Contraception, mHealth, Post-abortion Family Planning
Conditions
Brief summary
An individual randomised controlled trial (RCT) to evaluate the effectiveness of a voice-based mobile phone health (mHealth) intervention to support post-abortion family planning (PAFP) at four Marie Stopes International clinics in Cambodia. The study seeks to address the research question: does a PAFP mHealth intervention increase use of contraception in Cambodia? STUDY RESULTS: http://www.who.int/bulletin/online\_first/en/
Interventions
BEHAVIORALMobile phone-based intervention
Automated voice message to support post-abortion contraception use every two weeks for total of three months. Direct follow up phone call by family planning counsellor depending on response to voice message.
Sponsors
London School of Hygiene and Tropical Medicine
Marie Stopes International
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Client attending for abortion * Client does not want to have a child at the current time * Client aged 18 or over * Client owns a mobile phone * Client willing to receive simple voice messages relating to contraception from Marie Stopes in Khmer language
Exclusion criteria
* Not meeting inclusion criteria * Declined to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Use of a Effective Contraceptive Method at Four-months Post-abortion | 4 months | Self-reported use of pill, coil, implant or injection for all participants. Objective measurement of contraceptive use for participants from one clinic. |
Secondary
| Measure | Time frame |
|---|---|
| Pregnancy | 4 months |
| Repeat Abortion | 4 months |
| Contraceptive Discontinuation | 4 months |
Countries
Cambodia
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Mobile Phone-based Intervention Standard care plus automated voice message to support post-abortion contraception use every two weeks for total of three months and direct follow up phone call by family planning counsellor depending on response to voice message.
Mobile phone-based intervention: Automated voice message to support post-abortion contraception use every two weeks for total of three months. Direct follow up phone call by family planning counsellor depending on response to voice message. | 249 |
| Standard Care Face-to-face post-abortion family planning (PAFP) counselling, follow-up at one or two weeks, clinic phone number, existing 'Hotline' phone number. | 251 |
| Total | 500 |
Baseline characteristics
| Characteristic | Mobile Phone-based Intervention | Standard Care | Total |
|---|---|---|---|
| Age, Customized <25 | 88 Participants | 69 Participants | 157 Participants |
| Age, Customized ≥25 | 161 Participants | 182 Participants | 343 Participants |
| Sex: Female, Male Female | 249 Participants | 251 Participants | 500 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 249 | 0 / 251 |
| serious Total, serious adverse events | 0 / 249 | 0 / 251 |
Outcome results
Primary
Use of a Effective Contraceptive Method at Four-months Post-abortion
Self-reported use of pill, coil, implant or injection for all participants. Objective measurement of contraceptive use for participants from one clinic.
Time frame: 4 months
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Mobile Phone-based Intervention | Use of a Effective Contraceptive Method at Four-months Post-abortion | 135 participants |
| Standard Care | Use of a Effective Contraceptive Method at Four-months Post-abortion | 101 participants |
Secondary
Contraceptive Discontinuation
Time frame: 4 months
Secondary
Pregnancy
Time frame: 4 months
Secondary
Repeat Abortion
Time frame: 4 months