Contraception
Conditions
Keywords
Refugee Health, Resettled Refugee, Family Planning, Contraception, Group Counseling, Group contraceptive counseling
Brief summary
To evaluate the feasibility and effectiveness of group contraceptive counseling on family planning knowledge acquisition, service satisfaction, method uptake and continuation among a group of resettled African refugee women.
Detailed description
Thousands of women refugees arrive in the United States each year, yet there is very little known about reproductive health and family planning needs of these women after resettlement. This randomized controlled pilot study, in a population of resettled African refugee women, will evaluate differences between group and individual contraceptive counseling on the decision to use contraception, satisfaction with counseling method, and modern family planning knowledge. Participants will arrive to clinic during an assigned intervention day. An intake and exit survey will be performed before and after their counseling session. Demographics, attitudes towards contraception, and knowledge regarding contraceptive methods will be assessed via questionnaire. Participants will be randomized to either group or individual contraceptive counseling. After each session, participants will have the option to privately choose a reversible method of contraception free of charge. Telephone survey follow-up with participants will occur every three months for one year. Follow-up surveys will include questions regarding method continuation, method satisfaction and and modern contraceptive knowledge.
Interventions
OTHERCounseling
Participants will be randomly assigned to group versus individual contraceptive counseling
Sponsors
University of Utah
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 49 Years
Healthy volunteers
Yes
Inclusion criteria
* Resettled refugee * Ability to speak and comprehend conversational Swahili, French or Lingala * Interest in contraceptive counseling * Willing to adhere to study protocols including randomization and follow-up * Cellular phone access
Exclusion criteria
* Male
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Knowledge Acquisition assessed via number of correct questions on modified FogZone questionnaire | Day of intervention (Study Day 1) | Evaluate knowledge acquisition by comparing results on pre and post test of modern contraceptive knowledge. Contraceptive knowledge will be assessed using a modified version of the FogZone questionnaire |
| Contraceptive uptake | Day of intervention (Study day 1) | Evaluate contraceptive uptake via query of method choice after counseling |
| Service Satisfaction via questionnaire | Day of intervention (Study day 1) | Evaluate satisfaction with service and type of counseling received using questionnaire |
| Service satisfaction via Likert Scale | Day of intervention (Study day 1) | Evaluate satisfaction with service and type of counseling received using questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Method Continuation | 3, 6, 9 and 12 months post-intervention | Evaluate method continuation via telephone survey |
| Knowledge Retention assessed via modified FogZone questionnaire | 3, 6, 9 and 12 months post-intervention | Evaluate knowledge retention by repeating knowledge questionnaire and comparing baseline and interval results. |
Countries
United States
Outcome results
None listed