Manuscript Details

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.

Moderate rating
Study reviewed under: Handbook of Procedures and Standards, Version 1
Study design characteristics contributing to rating
Design Attrition Baseline equivalence Confounding factors? Valid, reliable measures?
Randomized controlled trial Low

Established on race/ethnicity, SES, and baseline outcomes.

None

Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1
Notes from the review of this manuscript

One comparison group member was analyzed as part of the intervention group.

Information on outcomes was received through communication with the authors.

Maternal Health
Outcome Measure Timing of Follow-Up Rating Direction of Effect Effect Size (Absolute Value) Stastical Significance Sample Size Sample Description
Anemia Ante- and intrapartum Moderate
0.09 Statistical significance not reported 121 mothers San Bernardino sample
Cystitis Ante- and intrapartum Moderate
0.15 Statistical significance not reported 121 mothers San Bernardino sample
Pregnancy-induced hypertension Ante- and intrapartum Moderate
0.44 Statistical significance not reported 121 mothers San Bernardino sample
Preterm labor Ante- and intrapartum Moderate
0.26 Statistical significance not reported 121 mothers San Bernardino sample
Pyelonephritis Ante- and intrapartum Moderate
0.00 Statistical significance not reported 121 mothers San Bernardino sample
Sexually transmitted disease Ante- and intrapartum Moderate
0.63 Statistical significance not reported 121 mothers San Bernardino sample
Substance use 6 weeks postpartum Moderate
Not statistically significant, p ≥ 0.05 121 mothers San Bernardino sample
Urinary tract infection Ante- and intrapartum Moderate
0.13 Statistical significance not reported 121 mothers San Bernardino sample
Effect rating key
Favorable finding / Statistically significant
Unfavorable finding / Statistically significant
Ambiguous finding / Statistically significant
No effect / Not statistically significant

This study included participants with the following characteristics at enrollment:

Race/Ethnicity

The race and ethnicity categories may sum to more than 100 percent if Hispanic ethnicity was reported separately or respondents could select two or more race or ethnicity categories.

Black or African American
11%
Hispanic or Latino
64%
White
20%
Unknown
6%

Maternal Education

Less than a high school diploma
88%
High school diploma or GED
7%
Unknown
5%

Other Characteristics

Data not available

This study included participants from the following locations:

  • California
Study Participants

Participants were recruited via referrals to a county public health department and assigned randomly to either the intervention or the comparison group. Initially 144 mothers were randomly assigned, 75 to the treatment group and 69 to the comparison group (information obtained from authors). One hundred twenty-one young mothers and their children participated in the study. Sixty-two were assigned to the intervention group, and 59 were assigned to the comparison group. In the analysis, however, one mother in the comparison group was analyzed as part of the intervention group, resulting in an analytic sample of 63 in the intervention group and 58 in the comparison group (information obtained from authors). Most were poor, unmarried, and expecting their first child. Mothers ranged in age from 14 to 19 years old. Sixty-four percent of the mothers were Latina, 11 percent were African American, and 20 percent were white. Participants were followed from pregnancy through six weeks postpartum. Note: This study contains the same sample as Koniak-Griffin et al. (2000).

Setting

The study was conducted in San Bernardino County, California, a large, ethnically diverse county adjacent to Los Angeles.

Comparison Conditions

Comparison group members received traditional public health nursing services, consisting of three home visits: one at intake, one for prenatal care, and one for postpartum/well-baby care information.

Author Affiliation

The authors are developers of this model.

Funding Sources

National Institutes of Nursing Research, Grants R0-1 NR02325 and NR02325-S1, and the Office of Research on Women’s Health, Grant NR02325-S2.