1. A Preconception Peer Educator Program for College Women Gail Wade, PhD, RN The 3rd National Summit on Preconception Health and Health Care: Improving Preconception Health in a New Era of Health Care June 12-14, 2011

2. Focus of Program Recommendation 1: Individual responsibility across the lifespan Recommendation 2: Consumer awareness Recommendation 3: Preventive visits CDC. (2006). Recommendations to improve preconception health and health care-United States: A report of the CDC/ASTDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR, 55, No.RR-6, 1-22.

3. Components of the Program Curriculum framework Peer educators Brochure for outreach DVD Reproductive Life Plan Booklet Preconception Risk Assessment Teaching sessions Pre-test/Posttest Gift pack

4. Reframed Mnemonic R: Reproductive awareness E: Environmental toxins & teratogens F: Folic acid and nutrition R: Review of genetic history A: Alcohol, tobacco, and other drugs M: Medical care and medications E: Evaluate immunizations & disease D: Domestic & psychosocial issues Adapted from: Freda, M. C., Chazotte, C., Bernstein, P., & Harrison, E. (2002). Interdisciplinary development of a preconception health curriculum for four medical specialties. Obstetrics and Gynecology, 99(2), 301-306.

5. Pregnancy and Labor Understanding for Self-Empowerment

6. Peer Educators Nursing students Development of materials Recruitment of participants Presentation and discussion

7. Ladies Are You Ready? To start making healthy choices Brochure for outreach

8. DVD

9. Reproductive Life Plan Booklet

10. Teaching Sessions

11. Preconception Risk Assessment Tool LetterStands for…QuestionYNN/ARef RReproductive awareness If you are sexually active, do you use condoms with sexual partners? (N/A if not sexually active)

12. Risk Assessment (N = 115) Reproductive Awareness Using birth control: Yes (56%) Using condoms: Yes (48%) Folic Acid and Nutrition Multivitamin: Yes (33%) Folic Acid: Yes (16%) Alcohol, tobacco & substance abuse Drink alcohol: Yes (36%) Recreational drugs: Yes (5%) Medical care & medications Regularly take medications: Yes (57%) Domestic violence and psychosocial issues Safe in your home: Yes (97%) Emotionally supported: Yes (97%)PLUS: Heard of a reproductive life plan: No (86%) Like to develop a reproductive life plan: Yes (54%) Considered pregnancy, birth, & parenting for you future: Yes (93%)

13. Pretest/Posttest n=93 18 item multiple choice test Pre-test: Mean = 72.4 with a SD of 12.6 Post-test: Mean = 89.3 with a SD of 9.1 Statistically significant (p <.01) increase in scores

14. Gift Packs

15. The Office of Minority Health (OMH) Peer Educator Program

16. Expansion of OMH Peer Educator Program

17. Path Forward Integration of preconception into nursing curriculum Global Expansion of program by study abroad nursing students in South Africa Expansion of OMH Peer Educator Program Partnership with Delaware Healthy Mothers and Infant Consortium (DHMIC)  Adaptation of Life plan booklet  Social marketing  Outreach to schools & other communities

18. QUESTIONS? Program made possible by: Developed with the assistance of nursing students School of Nursing College of Health Sciences School of Nursing College of Health Sciences School of Nursing