The Computer-Assisted Motivational Intervention (CAMI) was designed to delay repeat childbearing among adolescent girls by motivating them to change their contraceptive behaviors. During home visits, adolescents completed a computer-based survey assessing their sexual relationships, contraceptive intentions and plans, and current pregnancy prevention practices. An algorithm assessed the participant’s risk for repeat pregnancy, sexually transmitted infections, and readiness to use contraception and/or condoms. Following the survey, CAMI counselors conducted a 20- to 30-minute motivational interview in which they discussed how the teen’s goals and actions aligned, and encouraged the adolescent to change her behavior. Home visits lasted about one hour and were conducted once per quarter over a two-year period.
This report also includes a review of an enhancement to CAMI, called CAMI+. In addition to the standard program, CAMI+ provided participants with biweekly or monthly home-based parent training and case management services. The 16-module curriculum, designed specifically for African American adolescent mothers, covered topics such as child development and discipline. The home visits were initiated prenatally at about 32 weeks gestation.
For more information, please read the Model Overview.