Unintended Pregnancy
Conditions
Brief summary
Using our experience in digital media, behavior theory, client-centered interventions, and family planning, we have prototyped a digital application (app)-miPlan-to be used in the clinic waiting room prior to a contraceptive visit. The goal of this research is to refine the app and conduct a randomized controlled trial of the miPlan intervention vs. standard care. The aim of this study is to understand miPlan's impact. The primary outcome is LARC uptake at clinic discharge. The secondary outcomes are contraceptive use at discharge, self-efficacy and decisional balance for highly effective contraception post-app use, contraceptive satisfaction, and intention to continue method use. The research will consist of baseline activities as well as a three-month follow-up call.
Detailed description
Using our experience in digital media, behavior theory, client-centered interventions, and family planning, we have prototyped a digital application (app)-miPlan-to be used in the clinic waiting room prior to a contraceptive visit. The goal of this research is to refine the app and conduct a randomized controlled trial of the miPlan intervention vs. standard care contraceptive counseling. The aim of this study is to understand miPlan's impact in terms of contraceptive knowledge, intentions and behaviors. The primary outcome is LARC uptake, which will be measured via chart review at clinic discharge, i.e. immediately following a patient's family planning visit. The secondary outcomes are contraceptive use at discharge (measured via chart review immediately following patient's family planning visit), self-efficacy and decisional balance (both measured via adapted validated scales for each) for highly effective contraception post-app use (measured immediately following intervention and prior to contraceptive counseling session), contraceptive satisfaction (measured at 3 months post baseline), and intention to continue method use (measured at 3 months post baseline). The research will consist of baseline activities as well as a three-month follow-up call.
Interventions
BEHAVIORALmiPlan intervention
miPlan mobile contraceptive counseling waiting room app intervention
Sponsors
University of Chicago
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
15 Years to 29 Years
Healthy volunteers
Yes
Inclusion criteria
* African American or Latina female and sexually active with a male partner(s) within the past 6 months, * age 15 to 29 years * present for contraception initiation * English speaking
Exclusion criteria
* not currently pregnant or intending pregnancy within the next 6 months * and not currently using LARC * not highly intending LARC at enrollment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| LARC uptake | at time of intervention (baseline (0 weeks) | uptake of the implant or IUD at time of intervention (measured via contraceptive method choice and delivery by checkbox) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| contraceptive use | at time of intervention (baseline (0 weeks)) | use of contraceptive methods at time of intervention (measured via contraceptive method choice and delivery by checkbox) |
| change in self-efficacy for contraception at 12 weeks | baseline (0 weeks) and 12 weeks | change in self efficacy for contraceptive method use (measured via validated 5-item attitudinal scale by Galavotti et al 1995) from baseline to 12 weeks |
| change in decisional balance for highly effective methods at 12 weeks | baseline (0 weeks) and 12 weeks | change in decisional balance for highly effective methods (measured via validated 10-item attitudinal scale by Galavotti et al 1995) from baseline to 12 weeks |
| contraceptive satisfaction | 12 weeks post-enrollment | satisfaction with contraceptive method choice (measured by 4-point Likert scale) |
| intention to continue method use | 12 weeks post enrollment | intention to continue contraceptive method use (measured dichotomously) |
Countries
United States
Outcome results
None listed