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Teen Pregnancy Prevention Among at-Risk Urban Youth: Improving Parent–Child Connectedness

Health Disparities Among Under-served Populations: Implications for Research, Policy and Praxis

ISBN: 978-1-78190-102-1, eISBN: 978-1-78190-103-8

Publication date: 24 July 2012

Abstract

Purpose – This chapter describes the “Teen Alliance for Prepared Parenting–SPIN” (TAPP-SPIN) unwanted pregnancy prevention intervention for pregnant/parenting adolescents and their adult parent(s) in primarily African American and Latino communities in the District of Columbia (DC).

Methodology/approach – We augment TAPP services with SPIN Video Home Training (VHT)11Called Video Interaction Guidance in the United Kingdom., an intervention to build Parent–Child Connectedness (PCC). SPIN VHT aims to (1) improve adult–teen interaction to strengthen the supports teen parents need to continue to progress toward life success and (2) build the teen's ability to engage in warm, attuned, and skillful parenting of her child.

SPIN VHT uses a guided, strengths-based analysis of videotaped parent–child interactions to identify examples of the parent's competencies that support the child's well-being and optimal development. Collaborative review of an edited collection of video helps guide participants to integrate what has been effective into their daily patterns of interaction and communication.

Findings – The randomized experiment compares TAPP to TAPP-SPIN with a sample of 400 15- to 18-year-olds and their parents (dyads). After a baseline survey, we collect follow-up data at 6, 12, 18, and 24 months post-baseline. We collect outcome data on health information-seeking, pregnancy prevention communication, cognitions related to parenting and subsequent pregnancy, improved parenting, and clinical outcomes including subsequent pregnancy.

Social implications – The TAPP-SPIN intervention aims to advance the state of pregnancy prevention research in a population facing multiple health disparities.

Originality/value of chapter – This chapter describes the first ever randomized controlled trial of the SPIN approach to improving PCC.

Keywords

Citation

Evans, W.D., Patchen, L., Pease, T.E., Nestel-Patt, J.P. and Wallace, J. (2012), "Teen Pregnancy Prevention Among at-Risk Urban Youth: Improving Parent–Child Connectedness", Notaro, S.R. (Ed.) Health Disparities Among Under-served Populations: Implications for Research, Policy and Praxis (Advances in Education in Diverse Communities, Vol. 9), Emerald Group Publishing Limited, Leeds, pp. 177-206. https://doi.org/10.1108/S1479-358X(2012)0000009012

Publisher

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Emerald Group Publishing Limited

Copyright © 2012, Emerald Group Publishing Limited