SUMMARY

This family planning clinic-based intervention was originally developed for teens less than 18 years of age. It is based on the premise that regular contraceptive use by teens can be increased by offering information, social support, and counseling, in addition to health and medical services. Accordingly, the program aims to provide family planning services in a manner that will increase teens' sense of comfort, increase their self-confidence, and reduce any fears that may discourage regular and effective contraception. A key component of the intervention is the Personal Information Form, a one-page questionnaire designed to aid staff in understanding teens' concerns, providing counsel and identifying patients who may be at greatest risk for early pregnancy. To ease teens' anxiety, the first appointment is divided into two visits, with education and counseling provided in the first session and the medical examination (and contraceptive prescription) deferred until the second. The intervention also includes: (1) education in a one-on-one rather than a group setting; (2) use of visual aids; (3) a follow-up visit scheduled six weeks after the initial appointment; and (4) encouragement of participation by family members, partners and friends, while respecting the patient's right to confidential services. A field study was conducted with 1,261 teens attending six family planning clinics. Compared to their peers receiving standard services, program participants showed significantly greater gains in knowledge, contraceptive usage and, significantly fewer pregnancies at the 6- and 12-month follow up assessments.

SUITABLE FOR USE IN

This program is suitable for use in community-, hospital- or school-based family planning clinics.

ORIGINAL INTERVENTION SAMPLE

Age, Gender
The field study involved 1,261 adolescent females, of whom 40% were age 17, 34% age 16, and 16% age 15.

Race/Ethnicity
95% White, 1% African-American , 4% other (mostly Latino).

PROGRAM LENGTH

A six-week period is required for the initial two part visit and a follow-up appointment. Additional visits are scheduled as necessary.

STAFFING REQUIREMENTS/TRAINING

In addition to the regular clinic staff (e.g., gynecologist, nurse practitioner), a counselor-educator is needed to review the Personal Information Form and lead the educational segment of each patient's first visit. All program staff should receive training in adolescent psychology.

   Other
Visual instructional aids (e.g. posters,
pelvic model)