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Centering Pregnancy Plus Program

An Evidence-Based Practice

Description

The Centering Pregnancy Plus (CP+) project builds on the Centering Pregnancy (CP) prenatal care program by incorporating STI and HIV prevention lessons to the baseline curriculum. As in the CP program, 8-12 young women at similar stages of pregnancy are assigned to meeting groups. Participants attend 10 two-hour structured sessions in which they learn care skills, participate in facilitated discussions, and develop a support network with the other attendees. However, CP+ devotes 120 minutes over the course of three sessions to STI/HIV prevention skills. The program shows testimonials of affected adolescents to raise participants' awareness of STI and HIV risk, leads participants in setting goals for safe sexual behavior after pregnancy, and guides them in developing skills for effective communication about safe sexual behavior with their partners.

Goal / Mission

The Centering Pregnancy Plus Project aims to reduce risk for HIV and other sexually transmitted diseases and improve health outcomes for young pregnant women, aged 14-21.

Impact

Facilitated group discussions promoting condom use among young women can increase condom use among participants.

Results / Accomplishments

A randomized controlled trial of CP+ implementations in Atlanta, GA, and New Haven, CT, demonstrated a significant relationship between program participation and reduced odds of a repeat pregnancy at 6 months postpartum (p=0.02). Participants also reported significantly more condom use (p=0.007 at 6 months postpartum; p=0.04 at 12 months postpartum) and significantly less unprotected sexual intercourse at 12 months postpartum (p=0.05). Furthermore, participants had significantly more communication about safe sexual activity with their partners during the third trimester of pregnancy (p=0.001) and at 12 months postpartum (p=0.03).

About this Promising Practice

Organization(s)
Centering Healthcare Institute
Primary Contact
Centering Healthcare Institute
89 South Street #404
Boston, MA 02111
857-284-7570
https://www.centeringhealthcare.org/
Topics
Health / Prevention & Safety
Health / Immunizations & Infectious Diseases
Health / Maternal, Fetal & Infant Health
Organization(s)
Centering Healthcare Institute
Source
Child Trends
Date of publication
Nov 2009
Date of implementation
1998
Geographic Type
Urban
Location
USA
For more details
http://pregnancyresearch.org/cpplus/
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC275978...
Target Audience
Teens, Women
Additional Audience
Young Adults

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  4. CDC COMMUNITY GUIDE: Prevention of HIV/AIDS, other STIs and Pregnancy: Group-Based Comprehensive Risk Reduction Interventions for Adolescents
  5. HIV Prevention Intervention for African American Adolescent Girls
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Related Content for: Centering Pregnancy Plus Program

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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