Game Changers for Family Planning Peer Advocacy Program (GC-FP)

Pilot of a Peer Advocacy Training Intervention to Reduce Unmet Need for Contraception in Uganda

This study will adapt the Game Changers peer advocacy training model for family planning context and pilot test the feasibility, acceptability and preliminary efficacy of the intervention to empower female contraception users to advocate for contraception use among women in their social networks who have unmet need for contraception.

Study Overview

• Status: Not yet recruiting
• Conditions: Family Planning
• Intervention / Treatment: Behavioral: Game Changers for Family Planning

Detailed Description

The investigators will conduct a pilot RCT of Game Changers for Family Planning (GC-FP) with 40 female modern contraceptive (MC) users (index participants) at one rural public clinic, with 20 randomly assigned to receive the intervention (in 2 groups of 10) and 20 to the wait-list control; enrollment and randomization will be stratified by age and relationship status. Each index will recruit up to 3 social network members (alters) with unmet need for MC (max. total=120). Data will be collected at baseline and month 6 from all participants; primary outcome is alter MC use at month 6.

• Study Type: Interventional
• Enrollment (Estimated): 192
• Phase: Phase 2; Phase 1

Contacts and Locations

• Study Contact: Name: Glenn Wagner; Phone Number: 3234284376; Email: gwagner@rand.org

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Index participants:

Inclusion Criteria:

• MC user for past year

Social network member participant:

Inclusion Criteria:

• Not using MC, but reports trying to prevent pregnancy
• Know about the MC use of their referring index participant

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
Experimental: Intervention; peer-led, multi-session advocacy training group intervention	Behavioral: Game Changers for Family Planning; Game Changers for Family Planning (GC-FP) intervention. The intervention will consist of 6 group sessions. The sessions will focus on stigma reduction, disclosure decision making, knowledge, and building skills for advocacy. The 2-hour, weekly sessions will be facilitated by 2 trained peers who are MC users, and conducted in Luganda using a structured manual, and group format to facilitate: sharing of experiences to build support, modeling and motivation; group problem solving and role playing to build skills and self-efficacy; and homework between sessions to practice skills and generate experiences to be processed in the group.
No Intervention: Wait-list control; Usual care/no intervention

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Rate of use of modern contraceptives (social network participants)	Proportion of participants who use a modern contraceptive, abstracted from medical chart	6 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Mean level of engagement in family planning advocacy (index participants)	Mean item score on self-report scale measuring engagement in family planning advocacy	6 months

Collaborators and Investigators

• Sponsor: RAND
• Collaborators: Makerere University
• Investigators: Principal Investigator: Glenn Wagner, RAND

Study record dates

Study Major Dates

• Study Start (Estimated): November 15, 2027
• Primary Completion (Estimated): November 1, 2030
• Study Completion (Estimated): July 1, 2031

Study Registration Dates

• First Submitted: September 8, 2023
• First Submitted That Met QC Criteria: September 15, 2023
• First Posted (Actual): September 21, 2023

Study Record Updates

• Last Update Posted (Actual): December 31, 2025
• Last Update Submitted That Met QC Criteria: December 23, 2025
• Last Verified: December 1, 2025

More Information

Terms related to this study

• Keywords: contraception
• Additional Relevant MeSH Terms: Health Services; Health Care Facilities Workforce and Services; Community Health Services; Reproductive Health Services; Family Planning Services
• Other Study ID Numbers: 2024-GC-FP

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: The investigators will create public use data files that include a deidentified quantitative dataset that includes longitudinal participant-level survey scales and social network assessment data (related to the primary research questions around family planning, and moderators and mediators of the associations between the intervention and contraception use); and an excel spreadsheet with the qualitative codebook with representative quotes on key themes by subgroup, linked to ID. Only predictors and outcomes data (e.g., contraception use) will be shared; additional variables (e.g., socio-demographic characteristics) will not be included to prevent the potential and unintentional de-identification of participants.
• IPD Sharing Time Frame: one year after completion of study, for 12 months
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No