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| What Doesn't Work
to Prevent Pregnancies and Births: Clinic-Based Programs |
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A clinic-based program designed to improve effective contraceptive
use and reduce pregnancy rates among teens did not produce the desired
effects (Hercog-Baron, Furstenberg, Shea, and Harris, 1986 - Philadelphia
evaluation). Targeting first-time visitors to family planning clinics,
the program randomly assigned 417 girls aged 12-17 to one of two special
service groups or one of two control groups. The special service groups
were designed to facilitate the teen's adjustment to the new contraceptives
and to encourage consistent and continued use. The "family support"
special service group offered each girl short-term (6 weekly sessions)
family counseling services in an attempt to promote greater family involvement
in the teen's contraceptive decisions and practices. Teens in the "periodic
support" group also received 2-6 follow-up phone calls from clinic
staff in the 4-6 weeks after the initial clinic visit. These calls aimed
to monitor the teen's experience with the contraceptives. The two control
groups received only the regular clinic services. A 15-month follow-up
evaluation revealed no significant impact on contraceptive practices or
pregnancy rates. |
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