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Girl2Girl: Harnessing Text Messaging to Reduce Teenage Pregnancy Among LGB Girls (NCT03029962)

The Office of Adolescent Health, HHS
University of British Columbia
City University of New York, School of Public Health
The purpose of this study is to finalize and rigorously evaluate Girl2Girl, a novel text messaging-based teenage pregnancy prevention (TPP) program designed specifically for LGB women ages 14-18 years, nation-wide. The guiding theoretical model is the Information-Motivation-Behavioral Skills (IMB) Model, which has been used extensively and is associated with increases in TPP behavior.
  • Behavioral: Girl2Girl
    Girl2Girl is a text messaging-based teenage pregnancy prevention program specifically for 14-18 year old LGB adolescent females. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content is reinforced using brief online videos. The intervention is 7 weeks long. A "booster" is delivered 12-weeks post-intervention end and reviews the topics covered in the intervention. Girl2Girl content is tailored based upon sexual experience (i.e., whether one is abstinent or sexually active) and whether one is same-sex or dually attracted.
    Ages eligible for Study
    14 Years to 18 Years
    Genders eligible for Study
    Female
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Inclusion Criteria:
    • endorse a non-heterosexual sexual identity (i.e., lesbian/gay, bisexual, queer, questioning, unsure);
    • be cisgender (i.e., be assigned a female sex at birth and endorse a female gender identity);
    • be aged 14-18;
    • in high school or equivalent (including those who did not finish school/dropped out);
    • be English speaking;
    • be exclusive owners of a cell phone with an unlimited text messaging plan;
    • have used text messaging for at least six months;
    • intend to have the same cell number for the next six months; and,
    • be able to provide informed assent, including an acceptable score for "capacity to consent" and the self-safety assessment.
    Exclusion Criteria:
    • not having the capacity to assent
    • not passing the self-safety assessment
    • previously participating in another study activity (with the exception of the baseline and intervention end survey pilot tests)
    • knowing someone who is already enrolled in the program
    • non-cisgender
    An estimated one in four teen women will become pregnant by the time she is 20 years of age. That said, significant disparity in rates exist for lesbian, gay, bisexual and other sexual minority women (LGB) versus non-LGB teen women: Research suggests that lesbian and bisexual teen women are between two and four times more likely to report having been pregnant than teen women who identified as exclusively heterosexual. Despite this compelling evidence that lesbian and bisexual adolescent women are at risk for teen pregnancy, programs tailored to the unique needs of adolescent LGB women are nonexistent. Evidence-based teen pregnancy prevention (TPP) programs targeting LGB teen women are urgently needed.

    The Girl2Girl intervention text messaging-based TPP program designed specifically for LGB women ages 14-18 years, nation-wide. The investigators will test the intervention in an RCT of 840 LGB teenage women randomly assigned to either the intervention (n = 420) or control (n = 420) arms. Our primary efficacy outcome measures, measured at 12-months post-intervention, will be: (a) abstinence from penile-vaginal sex; (b) condom use during penile-vaginal sex, (c) use of other birth control methods during penile-vaginal sex, and (d) pregnancy.

    If effective, Girl2Girl has promise to be quickly and cost-effectively implemented to scale to help to curb the spread of teenage pregnancy among women who identify as LGB.

    1 locations

    United States (1)
    • Center for Innovative Public Health Research
      recruiting
      San Clemente, California, United States, 92672-6745
    Status:
    recruiting
    Type:
    Interventional
    Phase:
    -
    Start:
    30 September, 2016
    Updated:
    24 January, 2017
    Participants:
    840
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