Contraception
Conditions
Keywords
Postpartum Period
Brief summary
This is a randomized clinical trial to evaluate if the addition of long-acting reversible contraception (LARC) focused video-counseling during prenatal care increases uptake of postpartum LARC.
Detailed description
Eligible participants will be identified in the prenatal period and will be randomized to one of two groups. The control group will receive the standard of care contraceptive counseling during prenatal counseling. The intervention group will also receive the standard of care contraceptive counseling during prenatal care, but will also watch an evidence-based,12 minute LARC First video created by the CHOICE project which provides information on different contraceptive methods. All participants will receive information regarding access to free LARC methods in the postpartum period. All participants will be called at 12 weeks postpartum. Independent of randomization arm, they will all undergo a 5-minute survey by phone about contraceptive method choice and use.
Interventions
BEHAVIORALLARC First Video
LARC First is an evidence-based, 12-minute video developed by the CHOICE project that features women of all racial and ethnic backgrounds describing LARC methods of contraception in simple, understandable language with summary text when appropriate.
Sponsors
University of North Carolina, Chapel Hill
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Caregiver)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* woman presenting for routine prenatal care visit at University of North Carolina (UNC) Resident Continuity Clinic * least 18 years old * fluent in English * able to read to a third-grade reading level * not planning sterilization for postpartum contraception * at least 28 weeks gestation at time of enrollment
Exclusion criteria
* those who do not meet the previously outlined inclusion criteria * those who are unable to provide informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of women who received an intrauterine device (IUD) or implant by 12 weeks postpartum | 12 weeks postpartum |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of women using any contraceptive method at 12 weeks postpartum | 12 weeks postpartum |
| Proportion of women who attended a postpartum visit | 12 weeks postpartum |
| Proportion of women answering agree or strongly agree to the following statement I would recommend birth control counseling by video to a friend. | Baseline |
Countries
United States
Outcome results
None listed