Contraception Behavior, Reproductive Behavior, Sexual Behavior
Conditions
Keywords
Adolescent, Contraception
Brief summary
This is a prospective study involving two phases: 1) adaptation and 2) intervention, in adolescents aged 14-21 experiencing homelessness. The overarching goal is to develop and evaluate the effectiveness and feasibility of a counselling intervention to improve access to contraception among AYA experiencing homelessness. During the first phase, referred to as the adaption phase, we will rely on collective input from formative groups of AYA experiencing homelessness to adapt the CHOICE counselling intervention for this underserved and under-resourced population. In the second phase, referred to as the intervention phase, we will evaluate the effectiveness and feasibility of the adapted intervention (CHOICE-AYA).
Detailed description
This study will adapt an evidence-based contraceptive counseling intervention (CHOICE) using input from the formative groups of AYA experiencing homelessness and study the impact of the adapted counseling (CHOICE-AYA) on contraceptive use, continuation, and satisfaction in a specialized community care setting. After informed consent is obtained, participants will receive the CHOICE-AYA counseling intervention by trained clinic staff. Provision of contraception based on participant choice will occur through the clinic provider same day. Participants will be sent links to complete the follow-up surveys at 1, 3, 6, and 12 months. In addition, Clinic staff (e.g., prescribers and nurses) will be sent electronic surveys following randomly selected study visits. Findings will inform best practices for this vulnerable population and provide foundational evidence for future studies focused on expanding care to other sites that serve this group.
Interventions
BEHAVIORALCHOICE-AYA
Adapted contraceptive counseling specific to AYA experiencing homelessness
Sponsors
Children's Mercy Hospital Kansas City
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
14 Years to 21 Years
Healthy volunteers
Yes
Inclusion criteria
* Adolescents and young adults experiencing homelessness and housing instability (defined as those seeking care at our community-based clinic on the campus of a youth shelter) aged 14-21 who have female reproductive organs (In Missouri, youth aged ≤13 are not legally able to consent to sex) * English speaking * Prior sexual activity or anticipated future sexual activity that creates the risk of pregnancy * Either not currently on hormonal contraception OR interested in switching methods
Exclusion criteria
* AYA currently seeking pregnancy in the next 3 months * AYA with a severe developmental or cognitive delay that interferes with the ability to engage in consensual reproductive sex (determined by the investigator)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Contraceptive uptake | Study Day 1 | Rates of reliable contraceptive use |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Contraceptive satisfaction | 1, 3, 6, and 12 months post intervention | brief likert-style survey assessing whether they are still on the method, how satisfied they are with this method |
| Contraceptive continuation | 1, 3, 6, and 12 months post intervention | brief survey |
| Feasibility of intervention (perceived by clinic staff and participants) | Post-visit | Brief survey based on Bowen's constructs of feasibility |
Countries
United States
Outcome results
None listed