Clinical trial NCT04795999: Opportunities Beyond the Narrative: An Intervention for Justice-Involved Youth
Official title: Opportunities Beyond the Narrative: An Intervention for Justice-Involved Youth
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Study Will Examine the Impact of Project With
Lead sponsor: WestEd
Sponsor class: OTHER
Collaborators: name: Urban Strategies
name: Department of Health and Human Services
First posted: 2021-03-12
Enrollment: 1500
Sex: ALL
Minimum age (years): 15
Maximum age (years): 19
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: SINGLE_GROUP
Intervention model description: The treatment condition involves participation in a teen pregnancy prevention program, Project With. The comparison condition for the study is treatment as usual.
Primary purpose: PREVENTION

Brief summary: WestEd and its partners Urban Strategies, the Los Angeles County Probation Department, Boys Republic, California Family Life Center, and Eggleston Youth Centers Inc. are conducting a quasi-experimental design to evaluate an innovative teen pregnancy prevention program, Project With, for incarcerated and other justice-involved youth in Southern California. Project With is a 12-lesson literary-based curriculum that utilizes group discussions of literary works and films to address personal relationships and sexual health topics. This study involves youth (age 15-19) at high risk for involvement in risky sexual behaviors, including teen pregnancy. The intervention shows potential to promote optimal health and reduce teen pregnancy and sexually transmitted infections (STIs) among incarcerated and other justice-involved youth, based on a previous formative evaluation of the intervention in 2018-2020. The purpose of this study is to test the curriculum on a population of incarcerated and other justice-involved youth.

Detailed description: Urban Strategies was funded by a Teen Pregnancy Prevention (TPP) grant from the Office of Population Affairs (OPA) within the Department of Health and Human Services (DHHS) to conduct a rigorous evaluation of a TPP program, Project With, to determine the impact of this innovative literary-based curriculum for incarcerated and other justice-involved youth. Project With is a 12-lesson literary-based curriculum, typically delivered in six weekly sessions, with each session having two one-hour long lessons and a meal with facilitators in between the two lessons. Each lesson includes a discussion of selected literary works, including poetry, short stories, and excerpts from films and other videos. The intervention shows potential to promote optimal health and reduce teen pregnancy and sexually transmitted infections (STIs) among incarcerated and other justice-involved youth. This intervention builds upon a former TPP grant. A formative evaluation of the intervention with OPA funding was carried out from 2018-2020. The formative evaluation showed that the curriculum, which explores healthy and unhealthy relationships as they appear within literary works and is facilitated by a caring mentor using a culturally attuned approach, deeply engages incarcerated youth.

This study involves youth aged 15-19 who are incarcerated/justice-involved and who are at high risk for involvement in risky sexual behaviors, including teen pregnancy. The findings from this study are intended to contribute to research on teen pregnancy, sexual health, and healthy relationships. The population of justice-involved/incarcerated youth face historical, structural, and environmental factors that bring about distressing sexual health disparities. Nationwide, 20% of incarcerated youth already have a child or are either pregnant or expecting a child they fathered (Sedlak \& Bruce, 2016). Rates of teen fatherhood for incarcerated youth are seven times higher than their peers, and rates of teen motherhood for incarcerated girls are one-third higher than national averages. Along with disparities related to teen pregnancy, incarcerated youth have high rates of trauma, thus any intervention for these youth must be trauma-informed. A 2010 Office of Juvenile Justice and Delinquency Prevention (OJJDP) report on the needs of incarcerated youth found 70% of all youth had experienced at least one childhood trauma, and 30% had experienced physical abuse, sexual abuse, or both. This study was designed to contribute to our understanding of what works with this population and to strengthen our knowledge base around developing and implementing a sexual health and personal relationships program.

The study will roll out in waves. During each wave a cohort of 8-12 youth from each facility will participate in Project With. After Urban Strategies implements Project With in a given facility, they will wait a period of time (e.g., one week to several months) and will then implement the program with a new cohort of youth. Using this design, each facility will participate in the study multiple times.

Eligibility criteria: Inclusion Criteria:

* Aged 15-19
* Residing in one of the Los Angeles County Probation Department camps or group homes within a partnered network
* Have the cognitive ability to complete the baseline and follow-up surveys in English or Spanish
* Need to be at the facilities for at least 8 weeks to complete the program

Exclusion Criteria:

* Outside of age criteria
* Not residing in one of the Los Angeles County Probation Department camps or group homes within a partnered network
* Does not have the cognitive ability to complete the baseline and follow-up surveys in English or Spanish
* Not remaining at the facilities for 8 weeks or more
* Youth who participated in a previous evaluation wave as part of the treatment or comparison group cannot participate in the evaluation a second time (i.e., during a second wave)

Primary outcomes:
measure: Risky sexual behaviors
timeFrame: Six months after the baseline
Secondary outcomes:
measure: Ability to resist temptations and provocations
timeFrame: Two and six months after the baseline
measure: Planfulness
timeFrame: Two and six months after the baseline
measure: Acceptance of intimate partner violence
timeFrame: Two and six months after the baseline
measure: Self-efficacy to avoid risky sexual behavior
timeFrame: Two and six months after the baseline
measure: Intentions to engage in risky sexual behavior
timeFrame: Two and six months after the baseline
Other outcomes:
Locations:
city: Alhambra
country: United States
facility: Urban Strategies
state: California
Study officials:
affiliation: WestEd
name: Jonathan Nakamoto, PhD
role: PRINCIPAL_INVESTIGATOR
References: