- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03012659
Contraceptive Equity Study 2016 (CES)
Contraceptive Equity Study
Study Overview
Status
Intervention / Treatment
Detailed Description
This study builds upon prior research on a contraceptive counseling protocol and training developed and studied by partners at New York University and Planned Parenthood Federation of America. This contraceptive counseling protocol is informed by the literature on contraceptive behavior, expertise in decision and communication science, and formative qualitative research with Planned Parenthood providers and patients. Jaccard et al. (in press) conducted a cluster randomized control study of the counseling intervention with 10 Planned Parenthood health centers, where staff at intervention sites participated in a one-day training on the counseling protocol followed by a day of in-clinic shadowing. Patients were enrolled on-site and contacted for follow-up at six months and 12 months.
Results of this study indicated that patients at intervention sites were more satisfied with their contraceptive counseling and method choice, and at one or both follow-ups there were fewer gaps in contraceptive protection, more dual method use, and less non-use of birth control. There was no significant difference in accurate use of birth control pills.
Planned Parenthood Federation of America (PPFA) adapted and piloted training in this contraceptive counseling protocol during 2016 with 18 Planned Parenthood affiliated organizations across the country. This training was integrated into a one-day event that also included a provider training to address barriers in access to intrauterine devices and implants. A mixed-methods implementation evaluation was conducted to assess outcomes for staff and patients and identify challenges in implementation. Preliminary findings from the program pilot year demonstrated positive trends for outcome measures, produced lessons learned on implementation challenges, and provided support for new adaptations to the training program and counseling protocol. The previous pilot year evaluation was designed to assess patient satisfaction and method choice before and after the training, but could not answer questions about continued impact on other outcomes of interest. The current study will use a cluster randomized control design with 10 Planned Parenthood health centers to assess patient outcomes. Five health centers randomized to the intervention will receive the contraceptive counseling training. As the control group, the other five health centers will conduct usual care. Women will be enrolled onsite at the health center and then contacted for follow-up at approximately 30 and 90 days post-enrollment. Target enrollment is 100 women per site (1000 total).
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
North Carolina
-
Raleigh, North Carolina, United States, 27603
- Planned Parenthood South Atlantic
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Females who have received contraceptive counseling at participating health centers.
- Ability to understand written and spoken English.
Exclusion Criteria:
- Non-English speakers
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Control Arm
Usual care
|
|
Experimental: Intervention Arm
Full-day contraceptive counseling training for health center staff
|
Intervention sites will receive:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Contraceptive Continuation
Time Frame: 3 months
|
Patient-reported contraceptive continuation
|
3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Method Satisfaction
Time Frame: 1 month and 3 months
|
Patient-reported satisfaction with contraceptive method
|
1 month and 3 months
|
Dual-Use
Time Frame: 1 month and 3 months
|
Patient-reported dual-use of condoms plus other method
|
1 month and 3 months
|
Missed Pills
Time Frame: 1 month and 3 months
|
Number of patient-reported missed oral contraceptive pills among pill users
|
1 month and 3 months
|
Method Switching
Time Frame: 1 month and 3 months
|
Patient-reported method switching
|
1 month and 3 months
|
Patient experience of counseling best practices during their visit
Time Frame: Baseline
|
Patient-report of staff implementation of the best counseling practices during their visit
|
Baseline
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Access to same-day services for all contraceptive methods
Time Frame: Baseline
|
Patient report of being offered to start method on same day as their visit (if desired)
|
Baseline
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Hannah R. Simons, DrPH, Planned Parenthood Federation of America
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Pro00019792
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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.
Clinical Trials on Contraception Behavior
-
University of California, San FranciscoAgency for Healthcare Research and Quality (AHRQ); Essential Access HealthNot yet recruitingContraception | Contraception Behavior | Reproductive BehaviorUnited States
-
Aga Khan UniversityUnited Nations; Global Affairs CanadaActive, not recruitingContraception | Contraception Behavior | Maternal Behavior | Reproductive BehaviorPakistan
-
Medical University of South CarolinaSociety of Family PlanningCompletedContraception | Contraception BehaviorUnited States
-
Virginia Commonwealth UniversityCompletedPregnancy Related | Contraception | Contraception Behavior | Contraception Use
-
University of PittsburghNational Institute on Minority Health and Health Disparities (NIMHD); University... and other collaboratorsActive, not recruitingContraception | Contraception Behavior | Women's Health | Reproductive Behavior | Tubal SterilizationUnited States
-
University of California, Los AngelesCompletedContraception | Mobile Applications | Contraception BehaviorUnited States
-
University of California, San DiegoCompletedContraception | Contraception Behavior | Chemical Teratogen ExposureUnited States
-
Columbia UniversityActive, not recruitingContraception Behavior | Long Acting Reversible ContraceptionUnited States
-
VA Office of Research and DevelopmentUniversity of California, San Francisco; Kaiser PermanenteRecruitingContraception | Contraception Behavior | Reproductive Health | Prepregnancy HealthUnited States
-
Children's Mercy Hospital Kansas CityEnrolling by invitationEvaluating the Impact of CHOICE-AYA on Contraceptive Use, Continuation and Satisfaction (CHOICE-AYA)Sexual Behavior | Contraception Behavior | Reproductive BehaviorUnited States
Clinical Trials on Contraceptive Counseling Training
-
University of Alabama at BirminghamCompletedHead and Neck Cancer | Laryngeal Cancer | Pharyngeal CancerUnited States
-
Michigan State UniversityCompleted
-
Fundació Institut de Recerca de l'Hospital de la...Completed
-
Centers for Disease Control and PreventionUniversity of North CarolinaCompleted
-
Aalborg University HospitalAarhus University Hospital; University of Aarhus; The Danish Cancer Foundation...Completed
-
Northwestern UniversityGeorgetown UniversityEnrolling by invitationChronic Kidney Diseases | Genetic PredispositionUnited States
-
University of MiamiWithdrawnPalliative Care | Cancer Colon | Cancer Liver
-
New York UniversityPlanned Parenthood Federation of AmericaCompletedTreatment as Usual | New Behavioral ProtocolUnited States
-
Dalarna UniversityRecruitingContraception | Contraceptive Implant | Counseling | Intrauterine Device | Long-acting Reversible ContraceptionSweden