The goal of this clinical trial is to learn if an integrated care program can help improve overall health and prevent repeat pregnancy in teen mothers in Barbados. The study focuses on young women ages 10 to 25 who became pregnant during their teenage years and are experiencing stress or mood-related symptoms. This study is currently pending ethics committee review and has not yet begun enrolling participants. The main questions it aims to answer are: * Does the THRIVE program improve participants' mental health and parenting skills? * Does the program help prevent repeat, unplanned pregnancies? Researchers will compare participants who receive the THRIVE program to those who receive standard care to see if the program leads to better physical and emotional health. Participants will: * Take part in seven biweekly in-person or virtual sessions focused on reproductive and behavioral health; * Complete health checks and questionnaires about their mood, parenting stress, and support; * Receive follow-up contact after the sessions are completed. The THRIVE program includes education on sexual health, mental health, parenting, and life skills. Participants will receive small incentives and support throughout the study. All study activities will begin only after full ethics approval is obtained.
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Systolic Blood Pressure (mmHg)
Timeframe: At baseline and each site visit (e.g., bi-monthly for 6 months)
Diastolic Blood Pressure (mmHg)
Timeframe: At baseline and each site visit (e.g., bi-monthly for 6 months)
Heart Rate (bpm)
Timeframe: At baseline and each site visit (e.g., bi-monthly for 6 months)
Respiration Rate (breaths per minute)
Timeframe: At baseline and each site visit (e.g., bi-monthly for 6 months)
Glucose Level (mg/dL)
Timeframe: At baseline and each site visit (e.g., bi-monthly for 6 months)
Body Temperature (°C)
Timeframe: At baseline and each site visit (e.g., bi-monthly for 6 months)
Overall Health related to Mood-related symptoms Assessed by Patient Health Questionnaire-9 (PHQ-9) [Score Range: 0-27, Higher Scores Indicate Worse Outcome]
Timeframe: At baseline, each site visit (e.g., bi-monthly for 6 months), and 6 months post-intervention
State Anxiety - State-Trait Anxiety Inventory (STAI or STAI-CH)
Timeframe: At baseline, week 24, and 6 months post-intervention
Depressive Symptoms in Adolescents - Center for Epidemiologic Studies Depression Scale (CES-D)
Timeframe: At baseline, week 24, and 6 months post-intervention
Parenting Stress - Parenting Stress Index (PSI) Short Form
Timeframe: At baseline, week 24, and 6 months post-intervention
Parenting Attitudes and Beliefs - Adult-Adolescent Parenting Inventory (AAPI-2)
Timeframe: Baseline and through study completion, an average of 1 year
Postpartum Social Support - Custom Self-Report Composite
Timeframe: Baseline, Week 12, and Week 24
Height (cm)
Timeframe: Baseline, Week 24
Weight (lbs)
Timeframe: At baseline and each site visit (e.g., bimonthly for 6 months)