Positively Pregnant: Pregnancy Testing for High

Risk Adolescents in Non-Traditional Locations

Jennifer A. Oliphant, EdD, Danielle LeVasseur, BS, Annie-Laurie McRee, DrPH, Kara Beckman, MA, Shari Plowman, MPH, Renee Sieving, RN, PhD

Division of Adolescent Health and Medicine, Medical School, University of Minnesota, Minneapolis, Minnesota

Jennifer Oliphant, EdD, MPHNo relationships to disclose

Presenter Disclosers

To determine the acceptability and feasibility of urine pregnancy testing (UPT) in community-based settings

To explore adolescents’ preferred methods for receiving UPT results

Project Purpose

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 community-based UPT

Why?

• 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

Project Design & Methods

Qualitative Interview Content

• 19 of 28 participants (68%) provided a urine sample for pregnancy testing• Rapid pregnancy tests on urine samples

• Interviews recorded, transcribed & content analyzed

Project Design & Methods

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 community-based 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

Results

Sharing UPT Results

Positive Results Negative Results

In person – 100% 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%

Community-based UPT is both feasible and acceptable among adolescent females at high risk for unintended pregnancy

Incorporating a biomarker into community-

based interventions is a promising way to improve pregnancy measurement and prevention efforts

Further, larger studies are needed

Conclusion

Thank you.

What questions do you have?

This study was supported by the National Institute of Nursing Research (5R01-NR008778) and the Centers for Disease Control and Prevention (T01-DP000112). 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.

Jenny Oliphant, EdD, MPH

Division of Adolescent Health and Medicine, Medical School, University of Minnesota

oliph001@umn.edu

Contact Information