group did not.
- Controlling for baseline group differences, the hazard ratio (HR) for repeat birth was significantly lower for the CAMI+ group than it was with the usual–care group.
- Completing 2 or more CAMI sessions significantly reduced the risk of repeat birth in both groups: CAMI+ and CAMI–only.
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