Chronic Disease
Conditions
Keywords
Contraception, Access to Contraception, Health Inequities, Acute Care Setting, Inpatient
Brief summary
Women with chronic medical conditions have been found in multiple studies to use birth control less often compared to women without chronic medical conditions. The investigators hypothesized that approaching women with chronic medical conditions who were admitted to the hospital and having a bedside conversation about pregnancy intention and counseling regarding birth control usage along with offering to start birth control before discharge would increase the use of birth control in this population. As a separate intervention, the investigators hypothesized that having a brief conversation with the participants and then giving them a flyer that recommended talking with their doctor about birth control could also increase the use of birth control in this population.
Interventions
BEHAVIORALCounseling
Bedside pregnancy intention screening and family planning counseling with offer of bedside contraception initiation.
BEHAVIORALFlyer
Handing flyer to patient that discusses the importance of talking with their doctor about pregnancy intention and contraception use.
Sponsors
Sutter Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
1:1:1 randomized controlled trial
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Currently admitted to the hospital * Has one or more qualifying chronic medication conditions listed in their chart (hypertension, obesity with BMI\>35, diabetes, current or history of breast cancer, rheumatoid arthritis, sickle cell disease, or lupus)
Exclusion criteria
* Currently pregnant * Using surgical or non-surgical contraception * Immediately post-partum or admitted to the gynecology service * Non-English speaking * Non-verbal or too ill to consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Contraception use - 3 months | 3 months | Number of patients using contraception 3 months post discharge as ascertained by telephone interview. |
| Pregnancy - 3 months | 3 months | Number of pregnancies 3 months post discharge as ascertained by telephone interview. |
| Contraception use - 12 months | 12 months | Number of patient using contraception 12 months post discharge as ascertained by telephone interview. |
| Pregnancy - 12 months | 12 months | Number of pregnancies 12 months post discharge as ascertained by telephone interview. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| EHR accuracy | up to 5 minutes | Percentage of patients where the electronic medical record was inaccurate regarding patient's contraception usage |
| Contraception initiation | up to 1 hour | Number of patients in the counseling arm who initiated contraception immediately after study intervention |
| General contraception usage | up to 5 minutes | Percent of study population using contraception at time of screening |
Countries
United States
Outcome results
None listed