Pregnancy-Free Club: A Strategy to Prevent Repeat Adolescent Pregnancy
Version of Record online: 11 JUL 2008
© 2008, The Authors. Journal Compilation © 2008, Wiley Periodicals, Inc.
Public Health Nursing
Volume 25, Issue 4, pages 304–311, July/August 2008
How to Cite
Schaffer, M. A., Jost, R., Pederson, B. J. and Lair, M. (2008), Pregnancy-Free Club: A Strategy to Prevent Repeat Adolescent Pregnancy. Public Health Nursing, 25: 304–311. doi: 10.1111/j.1525-1446.2008.00710.x
- Issue online: 11 JUL 2008
- Version of Record online: 11 JUL 2008
Vol. 25, Issue 6, 579, Version of Record online: 21 OCT 2008
- adolescent health;
- focus groups;
- maternal-child health;
- program evaluation;
- public health nursing practice
ABSTRACT Public health nurses (PHNs) implement interventions from the Public Health Intervention Wheel in a school-based program to prevent repeat adolescent pregnancy. The local health department, the school district, and a community hospital collaborated to develop the Pregnancy-Free Club (PFC) for adolescent mothers attending the school. Their goal was to prevent repeat adolescent pregnancy through a multifaceted approach. Strategies include the daily presence of PHNs in the school, monthly pregnancy tests and surveys, health counseling and referral, and group health education classes. The school also provides day care for participants' children. Following program initiation, the repeat adolescent pregnancy rate declined from 4.7% to a mean of 4.7% over 9 years of the program. Data from focus groups conducted with program participants suggested modifications that would increase participant satisfaction with the PFC. The daily presence of a PHN who was open and nonjudgmental paired with a supportive school environment, the availability of birth control counseling and referral, and affirmation of healthy choices to remain pregnancy free, were essential program components.