Steps to Success: Implementing a Home Visiting Program Designed to Prevent Rapid Repeat Pregnancies Among Adolescent Mothers

January 25, 2018
Topics:
Youth Services, Strengthening Families, Healthy Marriage & Responsible Fatherhood
Projects:
Personal Responsibility Education Program (PREP) Multi-Component Evaluation, 2011-2018 | Learn more about this project
Types:
Reports
Steps to Success: Implementing a Home Visiting Program Designed to Prevent Rapid Repeat Pregnancies Among Adolescent Mothers Cover Page
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  • Pages 2
  • Published 2018

Introduction

This brief summarizes key findings from a study of the implementation of the Steps to Success program, a home visiting program for adolescent mothers that offers counseling on contraception, adequate birth spacing, parenting, and child development. Healthy Families San Angelo (HFSA)—an experienced, community-based organization in San Angelo, Texas—implemented the program with funding from a Personal Responsibility Education Program (PREP) grant. The implementation study was conducted in conjunction with a rigorous impact study in which adolescent mothers who agreed to take part in the study were randomly assigned to Steps to Success or to a control group that received a more traditional home visiting program that focused only on parenting and child development.

Research Questions

  1. 1 Did HFSA implement Steps to Success as intended?
  2. 2 What services did mothers receive from Steps to Success?
  3. 3 What services did mothers receive from the more traditional home visiting program offered to the control group and were these services distinct from Steps to Success services?

Purpose

Documenting the implementation of Steps to Success, as well as the more traditional home visiting program offered to mothers in the control group, will aid in interpreting findings from the study of Steps to Success’s impacts on key participant outcomes.

Key Findings and Highlights

As planned, Steps to Success provided substantially more support than the traditional home visiting program offered to the control group. Steps to Success families averaged 20 home visits during their first year in the program, compared with 12 home visits for families enrolled in the traditional program. As intended, Steps to Success engaged fathers in a larger share of home visits than the traditional program did and covered a broader range of topics during these visits, including employment, career planning, contraception, and adequate birth spacing.

Methods

These findings are based on data collected by the PREP implementation study team during site visits conducted in June 2014 and February 2016. During these visits, the team conducted interviews with HFSA staff and community partners. They also observed home visits and conducted focus groups with program participants. In addition, the team analyzed service-use data recorded by program staff on the frequency and length of home visits and the content covered during these visits. The analysis also uses information gathered through self-administered baseline surveys completed by mothers at the time they enrolled in the study.

Citation

Wood, Robert G., and Kisker, Ellen (2018). “Steps to Success: Implementing a Home Visiting Program Designed to Prevent Rapid Repeat Pregnancies Among Adolescent Mothers.” OPRE Brief #2017-81. Washington, DC: Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.

Glossary

PREP
Personal Responsibility Education Program
HFSA
Healthy Families San Angelo
LARC
Long-acting reversible contraceptive
Last Reviewed: January 23, 2018