The primary aim of this study is to assess the comparative effectiveness of a patient-centered interactive, individually tailored computer application, “Health-E You,” in reducing pregnancy rates among Latina adolescent girls when implemented in a confidential clinic setting. All fourteen LAUSD Wellness Center sites and 4 School-Based Health Center sites were randomly assigned to receive the intervention which includes the Health-E You APP coupled with a clinician training on adolescent contraceptives, or to the control condition which will receive only the clinician training.
Target population are Latinas between the ages of 14-18.
December 2015-November 2018
1: Examine the extent to which the Health-E You contraceptive APP supports adolescents in making decisions about an effective method of contraception. Specifically, we will examine its effectiveness on:
a) increasing adolescents’ knowledge of sexual health and contraceptive options; and
b) increasing the proportion of adolescents who report being prepared to select an effective form of contraception;
c) increasing adolescents’ self-efficacy in selecting and using an effective contraceptive method.
2: Evaluate the efficacy of the Health-E You contraceptive APP on its ability to improve the effectiveness and efficiency of the clinical encounter. Specifically, we will evaluate its effectiveness on:
a) improving adolescents’ and clinicians’ perception of the quality and efficiency of the visit; and
b) increasing the proportion of visits where adolescents and clinicians discussed contraception
3: Evaluate the effectiveness of the Health-E You contraceptive APP to reduce the incidence of unprotected sexual intercourse (and associated unintended pregnancies and STIs) among Latina adolescent girls. Specifically, we will evaluate its effectiveness on:
a) increasing the proportion of sexually active adolescents who receive an effective contraceptive at their clinic visit;
b) increasing the proportion of sexually active