HEALTH PROMOTION WITH TEENAGE MOTHERS

尽管美国青少年养育子女的比例很高，但 关于青春期母亲非性健康行为的信息很少 改善它们的方法。这项研究是一项随机对照试验 基于艾杰森理论的实践与社区干预 旨在改善非裔美国人健康状况的有计划的行为 15-18岁的青春期母亲。令人关注的主要成果包括： 青少年完全免疫[身体健康]，不携带致命性疫苗 武器或吸烟[精神健康]，经常使用避孕套和 有效的荷尔蒙避孕[性健康]青少年将会是 在产后住院期间登记为干预对象 对照组。所有356名参与者将在基线上进行评估。 对照组母亲将被要求在她们选择的地点寻求护理 在社区里。178名干预母亲将被登记为婴儿 在青春期计划生育的实践现场进行医疗保健， 免疫接种和牙科密封剂护理在同一 大楼，但由不同的供应商在不同的办公室。每个女人都会 根据她的信仰、价值观、态度、对社会规范的看法进行评估 以及对关键成果的意图，并将制定一项 她希望以积极的方式影响这些因素。一位护士-健康教育者在 婴儿护理家庭中的婴儿实践和卫生服务提供者 规划和牙科网站将致力于改变个人信仰和价值观。 感知到的社会规范将通过青少年同伴教育者在 通过对青少年和她的家庭访问进行练习设置和 母亲/监护人由研究护士--健康教育者担任。 在产后18个月，干预组和对照组都将 由盲人数据收集员组成的团队在家中访问，他们将管理 关于关键结果变量的问卷调查，包括信念、价值观、 对与结果有关的社会规范的态度和认知；以及 抑郁、育儿压力和人格类型。比较将会是 两组之间就关键结果和过程变量做出的决定 将被建模以检查它们解释观察到的结果的能力。

Despite the high prevalence of adolescent parenting in the U.S., there is little information on adolescent mother's non-sexual-health behaviors or ways to improve them. This study is a randomized, controlled trail of practice and community-based interventions modeled on Ajzen's Theory of Planned Behaviors aimed at improving health outcomes of African American adolescent mothers aged 15-18 years. The Key outcomes of interest include: complete adolescent immunizations [physical health], not carrying lethal weapons or cigarette smoking [mental health], regular use of condoms and effective hormonal contraception [sexual health]. Adolescents will be enrolled during their post-partum hospitalization into intervention and control groups. All 356 participants will be assessed at baseline. Control group mothers will be asked to seek care at sites of their choice in the community. The 178 intervention mothers will be enrolled in infant health care at a practice site where adolescent family planning, immunization, and dental sealant care are provided within the same building, but in different offices by different providers. Each woman will be assessed for her beliefs, values, attitudes, perceptions of social norms and intentions toward the key outcomes, and a plan will be developed with her to affect these factors in a positive way. A nurse-health educator in the infant practice and the health providers at the infant care, family planning, and dental sites will work to change personal beliefs and values. Perceived social norms will be altered through adolescent peer educators in the practice setting and through home visits to the adolescent and her mother/guardian by the study nurse-health educator. At 18 months post-partum, both intervention and control groups will be visited at home by blinded team of data collectors who will administer questionnaires on the key outcome variables including beliefs, values, attitudes, and perception of social norms related to the outcomes; and on depression, parenting stress, and personality type. Comparison will be made between the two groups regarding key outcomes, and process variables will be modelled to examine their ability to explain outcomes observed.