دورية أكاديمية

Developing and piloting a peer mentoring intervention to reduce teenage pregnancy in looked-after children and care leavers: an exploratory randomised controlled trial.

التفاصيل البيبلوغرافية
العنوان: Developing and piloting a peer mentoring intervention to reduce teenage pregnancy in looked-after children and care leavers: an exploratory randomised controlled trial.
المؤلفون: Mezey, Gillian, Meyer, Deborah, Robinson, Fiona, Bonell, Chris, Campbell, Rona, Gillard, Steve, Jordan, Peter, Mantovani, Nadia, Wellings, Kaye, White, Sarah
بيانات النشر: NIHR Journals Library
سنة النشر: 2015
المجموعة: London School of Hygiene & Tropical Medicine: LSHTM Research Online
الوصف: BACKGROUND: Looked-after children (LAC) are at greater risk of teenage pregnancy than non-LAC, which is associated with adverse health and social consequences. Existing interventions have failed to reduce rates of teenage pregnancy in LAC. Peer mentoring is proposed as a means of addressing many of the factors associated with the increased risk of teenage pregnancy in this group. OBJECTIVE: To develop a peer mentoring intervention to reduce teenage pregnancy in LAC. DESIGN: Phase I and II randomised controlled trial of a peer mentoring intervention for LAC; scoping exercise and literature search; national surveys of social care professionals and LAC; and focus groups and interviews with social care professionals, mentors and mentees. SETTING: Three local authorities (LAs) in England. PARTICIPANTS: LAC aged 14-18 years (mentees/care as usual) and 19-25 years (mentors). INTERVENTION: Recruitment and training of mentors; randomisation and matching of mentors to mentees; and 1-year individual peer mentoring. PRIMARY OUTCOME: pregnancy in LAC aged 14-18 years. SECONDARY OUTCOMES: sexual attitudes, behaviour and knowledge; psychological health; help-seeking behaviour; locus of control; and attachment style. A health economic evaluation was also carried out. RESULTS: In total, 54% of target recruitment was reached for the exploratory trial and 13 out of 20 mentors (65%) and 19 out of 30 LAC aged 14-18 years (63%) (recruited during Phases I and II) were retained in the research. The training programme was acceptable and could be manualised and replicated. Recruitment and retention difficulties were attributed to systemic problems and LA lack of research infrastructure and lack of additional funding to support and sustain such an intervention. Mentees appeared to value the intervention but had difficulty in meeting weekly as required. Only one in four of the relationships continued for the full year. A future Phase III trial would require the intervention to be modified to include provision of group and individual peer ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: text
اللغة: English
العلاقة: https://researchonline.lshtm.ac.uk/id/eprint/2338293/1/Developing%20and%20piloting%20a%20peer%20mentoring%20intervention%20to%20reduce%20teenage%20pregnancy%20in%20looked-after%20children.pdfTest; Mezey, Gillian; Meyer, Deborah; Robinson, Fiona; Bonell, Chris ; Campbell, Rona; Gillard, Steve; Jordan, Peter; Mantovani, Nadia; Wellings, Kaye ; White, Sarah; (2015) Developing and piloting a peer mentoring intervention to reduce teenage pregnancy in looked-after children and care leavers: an exploratory randomised controlled trial. Health technology assessment (Winchester, England), 19 (85). 1-vi. ISSN 1366-5278 DOI: https://doi.org/10.3310/hta19850Test
الإتاحة: https://doi.org/10.3310/hta19850Test
https://researchonline.lshtm.ac.uk/id/eprint/2338293Test/
https://researchonline.lshtm.ac.uk/id/eprint/2338293/1/Developing%20and%20piloting%20a%20peer%20mentoring%20intervention%20to%20reduce%20teenage%20pregnancy%20in%20looked-after%20children.pdfTest
حقوق: cr_publishers
رقم الانضمام: edsbas.1ABA78F
قاعدة البيانات: BASE