Evidence map›Paper›PMID 35169533›Full record

ArticlePreventive medicine reports2022

Modeling the impact of a health coaching intervention to prevent teen pregnancy.

Chi-Son Kim, Aletha Akers, Daenuka Muraleetharan, Ava Skolnik, Whitney Garney, Kelly Wilson, Aditi Sameer Rao, Yan Li

Open access · goldAbstract read
In one paragraph

Article in Preventive medicine reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Chi-Son KimDepartment of Obstetrics and Gynecology, Stamford Hospital, Stamford, CT, United States.
Aletha AkersVice President for Research, The Guttmacher Institute, New York, NY, United States.
Daenuka MuraleetharanDepartment of Health and Kinesiology, Texas A&M University, College Station, TX, United States.
Ava SkolnikDivision of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Whitney GarneyDepartment of Health and Kinesiology, Texas A&M University, College Station, TX, United States.
Kelly WilsonDepartment of Health and Kinesiology, Texas A&M University, College Station, TX, United States.
Aditi Sameer RaoDepartment of Health Policy and Management, Columbia University Mailman School of Public Health, New York, NY, United States.
Yan LiDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Texas A&M University · USChildren's Hospital of Philadelphia · USColumbia University · USGuttmacher Institute · USIcahn School of Medicine at Mount Sinai · USStamford Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Teenage pregnancy is an important public health issue in the United States, presenting significant health and economic risks to adolescents and the society. Health coaching is a potentially effective intervention in preventing teen pregnancy. In 2017, the Children's Hospital of Philadelphia implemented a health coaching program among sexually active teenage girls, which improved their contraceptive continuation rates. However, the cost-effectiveness of the health coaching program is not clear. We developed a microsimulation model of teen pregnancy that can predict the number of teen pregnancies and related birth outcomes. Model parameters were estimated from the literature and the health coaching program. The teen pregnancy model was used to assess how the program could influence direct health care costs and pregnancy outcomes. Our model projected that the health coaching program could prevent 15 teen pregnancies per 1000 adolescents compared to no intervention. The incremental cost-effectiveness ratio (ICER) for the intervention was $309 per pregnancy prevented, which was less than the willingness-to-pay threshold of $4,206 per pregnancy. Thus, the health coaching intervention was cost-effective. Our study provides promising data on the effectiveness and cost-effectiveness of a health coaching intervention to reduce the burden of teen pregnancies. Health practitioners should consider implementing the program for a longer term and at a larger scale.

Indexed as

Community healthEconomic evaluationHealth coachingTeen pregnancy

Identifiers

PMID35169533
PMCPMC8829809
OpenAlexW4210635066

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.