In the Community

Community Research

In the Community

Community Research

Community Research and Programs for Teens

OhioHealth developed and successfully implemented Teen Options to Prevent Pregnancy (TOPP).

TOPP is a program to reduce rapid repeat teen births. The Administration from Children and Families provided OhioHealth with funding for our initiatives from 2010 to 2016*.

How Our Teen Pregnancy Prevention Program Works

TOPP features registered nurses using motivational interviewing and transportation assistance to reduce rapid repeat pregnancies in adolescent mothers.

The three components of the program are:

  1. Home and phone-based care coordination, using motivational interviewing
  2. Facilitated access to contraceptive counseling, using a leased van
  3. Psychosocial assessment 

Why the Program Works

This program works because it acknowledges the importance of dealing with the whole teenager. It’s a reflection of OhioHealth’s commitment to honor the dignity and worth of each person.

We help teens to:

  • Identify their goals
  • Achieve self-sufficiency
  • Access housing and financial stability
  • Acquire successful parenting skills
  • Establish healthy relationships

Results of TOPP

Evaluation of the research data that supports this program shows promising results.

OhioHealth conducted a randomized controlled trial with 600 participants to test the efficacy of the program. According to an April 2016 U.S. Department of Health and Human Service (HHS) evidence review, an evaluation found that TOPP participants were more likely to report using a highly effective long-acting reversible contraception (LARC) method, and less likely to report having sex in the past three months. Participants also reported greater access to contraceptive services.

The Final Impact Report shows that the program had a nearly 50 percent reduction in rapid repeat pregnancy in the intervention group of their randomized controlled trial.

Coming Soon…Healthy Adolescent Transitions (HAT) Program

This program will expand upon the success of the TOPP program. The long-term objective is to facilitate reproductive and other life goals for the high-risk group of low-income, adolescent mothers. The HAT intervention components are based upon the theoretical framework of Behavioral Economics (BE). For the current study, we posit that nurse- and/or counselor-led education and BE-based “nudges” will promote/reinforce positive behaviors, without encouraging participants to engage in behaviors that they do not want to do. This interdisciplinary model features insights from psychology, economics, and marketing with the goal of improving individual decision making. The study population served includes patients that have a prenatal appointment at any OhioHealth outpatient center ages 14-19 years of age. The educational components address financial literacy, healthy eating, academic and career goals, healthy birth spacing, HPV vaccination and establishing a medical home.

For more information, email Robyn Lutz or call (614) 566.9085.

*The TOPP program was made possible by Grant Number 90AP2668 from the Department of Health and Human Services, Administration for Children and Families. Its contents are solely the responsibility of OhioHealth and do not necessarily represent the official views of the Department of Health and Human Services, Administration for Children and Families.