Early Intervention Program for Adolescent Mothers

Implementation support is not currently available for the model as reviewed.

Model effectiveness research report last updated: 2011

Effects shown in research

Maternal health

Findings rated high

Koniak-Griffin, D., Anderson, N. L., Verzemnieks, I., & Brecht, M. L. (2000). A public health nursing early intervention program for adolescent mothers: Outcomes from pregnancy through 6 weeks postpartum. Nursing Research, 49(3), 130–138.

Early Intervention Program for Adolescent Mothers

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Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
External social competence	FavorableUnfavorable or ambiguousNo Effect	6 weeks postpartum	San Bernardino sample	121 mothers	Mean = 80.18	Mean = 77.11	Mean difference = 3.07	HomVEE calculated = 0.40	Statistically significant, p =0.03	footnote106 Submitted by user on Fri, 03/15/2019 - 14:29 Information on outcomes was received through communication with the authors. footnote107 Submitted by user on Fri, 03/15/2019 - 14:29 Although the treatment group has a higher mean, the authors report that the comparison group showed a significantly greater gain on this measure.
Internal social competence	FavorableUnfavorable or ambiguousNo Effect	6 weeks postpartum	San Bernardino sample	121 mothers	Mean = 70.68	Mean = 66.97	Mean difference = 3.71	HomVEE calculated = 0.28	Not statistically significant, p > 0.05	footnote102 Submitted by user on Fri, 03/15/2019 - 14:29 Authors report whether the groups are significantly different or not, but do not report actual p-values. footnote106 Submitted by user on Fri, 03/15/2019 - 14:29 Information on outcomes was received through communication with the authors.
Number of prenatal health problems	FavorableUnfavorable or ambiguousNo Effect	6 weeks postpartum	San Bernardino sample	121 mothers	Mean = 0.64	Mean = 0.72	Mean difference = -0.08	HomVEE calculated = -0.03	Not statistically significant, p ≥ 0.05	footnote102 Submitted by user on Fri, 03/15/2019 - 14:29 Authors report whether the groups are significantly different or not, but do not report actual p-values.
Substance use	FavorableUnfavorable or ambiguousNo Effect	6 weeks postpartum	San Bernardino sample	121 mothers	Not available	Not available	Not reported	Not available	Not statistically significant, p ≥ 0.05	footnote102 Submitted by user on Fri, 03/15/2019 - 14:29 Authors report whether the groups are significantly different or not, but do not report actual p-values.
Total number of prenatal visits	FavorableUnfavorable or ambiguousNo Effect	6 weeks postpartum	San Bernardion sample	121 mothers	Mean = 9.69	Mean = 9.34	Mean difference = 0.35	HomVEE calculated = 0.03	Not statistically significant, p ≥ 0.05	footnote102 Submitted by user on Fri, 03/15/2019 - 14:29 Authors report whether the groups are significantly different or not, but do not report actual p-values.

Findings rated moderate

Koniak-Griffin, D., Anderson, N. L., Brecht, M. L., Verzemnieks, I., Lesser, J., & Kim, S. (2002). Public health nursing care for adolescent mothers: Impact on infant health and selected maternal outcomes at 1 year postbirth. Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 30(1), 44–54.

Early Intervention Program for Adolescent Mothers

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Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
CES-D (depression)	FavorableUnfavorable or ambiguousNo Effect	One year postpartum	San Bernardino sample	102 mothers	Mean = 14.53	Mean = 15.33	Mean difference = -0.80	HomVEE calculated = -0.09	Not statistically significant, p ≥ 0.05	footnote102 Submitted by user on Fri, 03/15/2019 - 14:29 Authors report whether the groups are significantly different or not, but do not report actual p-values.
PSS (perceived stress)	FavorableUnfavorable or ambiguousNo Effect	One year postpartum	San Bernardino sample	102 mothers	Mean = 24.40	Mean = 23.55	Mean difference = 0.85	HomVEE calculated = 0.13	Not statistically significant, p ≥ 0.05	footnote102 Submitted by user on Fri, 03/15/2019 - 14:29 Authors report whether the groups are significantly different or not, but do not report actual p-values.
RSEI (self-esteem)	FavorableUnfavorable or ambiguousNo Effect	One year postpartum	San Bernardino sample	102 mothers	Mean = 32.73	Mean = 31.07	Mean difference = 1.66	HomVEE calculated = 0.37	Not statistically significant, p ≥ 0.05	footnote102 Submitted by user on Fri, 03/15/2019 - 14:29 Authors report whether the groups are significantly different or not, but do not report actual p-values.
Repeat pregnancy rate	FavorableUnfavorable or ambiguousNo Effect	One year postpartum	San Bernardino sample	102 mothers	Not available	Not available	Not reported	Not available	Not statistically significant, p ≥ 0.05	footnote102 Submitted by user on Fri, 03/15/2019 - 14:29 Authors report whether the groups are significantly different or not, but do not report actual p-values.

Koniak-Griffin, D., Mathenge, C., Anderson, N. L., & Verzemnieks, I. (1999). An early intervention program for adolescent mothers: A nursing demonstration project. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 28(1), 51–59.

Early Intervention Program for Adolescent Mothers

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Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
Anemia	FavorableUnfavorable or ambiguousNo Effect	Ante- and intrapartum	San Bernardino sample	121 mothers	Percentage = 0.15	Mean % = 0.17	Mean difference = -0.02	HomVEE calculated = -0.09	Statistical significance not reported
Cystitis	FavorableUnfavorable or ambiguousNo Effect	Ante- and intrapartum	San Bernardino sample	121 mothers	Percentage = 0.23	Mean % = 0.19	Mean difference = 0.04	HomVEE calculated = 0.15	Statistical significance not reported
Pregnancy-induced hypertension	FavorableUnfavorable or ambiguousNo Effect	Ante- and intrapartum	San Bernardino sample	121 mothers	Percentage = 0.06	Mean % = 0.03	Mean difference = 0.03	Study reported = 0.44	Statistical significance not reported
Preterm labor	FavorableUnfavorable or ambiguousNo Effect	Ante- and intrapartum	San Bernardino sample	121 mothers	Percentage = 0.11	Mean % = 0.16	Mean difference = -0.05	Study reported = -0.26	Statistical significance not reported
Pyelonephritis	FavorableUnfavorable or ambiguousNo Effect	Ante- and intrapartum	San Bernardino sample	121 mothers	Percentage = 0.05	Mean % = 0.05	Mean difference = 0.00	HomVEE calculated = 0.00	Statistical significance not reported
Sexually transmitted disease	FavorableUnfavorable or ambiguousNo Effect	Ante- and intrapartum	San Bernardino sample	121 mothers	Percentage = 0.03	Mean % = 0.08	Mean difference = -0.05	Study reported = -0.63	Statistical significance not reported
Substance use	FavorableUnfavorable or ambiguousNo Effect	6 weeks postpartum	San Bernardino sample	121 mothers	Not available	Not available	Not reported	Not available	Not statistically significant, p ≥ 0.05	footnote102 Submitted by user on Fri, 03/15/2019 - 14:29 Authors report whether the groups are significantly different or not, but do not report actual p-values.
Urinary tract infection	FavorableUnfavorable or ambiguousNo Effect	Ante- and intrapartum	San Bernardino sample	121 mothers	Percentage = 0.28	Mean % = 0.24	Mean difference = 0.04	HomVEE calculated = 0.13	Statistical significance not reported

Koniak-Griffin, D., Verzemnieks, I. L., Anderson, N. L., Brecht, M. L., Lesser, J., Kim, S., et al. (2003). Nurse visitation for adolescent mothers: Two-year infant health and maternal outcomes. Nursing Research, 52(2), 127–136.

Early Intervention Program for Adolescent Mothers

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Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
External social competence	FavorableUnfavorable or ambiguousNo Effect	Two years postpartum	San Bernardino sample	101 mothers	Mean = 82.96	Mean = 82.57	Mean difference = 0.39	HomVEE calculated = 0.06	Not statistically significant, p ≥ 0.05	footnote102 Submitted by user on Fri, 03/15/2019 - 14:29 Authors report whether the groups are significantly different or not, but do not report actual p-values. footnote106 Submitted by user on Fri, 03/15/2019 - 14:29 Information on outcomes was received through communication with the authors.
Internal social competence	FavorableUnfavorable or ambiguousNo Effect	Two years postpartum	San Bernardino sample	101 mothers	Mean = 71.86	Mean = 69.56	Mean difference = 2.30	HomVEE calculated = 0.29	Not statistically significant, p =0.057	footnote106 Submitted by user on Fri, 03/15/2019 - 14:29 Information on outcomes was received through communication with the authors. footnote108 Submitted by user on Fri, 03/15/2019 - 14:29 Statistical significance is based on the results of the authors’ analysis using repeated-measures ANOVA.
Repeat pregnancy rate	FavorableUnfavorable or ambiguousNo Effect	Two years postpartum	San Bernardino sample	101 mothers	Percentage = 0.32	Mean % = 0.47	Mean difference = -0.15	HomVEE calculated = -0.38	Not statistically significant, p ≥ 0.05	footnote102 Submitted by user on Fri, 03/15/2019 - 14:29 Authors report whether the groups are significantly different or not, but do not report actual p-values.

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