Long-term effects of the booster-enhanced READY-Girls preconception counseling program on intentions and behaviors for family planning in teens with diabetes
Open accessAbstract
OBJECTIVE: To examine 12-month effects of a booster-enhanced preconception counseling (PC) program (READY-Girls) on family planning for teen girls with type 1 and type 2 diabetes. RESEARCH DESIGN AND METHODS: Participants 13–19 years of age (n = 109) were randomized to a standard care control group (CG) or intervention group (IG) that received PC over three consecutive clinic visits. Prepost data were collected at baseline, 3- and 6-month booster sessions, and a 12-month follow-up visit. RESULTS: Mean age was 15.8 years; 9 (8%) subjects had type 2 diabetes; and 18 (17%) subjects were African American. At baseline, 20% (n = 22 of 109) had been sexually active, and of these, 50% (n = 11) had at least one episode of unprotected sex. Over time, IG participants retained greater PC knowledge (F[6, 541] = 4.05, P = 0.0005) and stronger intentions regarding PC (significant group-by-time effects) especially after boosters. IG participants had greater intentions to discuss PC (F[6, 82.4] = 2.56, P = 0.0254) and BC (F[6, 534] = 3.40, P = 0.0027) with health care providers (HCPs) and seek PC when planning a pregnancy (F[6, 534] = 2.58, P = 0.0180). Although not significant, IG participants, compared with CG, showed a consistent trend toward lower rates of overall sexual activity over time: less sexual debut (35 vs. 41%) and higher rates of abstinence (44 vs. 32%). No pregnancies were reported in either group throughout the study. CONCLUSIONS: READY-Girls appeared to have long-term sustaining effects on PC knowledge, beliefs, and intentions to initiate discussion with HCPs that could improve reproductive health behaviors and outcomes. Strong boosters and providing PC at each clinic visit could play important roles in sustaining long-term effects.
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Preconception counseling using developmentally appropriate educational tools enables adolescent girls to make well-informed decisions.
“Preconception counseling using developmentally appropriate educational tools enables adolescent girls to make well-informed decisions (9).”
From 15. Management of Diabetes in Pregnancy: <i>Standards of Care in Diabetes—2024</i> (2024) · cites this paper as [9]
The program description says READY-Girls uses developmentally appropriate materials and skill-building exercises for healthy decision making. The Results report improved knowledge and intentions among adolescent girls with diabetes, but the Conclusions say effects on actual family-planning behavior were less clear. The source therefore supports the educational approach, not the broader claim that it enables adolescent girls generally to make well-informed decisions. (LLM, conf=0.84)
Experimental — accuracy not yet measuredPreconception counseling for women of reproductive age boosts knowledge of diabetes-related risk, postpones sexual debut, reduces unprotected sex, and improves preconception care and health.
“Preconception counseling for females during reproductive years increases knowledge about diabetes-related risk, delays age of sexual initiation, decreases unprotected sex, and improves preconception care and health (104,105).”
From Psychosocial care for people with diabetes: a position statement of the American Diabetes Association (2016) · cites this paper as [105]
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References 11 · Cited by 89
- Authors
- Charron-Prochownik, D., Sereika, S. M., Becker, D., White, N. H., Schmitt, P., Powell, A. B., Diaz, A. M., Jones, J., Herman, W. H., Rodgers Fischl, A. F., McEwen, L., DiNardo, M., Guo, F., & Downs, J.
- Affiliations
- University of Pittsburgh (US)
- St. Louis Children's Hospital (US)
- Children's Hospital of Pittsburgh (US)
- University of Michigan (US)
- University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania
- Corresponding author
- Charron-Prochownik, Denise
- ORCID
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2013-11-13
- Volume
- 36
- Issue
- 12
- Pages
- 3870-3874
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- PMC
- PMC3836127
- OpenAlex
- W2153771452
- Cited by
- 89
- References
- 11
- Citations by year
- 2025: 4 · 2024: 6 · 2023: 9 · 2022: 12 · 2021: 5 · 2020: 9 · 2019: 6 · 2018: 9 · 2017: 6 · 2016: 11 · 2015: 5 · 2014: 5 · 2013: 1
- FWCI
- 5.78
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Diabetes Care (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Informationszentrum Lebenswissenschaften (ZB MED) (submittedVersion, cc-by-nc-nd)
- Funders
- American Diabetes Association
- Wayne State University
- University of Pittsburgh
- Carnegie Mellon University
- National Institutes of Health
- National Institute of Nursing Research (P30NR003924, P30-NR-03924, T32NR008857)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK092950, P30DK092926, P30DK020572)
- National Institute of Child Health and Human Development
- National Center for Research Resources (M01-RR-0084, UL1RR024153, M01RR000084)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD044097)
- Children's Hospital of Pittsburgh
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Keywords
- preconception counseling, adolescent girls, type 1 diabetes, type 2 diabetes, family planning, booster sessions, contraceptive knowledge, sexual behavior, pregnancy planning, reproductive health, provider communication
- MeSH terms
- Adolescent, Counseling, Diabetes Mellitus, Family Planning Services, Female, Follow-Up Studies, Humans, Physician-Patient Relations, Pregnancy, Sexual Behavior, Time Factors, Intention, Young Adult
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