1. Jennifer A. Oliphant, EdD, Danielle LeVasseur, BS, Annie-Laurie McRee, DrPH, Kara Beckman, MA, Shari Plowman, MPH, Renee Sieving, RN, PhD Division of Adolescent Health and Medicine, Medical School, University of Minnesota, Minneapolis, Minnesota

2. Jennifer Oliphant, EdD, MPH No relationships to disclose

3.  To determine the acceptability and feasibility of urine pregnancy testing (UPT) in community- based settings  To explore adolescents’ preferred methods for receiving UPT results

4.  While pregnancy is commonly assessed via self-report, adolescents may not report pregnancy accurately or consistently over time  Incorporating biomarkers, such as UPT, has the potential to reduce bias and error in detecting pregnancy  Very limited past research on community- based UPT

5. Pilot study Involved young women ages 16-20 years (n=28) Participants at high risk for unintended pregnancy Constituted a subset of enrolled in a teen pregnancy prevention intervention study Semi-structured qualitative interviews Individual interviews addressed comfort with UPT in various community locations, preferences for receiving UPT results

7. 19 of 28 participants (68%) provided a urine sample for pregnancy testing Rapid pregnancy tests on urine samples Interviews recorded, transcribed & content analyzed

9.  All participants who provided a urine sample (68%) did so at a fast food restaurant, coffee shop, or library  Participants said that teens would be willing to provide urine samples if given a clear explanation of why the sample was needed

10.  Context & privacy paramount in whether teens would participate in community- based UPT  Participants preferred to learn about UPT results by phone or in person  Terms “negative” & “positive” confused participants; suggest using “pregnant” or “not pregnant” when sharing test result

11.  With positive test results, participants suggested providing resources for pregnancy options, clinic referrals  With negative test results, some participants suggested providing birth control information

12. Positive ResultsNegative Results In person – 100% Phone – 88%Phone – 100% Voicemail – 65%Facebook message – 78% Facebook message – 40%Voicemail – 65% Text message – 37%Text message – 63% Email – 33%Email – 60% Letter – 33%Letter – 50%

13.  Community-based UPT is both feasible and acceptable among adolescent females at high risk for unintended pregnancy  Incorporating a biomarker into community- based interventions is a promising way to improve pregnancy measurement and prevention efforts  Further, larger studies are needed

14. This study was supported by the National Institute of Nursing Research (5R01-NR008778) and the Centers for Disease Control and Prevention (T01-DP000112). The views presented do not necessarily reflect those of the funders. The Prime Time study would not have been possible without the cooperation and contributions of the young women, clinics, and research staff involved with this project.

15.  Jenny Oliphant, EdD, MPH  Division of Adolescent Health and Medicine, Medical School, University of Minnesota  oliph001@umn.edu