Impact of Contraceptive Counselling on LARC Uptake and Unplanned Pregnancy
Conditions
Keywords
LARC, contraception, counselling, unplanned pregnancy
Brief summary
Training of health care providers and structured LARC forward counseling may contribute to increased LARC uptake. The hypothesis to be tested is that by introducing LARC forward counselling an increase in LARC usage will be the result as well as decreased unplanned pregnancy and abortion. It is expected that the results of this study will highlight the importance of LARC forward counseling and thus provide the evidence needed to train health care providers and increase access to LARC in youth clinics, midwifery clinics and for post abortion contraception.
Interventions
OTHERLARC forward structured contraceptive counselling
Training of health care providers (HCPs), use of information material and counselling tools
Sponsors
Kristina Gemzell Danielsson
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Cluster randomised trial
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* At risk for pregnancy (sexually active with men or anticipate becoming sexually active in the next 6 months). * Do not desire pregnancy . * No contraindications to LARC
Exclusion criteria
* Undergone tubal ligation or other sterilization procedure. * Use of contraceptives for other purposes than contraception
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| LARC prescriptions (recorded electronic prescriptions) | Evaluated at the index visit to the clinic | The rate of women who receive a LARC prescription |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| LARC placements recorded in patient records | Evaluated at 3months follow up (FU) | The rate of women who has a LARC method placed following the baseline visit |
| Contraceptive method used reported by participants | Evaluated at 3,6 and 12 months FU | The rate of women who use a contraceptive method |
| Satisfaction with the chosen contraceptive method reported by participants | Evaluated at 3,6 and 12 months FU | Satisfaction with the prescribed contraceptive method |
| (Unplanned) pregnancy reported by participants and recorded in patient records | Evaluated at 3,6 and 12 months FU | (Unplanned) pregnancy rate |
Countries
Sweden
Outcome results
None listed