{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:18:03Z","timestamp":1790705883643,"version":"4.1.0"},"reference-count":46,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,3,1]]},"abstract":"<jats:sec>\n                  <jats:title\/>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>BACKGROUND:<\/jats:title>\n                  <jats:p>Teen mothers often present with depression, social complexity, and inadequate parenting skills. Many have rapid repeat pregnancy, which increases risk for poor outcomes. We conducted a randomized controlled trial of a parenting and life skills intervention for teen mothers aimed at impacting parenting and reproductive outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>Teen mothers were recruited from a teen-tot clinic with integrated medical care and social services. Participants were randomly assigned 1:1 to receive (1) teen-tot services plus 5 interactive parenting and life skills modules adapted from the Nurturing and Ansell-Casey Life Skills curricula, delivered by a nurse and social worker over the infant\u2019s first 15 months or (2) teen-tot services alone. A computerized questionnaire was self-administered at intake, 12, 24, and 36 months. Outcomes included maternal self-esteem, parenting attitudes associated with child maltreatment risk, maternal depression, life skills, and repeat pregnancy over a 36-month follow-up. We used generalized linear mixed modeling and logistic regression to examine intervention effects.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>Of 152 invited, 140 (92%) participated (intervention = 72; control = 68). At 36 months, maternal self-esteem was higher in the intervention group compared with controls (P = .011), with higher scores on preparedness for mothering role (P = .011), acceptance of infant (P = .008), and expected relationship with infant (P = .029). Repeat pregnancy by 36 months was significantly lower for intervention versus control participants.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>A brief parenting and\/or life skills intervention paired with medical care for teens and their children has positive effects on maternal self-esteem and repeat pregnancy over 36 months.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2018-2303","type":"journal-article","created":{"date-parts":[[2019,2,12]],"date-time":"2019-02-12T13:26:22Z","timestamp":1549977982000},"source":"Crossref","is-referenced-by-count":29,"title":["A Parenting and Life Skills Intervention for Teen Mothers: A Randomized Controlled Trial"],"prefix":"10.1542","volume":"143","author":[{"given":"Joanne E.","family":"Cox","sequence":"first","affiliation":[{"name":"Divisions of General Pediatrics and"},{"name":"Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, Boston, Massachusetts; and"},{"name":"Department of Pediatrics, Harvard Medical School, Harvard University, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sion Kim","family":"Harris","sequence":"additional","affiliation":[{"name":"Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, Boston, Massachusetts; and"},{"name":"Department of Pediatrics, Harvard Medical School, Harvard University, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Conroy","sequence":"additional","affiliation":[{"name":"Divisions of General Pediatrics and"},{"name":"Department of Pediatrics, Harvard Medical School, Harvard University, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Talia","family":"Engelhart","sequence":"additional","affiliation":[{"name":"Divisions of General Pediatrics and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuradha","family":"Vyavaharkar","sequence":"additional","affiliation":[{"name":"Divisions of General Pediatrics and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Federico","sequence":"additional","affiliation":[{"name":"Divisions of General Pediatrics and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth R.","family":"Woods","sequence":"additional","affiliation":[{"name":"Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, Boston, Massachusetts; and"},{"name":"Department of Pediatrics, Harvard Medical School, Harvard University, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2019,3,1]]},"reference":[{"issue":"1","key":"2021121019310695500_B1","first-page":"1","article-title":"Births: final data for 2015.","volume":"66","author":"Martin","year":"2017","journal-title":"Natl Vital Stat Rep"},{"key":"2021121019310695500_B2","volume-title":"U.S. Teenage Pregnancies, Births and Abortions, 2011: National Trends by Age, Race and Ethnicity","author":"Kost","year":"2016"},{"issue":"4","key":"2021121019310695500_B3","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1007\/s10995-011-0814-9","article-title":"Longitudinal study of depressive symptoms and social support in adolescent mothers.","volume":"16","author":"Brown","year":"2012","journal-title":"Matern Child Health J"},{"issue":"5","key":"2021121019310695500_B4","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.jadohealth.2015.01.005","article-title":"Long-term consequences of adolescent parenthood among African-American urban youth: a propensity score matching approach.","volume":"56","author":"Assini-Meytin","year":"2015","journal-title":"J Adolesc Health"},{"issue":"4","key":"2021121019310695500_B5","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1097\/MOP.0b013e3283555bee","article-title":"Teen pregnancy prevention: current perspectives.","volume":"24","author":"Lavin","year":"2012","journal-title":"Curr Opin Pediatr"},{"issue":"5","key":"2021121019310695500_B6","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.acap.2010.06.008","article-title":"The ripples of adolescent motherhood: social, educational, and medical outcomes for children of teen and prior teen mothers.","volume":"10","author":"Jutte","year":"2010","journal-title":"Acad Pediatr"},{"issue":"2","key":"2021121019310695500_B7","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1037\/0003-066X.53.2.152","article-title":"Adolescent pregnancy and parenthood. 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