Elise D Berlan, Angela Abenaim, Kierra S Barnett, Charitha Gowda, Stacy Kramer, Sarah Saxbe, Maureen L Stapleton, Johanna Taylor, Venita Robinson
{"title":"通过社区参与和质量改进预防意外少女怀孕。","authors":"Elise D Berlan, Angela Abenaim, Kierra S Barnett, Charitha Gowda, Stacy Kramer, Sarah Saxbe, Maureen L Stapleton, Johanna Taylor, Venita Robinson","doi":"10.1542/peds.2024-069159F","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objectives: </strong>The Nationwide Children's Hospital's (NCH) Pediatric Vital Signs (PVS) Initiative launched in May 2018 when the teenage birth rate in Franklin County was 20.9 per 1000 female adolescents in 2017. The aim of the PVS Preventing Unintended Teenage Pregnancy initiative was to leverage internal strengths and collaborations with community partners to accelerate the decline in the teenage birth rate in Franklin County using evidence-based programming, community engagement, and quality improvement science.</p><p><strong>Methods: </strong>We researched evidence-based interventions to reduce unintended teenage pregnancy and engaged community partners. NCH launched the Contraceptive Access Quality Improvement Collaborative (CAC) to increase the use of prescription contraceptives among female adolescent patients. The School Health Education Partnership focused on developing and promoting comprehensive sexual health education in community schools. Additional community collaborations and interventions activities supported the PVS aim for 5 years.</p><p><strong>Results: </strong>The teenage birth rate in Franklin County declined significantly between 2018 and 2022. The CAC achieved a statistically significant increase in the proportion of female adolescents seen at NCH who are prescribed contraceptives. Sexual health education programming has been implemented in 20 community middle schools since 2019.</p><p><strong>Conclusions: </strong>An interdisciplinary team using a quality improvement framework, in collaboration with numerous community partners, engaged in diverse evidence-based programmatic activities to reduce the teenage birth rate in Franklin County, Ohio.</p>","PeriodicalId":20028,"journal":{"name":"Pediatrics","volume":"155 Suppl 1","pages":""},"PeriodicalIF":6.2000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Preventing Unintended Teenage Pregnancies With Community Engagement and Quality Improvement.\",\"authors\":\"Elise D Berlan, Angela Abenaim, Kierra S Barnett, Charitha Gowda, Stacy Kramer, Sarah Saxbe, Maureen L Stapleton, Johanna Taylor, Venita Robinson\",\"doi\":\"10.1542/peds.2024-069159F\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and objectives: </strong>The Nationwide Children's Hospital's (NCH) Pediatric Vital Signs (PVS) Initiative launched in May 2018 when the teenage birth rate in Franklin County was 20.9 per 1000 female adolescents in 2017. The aim of the PVS Preventing Unintended Teenage Pregnancy initiative was to leverage internal strengths and collaborations with community partners to accelerate the decline in the teenage birth rate in Franklin County using evidence-based programming, community engagement, and quality improvement science.</p><p><strong>Methods: </strong>We researched evidence-based interventions to reduce unintended teenage pregnancy and engaged community partners. NCH launched the Contraceptive Access Quality Improvement Collaborative (CAC) to increase the use of prescription contraceptives among female adolescent patients. The School Health Education Partnership focused on developing and promoting comprehensive sexual health education in community schools. Additional community collaborations and interventions activities supported the PVS aim for 5 years.</p><p><strong>Results: </strong>The teenage birth rate in Franklin County declined significantly between 2018 and 2022. The CAC achieved a statistically significant increase in the proportion of female adolescents seen at NCH who are prescribed contraceptives. Sexual health education programming has been implemented in 20 community middle schools since 2019.</p><p><strong>Conclusions: </strong>An interdisciplinary team using a quality improvement framework, in collaboration with numerous community partners, engaged in diverse evidence-based programmatic activities to reduce the teenage birth rate in Franklin County, Ohio.</p>\",\"PeriodicalId\":20028,\"journal\":{\"name\":\"Pediatrics\",\"volume\":\"155 Suppl 1\",\"pages\":\"\"},\"PeriodicalIF\":6.2000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1542/peds.2024-069159F\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1542/peds.2024-069159F","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
Preventing Unintended Teenage Pregnancies With Community Engagement and Quality Improvement.
Background and objectives: The Nationwide Children's Hospital's (NCH) Pediatric Vital Signs (PVS) Initiative launched in May 2018 when the teenage birth rate in Franklin County was 20.9 per 1000 female adolescents in 2017. The aim of the PVS Preventing Unintended Teenage Pregnancy initiative was to leverage internal strengths and collaborations with community partners to accelerate the decline in the teenage birth rate in Franklin County using evidence-based programming, community engagement, and quality improvement science.
Methods: We researched evidence-based interventions to reduce unintended teenage pregnancy and engaged community partners. NCH launched the Contraceptive Access Quality Improvement Collaborative (CAC) to increase the use of prescription contraceptives among female adolescent patients. The School Health Education Partnership focused on developing and promoting comprehensive sexual health education in community schools. Additional community collaborations and interventions activities supported the PVS aim for 5 years.
Results: The teenage birth rate in Franklin County declined significantly between 2018 and 2022. The CAC achieved a statistically significant increase in the proportion of female adolescents seen at NCH who are prescribed contraceptives. Sexual health education programming has been implemented in 20 community middle schools since 2019.
Conclusions: An interdisciplinary team using a quality improvement framework, in collaboration with numerous community partners, engaged in diverse evidence-based programmatic activities to reduce the teenage birth rate in Franklin County, Ohio.
期刊介绍：
The Pediatrics® journal is the official flagship journal of the American Academy of Pediatrics (AAP). It is widely cited in the field of pediatric medicine and is recognized as the leading journal in the field.
The journal publishes original research and evidence-based articles, which provide authoritative information to help readers stay up-to-date with the latest developments in pediatric medicine. The content is peer-reviewed and undergoes rigorous evaluation to ensure its quality and reliability.
Pediatrics also serves as a valuable resource for conducting new research studies and supporting education and training activities in the field of pediatrics. It aims to enhance the quality of pediatric outpatient and inpatient care by disseminating valuable knowledge and insights.
As of 2023, Pediatrics has an impressive Journal Impact Factor (IF) Score of 8.0. The IF is a measure of a journal's influence and importance in the scientific community, with higher scores indicating a greater impact. This score reflects the significance and reach of the research published in Pediatrics, further establishing its prominence in the field of pediatric medicine.
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