Pregnancy
Conditions
Keywords
Pregnancy, Pregnancy, unplanned, Reproductive behavior, Pregnancy in Adolescence, Text messaging
Brief summary
The objective of this study is to develop and test an emergency department (ED)-based intervention which uses text messages to facilitate contraception initiation.
Detailed description
Our hypothesis is that adolescent females at high pregnancy risk who receive text message reminders and motivational messages that promote contraception and referral to the Family Planning Clinic are more likely to start effective contraception than those who receive standard paper-based referral to the Family Planning Clinic alone.
Interventions
Sponsors
Society of Family Planning
Columbia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
14 Years to 19 Years
Healthy volunteers
No
Inclusion criteria
* Aged 14-19 years * Sexually active with males in the past three months * Presenting to the ED for a reproductive health complaint.
Exclusion criteria
* Presently pregnant * Too ill for participation per the attending physician * Cognitively impaired * In foster care or a ward of the state * Does not speak English or Spanish * Does not own a cellular or mobile phone with text messaging capabilities * Used contraception at last intercourse and/or is currently using any highly effective or effective form of contraception (as defined by the World Health Organization) * Does not live in Manhattan or the Bronx
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Initiation of highly effective contraception, as defined by the World Health Organization. | 3 months after initial enrollment | We will be assessing contraception initiation rates based on electronic medical record review and telephone call follow up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient visits to Family Planning Clinic | 3 months after initial enrollment | We assess Family Planning Clinic visits using our electronic medical records. |
| Follow up for contraceptive counseling to a doctor or nurse | 3 months after initial enrollment | We will be asking patients during our phone call follow if they have had contraceptive counseling with any healthcare professional. We will also be looking through electronic medical records for documentation of contraceptive counseling such as by ICD-9 coding or a physician's/nurse's note. |
| Change in pregnancy intentions | 3 months after initial enrollment | We will compare pregnancy intentions elicited from the answers provided in the baseline questionnaire to those reported on the telephone follow up for both study arms. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Text messaging intervention safety | 3 months after initial enrollment | Safety will be assessed during the telephone follow up. |
Countries
United States
Outcome results
None listed