Positively Pregnant Pregnancy Testing for High Risk Adolescents

Positively Pregnant: Pregnancy Testing for High Risk Adolescents in Non-Traditional Locations Jennifer A. Oliphant, Ed. D, Danielle Le. Vasseur, BS, Annie-Laurie Mc. Ree, Dr. PH, Kara Beckman, MA, Shari Plowman, MPH, Renee Sieving, RN, Ph. D Division of Adolescent Health and Medicine, Medical School, University of Minnesota, Minneapolis, Minnesota

Presenter Disclosers Jennifer Oliphant, Ed. D, MPH No relationships to disclose

� To Project Purpose determine the acceptability and feasibility of urine pregnancy testing (UPT) in communitybased settings � To explore adolescents’ preferred methods for receiving UPT results

Why? � While pregnancy is commonly assessed via self-report, adolescents may not report pregnancy accurately or consistently over time � Incorporating biomarkers, such as UPT, has the potential to reduce bias and error in detecting pregnancy � Very limited past research on communitybased UPT

Project Design & Methods • Pilot study • Involved young women ages 16 -20 years (n=28) • Participants at high risk for unintended pregnancy • Constituted a subset of enrolled in a teen pregnancy prevention intervention study • Semi-structured qualitative interviews • Individual interviews addressed comfort with UPT in various community locations, preferences for receiving UPT results

Qualitative Interview Content

Project Design & Methods • 19 of 28 participants (68%) provided a urine sample for pregnancy testing • Rapid pregnancy tests on urine samples • Interviews recorded, transcribed & content analyzed

Results � All participants who provided a urine sample (68%) did so at a fast food restaurant, coffee shop, or library � Participants said that teens would be willing to provide urine samples if given a clear explanation of why the sample was needed

Results � Context & privacy paramount in whether teens would participate in communitybased UPT � Participants preferred to learn about UPT results by phone or in person � Terms “negative” & “positive” confused participants; suggest using “pregnant” or “not pregnant” when sharing test result

Results � With positive test results, participants suggested providing resources for pregnancy options, clinic referrals � With negative test results, some participants suggested providing birth control information

Sharing UPT Results Positive Results Negative Results In person – 100% Phone – 88% Phone – 100% Voicemail – 65% Facebook message – 78% Facebook message – 40% Voicemail – 65% Text message – 37% Text message – 63% Email – 33% Email – 60% Letter – 33% Letter – 50%

Conclusion � Community-based UPT is both feasible and acceptable among adolescent females at high risk for unintended pregnancy � Incorporating a biomarker into communitybased interventions is a promising way to improve pregnancy measurement and prevention efforts � Further, larger studies are needed

Thank you. What questions do you have? This study was supported by the National Institute of Nursing Research (5 R 01 -NR 008778) and the Centers for Disease Control and Prevention (T 01 -DP 000112). The views presented do not necessarily reflect those of the funders. The Prime Time study would not have been possible without the cooperation and contributions of the young women, clinics, and research staff involved with this project.

Contact Information � Jenny Oliphant, Ed. D, MPH � Division of Adolescent Health and Medicine, Medical School, University of Minnesota � oliph 001@umn. edu