Video Counseling for Effective Postpartum Contraception

Video Counseling for Effective Postpartum Contraception: a Randomized Clinical Trial

This is a randomized clinical trial to evaluate if the addition of long-acting reversible contraception (LARC) focused video-counseling during prenatal care increases uptake of postpartum LARC.

Study Overview

• Status: Completed
• Conditions: Contraception
• Intervention / Treatment: Behavioral: LARC First Video

Detailed Description

Eligible participants will be identified in the prenatal period and will be randomized to one of two groups. The control group will receive the standard of care contraceptive counseling during prenatal counseling. The intervention group will also receive the standard of care contraceptive counseling during prenatal care, but will also watch an evidence-based,12 minute LARC First video created by the CHOICE project which provides information on different contraceptive methods. All participants will receive information regarding access to free LARC methods in the postpartum period. All participants will be called at 12 weeks postpartum. Independent of randomization arm, they will all undergo a 5-minute survey by phone about contraceptive method choice and use.

• Study Type: Interventional
• Enrollment (Actual): 84
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • North Carolina
    • Chapel Hill, North Carolina, United States, 27599
      • North Carolina Women's Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

Description

Inclusion Criteria:

• woman presenting for routine prenatal care visit at University of North Carolina (UNC) Resident Continuity Clinic
• least 18 years old
• fluent in English
• able to read to a third-grade reading level
• not planning sterilization for postpartum contraception
• at least 28 weeks gestation at time of enrollment

Exclusion Criteria:

• those who do not meet the previously outlined inclusion criteria
• those who are unable to provide informed consent.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Standard Counseling; Women in this arm will receive standard contraceptive counseling routinely provided during prenatal care. All participants will receive information regarding access to free LARC methods in the postpartum period.
Experimental: Video Counseling; Women in this arm will receive LARC First video-based contraceptive counseling in addition to standard contraceptive counseling routinely provided during prenatal care. All participants will receive information regarding access to free LARC methods in the postpartum period.	Behavioral: LARC First Video; LARC First is an evidence-based, 12-minute video developed by the CHOICE project that features women of all racial and ethnic backgrounds describing LARC methods of contraception in simple, understandable language with summary text when appropriate.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Number of women who received an intrauterine device (IUD) or implant by 12 weeks postpartum	12 weeks postpartum

Secondary Outcome Measures

Outcome Measure	Time Frame
Proportion of women using any contraceptive method at 12 weeks postpartum	12 weeks postpartum
Proportion of women who attended a postpartum visit	12 weeks postpartum
Proportion of women answering agree or strongly agree to the following statement "I would recommend birth control counseling by video to a friend."	Baseline

Collaborators and Investigators

• Sponsor: University of North Carolina, Chapel Hill
• Investigators: Principal Investigator: Jessica Morse, MD, University of North Carolina, Chapel Hill

Study record dates

Study Major Dates

• Study Start: May 1, 2015
• Primary Completion (Actual): October 1, 2016
• Study Completion (Actual): October 1, 2016

Study Registration Dates

• First Submitted: May 6, 2015
• First Submitted That Met QC Criteria: May 6, 2015
• First Posted (Estimate): May 8, 2015

Study Record Updates

• Last Update Posted (Actual): May 18, 2017
• Last Update Submitted That Met QC Criteria: May 16, 2017
• Last Verified: May 1, 2017

More Information

Terms related to this study

• Keywords: Postpartum Period
• Other Study ID Numbers: 15-0665

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED