Skip to content
Summaries of RCT Grants

Expansion/​replication of Teen Options to Prevent Pregnancy (T.O.P.P.) in 11 New York City hospitals

Under this project, PAGNY Health and Research Foundation (PHRF) will deliver the Teen Options to Prevent Pregnancy (T.O.P.P.) program to 500 low-income, teenage mothers recruited from 11 public hospitals in the New York City Health and Hospital (H+H) system.

Grant Recipient: PAGNY Health and Research Foundation (PHRF)

Term: 20192024

Funding: $2,417,229

Summary: Under this project, PAGNY Health and Research Foundation (PHRF) will deliver the Teen Options to Prevent Pregnancy (T.O.P.P.) program to 500 low-income, teenage mothers recruited from 11 public hospitals in the New York City Health and Hospital (H+H) system. T.O.P.P. provides teenage mothers with facilitated access to contraceptive services and up to 18 months of personalized contraceptive counseling delivered by a nurse educator trained in motivational interviewing. In a prior well-conducted randomized controlled trial (RCT) in Ohio, T.O.P.P. was found to reduce repeat pregnancy at the 18-month follow-up from 39% in the control group to 21% in the treatment group and to reduce repeat births at the 30-month follow-up from 36% in the control group to 24% in the treatment group.

As a condition of grant award, PHRF will participate in an RCT to determine whether the large impacts found in the prior RCT can be reproduced under expanded implementation conditions in a new geographic setting.