TY - JOUR
T1 - Building Community Support Using a Modified World Café Method for Pregnant and Parenting Teenagers in Forsyth County, North Carolina
AU - Johnson, Soren M.
AU - Trejo, Grisel
AU - Beck, Keli L.
AU - Worsley, Carrie
AU - Tranberg, Hope
AU - Plax, Katie L.
AU - Linton, Julie M.
N1 - Publisher Copyright:
© 2018 North American Society for Pediatric and Adolescent Gynecology
PY - 2018/12
Y1 - 2018/12
N2 - Study Objective: To identify community priorities, foster awareness of existing supports, and recognize barriers and opportunities to enhance support services for pregnant and parenting teens (PPTs). Design and Setting: A modified World Café event incorporated parallel, rotating focus groups with semistructured, case-based discussions of salient issues. The event was organized and took place in Forsyth County, North Carolina. Participants: Seventy-eight local health and social service professionals and 15 PPT representatives. Interventions and Main Outcome Measures: Qualitative coding was used to thematically analyze transcript data. Quantitative data pre-/post-event comparisons were made using Fisher exact test. Results: Key community-based support services for PPTs were identified. Qualitative analysis yielded 10 key codes regarding barriers and opportunities to enhance community-based support services, resulting in 4 themes. Themes included maximizing access and efficient delivery of high-quality health care, engaging a 3-generation approach to meet the current and future needs of at-risk families, focusing efforts to meet the unique needs of each teen and his/her family, and emphasizing teen self-advocacy. Pre/post survey responses were overwhelmingly positive regarding use of the modified World Café format for discussion and network building. Conclusion: The modified World Café Method offered a platform to collaboratively identify challenges and opportunities and to develop networks to improve health and well-being of PPTs. Engaging multiple stakeholders in meaningful dialogue might foster multidisciplinary, cross-sector collaboration that mitigates risk and enhances resilience among PPTs and their children.
AB - Study Objective: To identify community priorities, foster awareness of existing supports, and recognize barriers and opportunities to enhance support services for pregnant and parenting teens (PPTs). Design and Setting: A modified World Café event incorporated parallel, rotating focus groups with semistructured, case-based discussions of salient issues. The event was organized and took place in Forsyth County, North Carolina. Participants: Seventy-eight local health and social service professionals and 15 PPT representatives. Interventions and Main Outcome Measures: Qualitative coding was used to thematically analyze transcript data. Quantitative data pre-/post-event comparisons were made using Fisher exact test. Results: Key community-based support services for PPTs were identified. Qualitative analysis yielded 10 key codes regarding barriers and opportunities to enhance community-based support services, resulting in 4 themes. Themes included maximizing access and efficient delivery of high-quality health care, engaging a 3-generation approach to meet the current and future needs of at-risk families, focusing efforts to meet the unique needs of each teen and his/her family, and emphasizing teen self-advocacy. Pre/post survey responses were overwhelmingly positive regarding use of the modified World Café format for discussion and network building. Conclusion: The modified World Café Method offered a platform to collaboratively identify challenges and opportunities and to develop networks to improve health and well-being of PPTs. Engaging multiple stakeholders in meaningful dialogue might foster multidisciplinary, cross-sector collaboration that mitigates risk and enhances resilience among PPTs and their children.
KW - ACEs
KW - Community partnership
KW - Health disparities
KW - Pregnancy in adolescence
KW - Teens
KW - World Café
UR - https://www.scopus.com/pages/publications/85051724665
U2 - 10.1016/j.jpag.2018.06.009
DO - 10.1016/j.jpag.2018.06.009
M3 - Article
C2 - 29960076
AN - SCOPUS:85051724665
SN - 1083-3188
VL - 31
SP - 614
EP - 619
JO - Journal of Pediatric and Adolescent Gynecology
JF - Journal of Pediatric and Adolescent Gynecology
IS - 6
ER -