Evaluation of reproductive health education in transition-age youth

Foster youth experience increased sexual and reproductive health risks including unintended pregnancy or paternity and sexually transmitted infections compared with other youth. Transition-age foster youth (TAY) experience at least double the rate of pregnancy compared to the general population, yet few researchers have investigated ways to improve the reproductive health of transition-age foster youth. We assessed feasibility and gathered preliminary outcomes data on use of the Making Proud Choices! For Youth in Out-of-Home Care (MPCOOH) curriculum for TAY in extended foster care in Los Angeles County. Of 79 MPCOOH workshop attendees, 72 attended 2 or more sessions, receiving at least half of the curriculum. Of those, 64 attendees provided valid contact information to participate in outcomes research, of whom 54 completed at least 2 of 3 surveys (pre, post, 3-month follow-up), and were thus included in analyses. Participants provided positive feedback after completing the curriculum. Findings showed a significant improvement in sexual and reproductive health knowledge, birth control familiarity, attitudes, and self-efficacy, post-intervention. We demonstrated the feasibility of MPCOOH delivery to TAY in a community setting, as well as finding promising preliminary outcome data. Additional studies are required to determine long-term sexual and reproductive post-intervention behavioral changes in comparison to a control group.