Providing Birth Control Through Home Health Visits

May 7, 2026 updated by: Oregon Health and Science University

Effectiveness of Nurse Home Contraceptive Dispensing

This study will evaluate a program that provides birth control to low income and minority women through home visits by a community health nurse. The goal of the program is to reduce unwanted pregnancies.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Unintended pregnancy is associated with significant public health problems, including inadequate prenatal care, low birth weight infants, infant mortality, and maternal morbidity and mortality. Children born as a result of unplanned pregnancies are at greater risk for poor outcomes such as poor mental health and developmental disabilities. This research project will determine whether providing contraception in the home can reduce the incidence of unintended pregnancy in low income and minority women. The project will also determine whether delaying a pelvic exam encourages or discourages the utilization of clinic-based preventive services to screen for sexually transmitted diseases (STDs) and cervical cancer.

Participants will be randomized to either an experimental group or a comparison group. Each participant will receive family planning counseling during a home visit by a community health nurse. Participants in the experimental group will be offered a three-month supply of oral contraceptives or a depo-provera shot; both forms of contraceptives will be delivered during home visits. Each participant will complete a survey during the initial visit and during a 1-year follow-up. The study will last approximately three years.

Study Type

Interventional

Enrollment (Actual)

103

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Oregon
      • Oregon City, Oregon, United States, 97045
        • Clackamas County Public Health Division

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

1 second and older (Child, Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Women of child bearing age
  • Not pregnant
  • Interested in delaying pregnancy using oral contraceptives or a depo-provera shot
  • Had sex in the last month or are planning to have sex in the next month
  • Have not used contraception during every sexual encounter within 3 months prior to study entry

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Other: Control Group
The control group receives only Family Planning Counseling.
Other: Family Planning Counseling
Family Planning Counseling
Experimental: Intervention Group
The intervention group receives Family Planning Counseling and contraception in the home.
Other: Family Planning Counseling
Family Planning Counseling
Other: Home dispensing of contraception
Home dispensing of contraception

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Pregnancy
Time Frame: Twelve month follow-up (June 2004 - July 2025)
Twelve month follow-up (June 2004 - July 2025)

Secondary Outcome Measures

Outcome Measure
Time Frame
Sexually Transmitted Disease Screening
Time Frame: Twelve month follow-up (June 2004 - July 2025)
Twelve month follow-up (June 2004 - July 2025)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Oregon Health and Science University

Collaborators

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Investigators

  • Principal Investigator: Alan L Melnick, MD, MPH, Oregon Health and Science University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 5, 2003

Primary Completion (Actual)

July 14, 2005

Study Completion (Actual)

July 14, 2005

Study Registration Dates

First Submitted

July 16, 2003

First Submitted That Met QC Criteria

July 17, 2003

First Posted (Estimated)

July 18, 2003

Study Record Updates

Last Update Posted (Actual)

May 11, 2026

Last Update Submitted That Met QC Criteria

May 7, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • IRB00002668
  • 5R01HD042423 (U.S. NIH Grant/Contract)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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