Reproductive Health
Conditions
Keywords
post abortion, person-centered care
Brief summary
The purpose of this study is to understand the effect of a phone based post-abortion intervention on the experience of post-abortion care.
Detailed description
This study evaluates whether personalized text messages and phone calls to post abortion women can improve post abortion person-centered care, perceived social support, post-abortion family planning, and reduce perceptions of social stigma and stress. Women were randomized to one of three study arms: personalized communication with a peer counselor or nurse who received person-centered care (PCC) training, or a control arm where participants received the standard of care.
Interventions
BEHAVIORALPerson Centered Care - Post Abortion Support
Post abortion phone based support
Sponsors
Innovations for Poverty Action
Marie Stopes International
University of California, San Francisco
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
15 Years to 49 Years
Healthy volunteers
Yes
Inclusion criteria
* Women of reproductive age * Had an Safe Abortion (SA)/Post Abortion Care (PAC) procedure at one of six private clinics that day * Has her own cellphone that is WhatsApp compatible and will have access to this phone for the next four weeks * Willing to receive receive short message service (SMS) messages and phone calls from an Marie Stopes Kenya (MSK) or Innovation for Poverty Action (IPA) professional * Able to communicate in English and/or Swahili * Willing and able to comprehend and give informed consent * Willing to participate in a baseline survey immediately after providing consent * Willing to be followed up by phone at two weeks and four weeks post procedure for a 15-minute survey at each time-point * Has not already participated in this study
Exclusion criteria
* Is not a women of reproductive age * Did not have an SA/PAC procedure at one of six private clinics that day * Does not have her own cellphone that is WhatsApp compatible and will have access to this phone for the next four weeks * Is not willing to SMS messages and phone calls from an MSK/IPA professional * Is not able to communicate in English and/or Swahili * Is not willing or is not able to comprehend and give informed consent * Is not willing to participate in a baseline survey immediately after providing consent * Is not willing to be followed up by phone at two weeks and four weeks post procedure for a 15-minute survey at each time-point * Has already participated in this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Person-Centered Abortion Scale Score | baseline | Survey conducted with women: self-report of experiences of PCC. Possible range 0-100; higher the score, better the experience |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mental Health | baseline | Mental Health Inventory (MHI-5) scale; 0-100 with higher scores indicating better mental health |
| Perceived abortion stigma | baseline | The Individual Level Abortion Stigma Scale (ILAS Scale) Abbreviated 3-item Scale: 0-9 where higher scores indicate greater worry about stigma |
| Post abortion family planning counseling | baseline | Self-report if women received counseling on family planning (Yes/No) |
| Post-abortion family planning uptake | baseline | Self-report of uptake of family planning (Yes/No/Refused to answer) |
| Perceived social support | baseline | Medical Outcomes Study-Social Support 15-item Scale (MOS-SSS): 18-90 where higher scores indicate greater social support |
Countries
Kenya
Outcome results
None listed