Community-Based Care Management For Teen/Young Adult Mothers and Fathers (BRIDGES)

This study has been completed.
UMB School of Medicine Department of Family and Community Medicine
Information provided by (Responsible Party):
Beth Barnet, University of Maryland Identifier:
First received: September 27, 2007
Last updated: May 26, 2015
Last verified: May 2015

Teenagers who become parents often struggle with new challenges as they try to take care of their children and themselves. Programs that provide teens with support, education, and counseling may help teens to become the best parents they can be and reach their own goals. Health care providers who take care of pregnant and parenting teenagers are trying to find out what types of programs are most helpful for the physical, emotional, and social health of pregnant and parenting teenagers. The purpose of this study is to find out what kinds of activities help teens be successful as parents and achieve success in their lives.

Condition Intervention
Behavioral: Home visiting and care management

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: BRIDGES: A Randomized Trial of Community-Based Care Management For Teen/Young Adult Mothers and Fathers

Resource links provided by NLM:

Further study details as provided by University of Maryland:

Primary Outcome Measures:
  • Repeat pregnancy [ Time Frame: Within 2 years of the index birth ] [ Designated as safety issue: No ]
  • Parenting attitudes and behaviors [ Time Frame: at 1 year and 2 years postpartum ] [ Designated as safety issue: No ]
  • School continuation or graduation [ Time Frame: at 2 years postpartum ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Remission of depression [ Time Frame: at 1 year and 2 years postpartum ] [ Designated as safety issue: No ]

Enrollment: 200
Study Start Date: August 2007
Study Completion Date: September 2011
Primary Completion Date: September 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: HV
Intervention arm.
Behavioral: Home visiting and care management
Third trimester teens are assigned a Care Manager (CM) who establishes a continuity relationship and provides monthly visits until the index child is 2 years old. Core services for intervention group include: 1)Baseline and ongoing assessment of health, mental health, housing, daycare, and school needs; 2)Administration of a culturally sensitive, developmentally relevant parenting curriculum; 3)Computer Assisted Motivational Interviewing to promote healthy relationships, improve contraceptive practices, focus on goals, and promote school continuation; 4)Efforts to engage the young father; 5)Linkage and coordination with primary care for teen, child, young father; 6)Support & skills-building for school continuation, higher education, and job readiness.
No Intervention: Cntr
Usual care control

Detailed Description:

Pregnant teenagers and teenagers who have children less than 2 weeks old and who attend either University Family Medicine, the Maryland Women's Center, Teen Tot Clinic, University Care at Edmonson Village, Weinberg Community Health Center, or Maryland General Outpatient clinics will be asked to participate in a home visiting and care management program and study. Those agreeing to participate are placed into one of two groups. One group receives a Home Visiting and Care Management Program along with their usual medical care. The other group receives only their usual medical care.

If placed into the home visiting group, the teen is given a home visitor (also called a Care Manager). The Care Manager arranges to meet with the teen every month until the teen's baby is 2 years old. The meetings last about 1 hour and usually take place in the teen's home.

The Care Manager provides 4 Core Services to the teen:

  1. Baseline and ongoing monthly needs assessment for healthcare, mental health, school/job attainment, daycare, housing stability;
  2. Computer Assisted Motivational Interviewing (CAMI) sessions with teen mother. In CAMI sessions, the teen answers questions on a laptop computer that assess partner relationships, sexual behaviors, & risk for repeat pregnancy. Following the assessment, the trained Care Manager conducts motivational interviewing, a counseling technique aimed at assisting the teen to improve contraceptive and condom use, focus on goals, and promote school continuation;
  3. Parenting instruction with a culturally sensitive, developmentally relevant parenting curriculum; and
  4. Coordination and linkage with primary care and community partners (e.g. UMB Division of Community Psychiatry) with respect to health care, mental health care, and other services.

If the teen grants permission, we will try to contact her baby's father and invite him to participate in similar activities.


Ages Eligible for Study:   12 Years to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Pregnant teenagers
  • Ages 12-18 years old
  • >= 24 weeks gestation
  • Attending any of 5 West Baltimore prenatal care sites.
  • Male partner (baby's father) if the pregnant teenager agrees to let the program contact him to invite participation.

Exclusion Criteria:

  • Age < 18 years and no parent/guardian able to grant consent.
  • Male partner of a pregnant teen/teen mother if she does not grant consent to let us contact him and invite participation.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00537108

United States, Maryland
UMB School of Medicine Department of Family and Community Medicine
Baltimore, Maryland, United States, 21201
Sponsors and Collaborators
University of Maryland
UMB School of Medicine Department of Family and Community Medicine
Principal Investigator: Beth Barnet, M.D. University of Maryland
  More Information

No publications provided

Responsible Party: Beth Barnet, Professor, Family and Community Medicine, University of Maryland Identifier: NCT00537108     History of Changes
Other Study ID Numbers: H-29138
Study First Received: September 27, 2007
Last Updated: May 26, 2015
Health Authority: United States: Institutional Review Board

Keywords provided by University of Maryland:
Pregnancy in adolescence processed this record on August 27, 2015