Summary

for females ages 16-19 (full criteria)
healthy people welcome
at La Jolla, California
study started
estimated completion:
Argentina E Servin

Description

Summary

The primary purpose of this research is to conduct a small matched cluster control trial of an intervention designed to address reproductive coercion and unintended pregnancy (ARCHES - Addressing Reproductive Coercion within Healthcare Settings) adapted to the Mexican cultural and family planning healthcare context (Jovenes Sanos) in order to provide initial data regarding acceptability, feasibility and efficacy in this high need LMIC context.

Official Title

Jovenes Sanos: Preventing IPV and Reproductive Coercion Among Underserved Adolescents

Details

The project consortium will implement the ARCHES model across two urban health clinics in Tijuana, Baja California, Mexico. A 2-armed pilot study of ARCHES (adapted) will be conducted with 80 female FP clients (40 intervention, 40 control) ages 16-19 drawn from 2 comparable urban clinics randomly assigned to either intervention or control (i.e. standard of care). Baseline data will be collected prior to routine FP service delivery, with a short exit survey conducted immediately following the clients' FP appointment (ARCHES or standard FP counseling will be provided during this visit). Follow-up data will be collected at 3-months post-intervention. Data at each time point will be collected via a 30-minute audio computer-assisted self-interview (ACASI) in Spanish. Data will also be collected to assess qualities of program implementation (i.e., process evaluation) to ensure implementation of the program as intended as well as unforeseen barriers to implementation. Creation of procedures for data collection, review of quality control data, and interpretation of findings will occur in collaboration with the entire mentoring/training committee. In-depth interviews (IDIs) with female adolescent FP clients ages 16-19 with a recent RC (n= 20), and focus groups (FGs) (n=2; 6-8 participants per group) with FP counselors in 2 comparable urban community health clinics to identify perceptions of prevalence and impact of RC among adolescent clients and barriers to identifying RC. FGs with FP counselors from the participating urban community health centers will be conducted (n=2; 6-8 participants per group). FP counselors from these community health centers will be purposely selected to participate based on having provided FP services for at least 10 female adolescent clients in the past 6 months. At intervention sites, FP counselors will deliver the intervention integrated into standard-of-care practice; at control sites FP counselors will deliver solely standard-of-care services. Analyses specific to participants ages 16-19 will provide findings to guide consideration of ARCHES as an effective strategy to improve the reproductive health and reduce GBV among adolescents in this region.

Keywords

Unintended Pregnancy Family Planning Intimate Partner Violence (IPV) Reproductive Coercion Gender-based violence Contraception Clinic-based screening for IPV Clinic-based counseling Jovenes Sanos

Eligibility

You can join if…

Open to females ages 16-19

  • Urban clinic client seeking voluntary FP services
  • Aged 16-19 years
  • Biologically female
  • Willing to complete baseline, exit, and 3-month follow-up survey
  • Able to provide informed consent
  • Literate in Spanish
  • Screened positive for recent RC
  • Reside in Tijuana and have no plans to move in the next 12 months
  • Having no cognitive impairment that may interfere with their decisions to participate in the project (using Folstein Mini-Mental Exam)
  • Not have participated in the IDIs (qualitative phase)

You CAN'T join if...

Location

  • Division of Infectious Diseases and Global Public Health, University of California, San Diego not yet accepting patients
    La Jolla California 92093 United States

Details

Status
not yet accepting patients
Start Date
Completion Date
(estimated)
Sponsor
University of California, San Diego
ID
NCT03660514
Lead Scientist
Argentina E Servin
Study Type
Interventional
Last Updated