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## Breadcrumb

            -  Evidence and Innovation 
            -  Teen Pregnancy Prevention Evidence Review 
            -  Programs 
            -           Pulse      

# Pulse

- Program Information
- Program Overview
- Program Description
- Program Component Table
- Program Implementation

- Research Evidence
- Reviewed Studies
- Study Characteristics
- Study Findings

Genevieve Martínez-García, Ph.D., M.A., P.M.P., Healthy Teen Network; Milagros Garrido, M.S., P.M.P., Healthy Teen Network; Nicholas Sufrinko, Healthy Teen Network; Meta Media Training International

Pulse is a web-based mobile health app designed to support healthy sexual behavior for Black and Latina women ages 18 to 20. Pulse includes content on birth control methods and method reminders; healthy relationships, sex readiness, and consent; reproductive anatomy, physiology, and sexually transmitted infections (STIs); reproductive health care access; and pregnancy and pregnancy testing. Pulse delivers content through audio, interactive comics and quizzes, and videos. It also provides a clinic locator and calendar tools to facilitate accessing reproductive care. The program includes an optional text message component that allows participants to receive three text messages per week for six weeks, reminding them to use the Pulse mobile health app.

Pulse is designed for Black and Latina women ages 18 to 20.

Pulse can be implemented in any setting where adolescents can access program content. It uses a web-based app accessed directly from a web browser so participants do not need to download any program, standalone app, or plug-in to view program content. It is recommended that participants access program content on a web-enabled smartphone or tablet, not a laptop or desktop computer.

For curriculum, materials, and pricing information, please contact:Milagros Garrido, M.S., P.M.P.Director, Innovation and Research(410) 684-0410mila@healthyteennetwork.org

For training and support, please contact:Milagros Garrido, M.S., P.M.P.Director, Innovation and Research(410) 684-0410innovation@healthyteennetwork.org

Organizations or individuals interested in training and support can also submit an inquiry form through the Healthy Teen Network website: https://www.healthyteennetwork.org/ask.

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Pulse’s main objective is to help young Black and Latina women avoid unplanned pregnancies and increase their use of sexual and reproductive health clinical services.

Pulse is grounded in the theory of planned behavior and social learning theory. The content included in Pulse is culturally and age appropriate, and content areas cover six topics:
                        - Know your options:  This section describes birth control methods and offers method selection guidance. It also offers a calendar feature to remind participants to use their chosen method of birth control. In addition, this section uses audio clips to demonstrate how to negotiate condom use with partners. 
                        - Get personal:  This section presents information about healthy relationships, consent, and sexual decision making. Participants can complete quizzes to consider whether they are ready for sex and “test” their relationship. 
                        - Know your body:  This section covers reproductive anatomy and physiology, the menstrual cycle, STIs, and fertility. 
                        - Take action:  This section covers clinic utilization preparedness, appointment reminders, and a clinic locator tool. Young women share stories via video about their own clinic appointments, and information about common clinic practices is provided through text messages. 
                        - Make a plan:  This section covers pregnancy symptoms and testing, pregnancy physiology, and prenatal care. It also includes an Am I Pregnant Quiz? to help participants determine whether they need a pregnancy test. 
                        - Get savvy:  This section includes frequently asked questions, expert videos of health educators answering such questions, and external resources for more information.

Pulse is a web-based, mobile health app that uses multimedia features to support healthy sexual behavior. The program includes 16 core activities, including interactive graphics, videos, comics, self-assessments, a clinic locator, and appointment reminders.

Pulse includes approximately three hours of content. It is delivered asynchronously on a web-based mobile app, and participants can complete the program on their own schedule. The program includes an optional text message component that allows participants to receive three text messages per week for six weeks, reminding them to use the Pulse mobile health app. It is recommended that participants complete at least one activity per topic area. Program content can be accessed at any time and as many times as needed. 

Pulse is a self-led program designed to be implemented without facilitators or staff. Organizations can set up a system to monitor app registration, but registration monitoring is not required for program implementation.

Pulse is a web-based, mobile health app; it does not include additional program materials. The program includes an optional text message component that allows participants to receive three text messages per week for six weeks, reminding them to use the Pulse mobile health app.

Pulse requires participants to have access to a smartphone or tablet. Internet connection or cellular service is required to use the web-based mobile health app.

Pulse is a self-led program and fidelity guidelines do not apply to it.

Staff training is not necessary to implement the program.

To discuss technical assistance and ongoing support, contact Milagros Garrido at mila@healthyteennetwork.org.

Adaptations are allowed. To discuss allowable adaptations, contact Milagros Garrido at mila@healthyteennetwork.org.

### Evidence by Outcome Domain and Study

#### Notes

*Some study entries may include more than one citation because each citation examines a different follow-up period from the same study sample, or because each citation examines a different set of outcome measures on the same study sample. A blank cell indicates the study did not examine any outcome measures within the particular outcome domain or the findings for the outcome measures within that domain did not meet the review evidence standards.*

*Information on evidence of effectiveness is available only for studies that received a high or moderate rating. Read the description of the review process for more information on how these programs are identified.*