A Trial Assessing the Effectiveness of Text Messages in Improving Continuation of Birth Control (BC 2U)
A Text Message Support System for Effective Continuation of a Birth Control Method in Female Adolescents: 'BC 2U'
This study is a randomized controlled trial assessing the effectiveness in a series of educational text messages in improving continuation of a birth control method in comparison to the 'standard counseling', when girls initiate a new method of birth control. Girls aged 15-19 year olds who are attending for a reproductive health visit and who own a working cell phone will be approached and asked if they would like to participate. Following completion of a baseline questionnaire and consultation for initiation of a new birth control method they will be randomized to receive either the intervention or standard counseling.
If randomized to the intervention they will receive 3 messages per week for the initial 3 weeks, 2 messages per week for the following 5 weeks and then one message per week thereafter. Messages will be tailored to the birth control method the participant has initiated. At 4 months all participants will be contacted via telephone and asked to complete a questionnaire regarding continuation of use.
Tutkimuksen yleiskatsaus
Yksityiskohtainen kuvaus
Hypothesis. A personalized text messaging program providing trustworthy, reliable information and support to female adolescents initiating a birth control method, will improve adherence and correct use of the method and so reduce unwanted pregnancies.
Methods. Female adolescents aged 15-19 year olds attending Mount Sinai Adolescent Health Center (MSAHC) for initiating a birth control method will be asked if they are interested in participating in the trial.
The Intervention Group. Upon initiation of a birth control method patients will be signed up to the text messaging platform. Via this program they will receive personalized messages regarding their chosen method of birth control. Participants will receive 3 messages during the initial 3 weeks, 2 messages per week in weeks 4-8 and then one message a week thereafter for a period of 12 months. They will be signed up for reminders to take/change their method (as appropriate) and have access to a Healthcare Provider to ask questions via text message that they may have regarding their method. Participants will be reminded (via text message) to attend the clinic for a birth control refill (if necessary) at 3, 6, 9 and 12 months.
The Control Group. Participants randomized in to the control group will have standard care. This is the usual counseling by the Health Care Provider or Health Educator. Patients in the intervention arm will also receive this standard care.
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Vaihe 1
Yhteystiedot ja paikat
Opiskelupaikat
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New York
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New York, New York, Yhdysvallat, 10128
- Mount Sinai Adolescent Health Center
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Inclusion Criteria:
- female
- Aged 15-19 years old
- English speaking
- owner of a working cell phone
- patient must be wanting to start a birth control method and not have been on a method for preceding 3 months
- no contra indications to initiating a birth control method
Exclusion Criteria:
- male
- younger than 15 years old, older than 19 years old
- already on a birth control method
- Not English speaking
- No working cell phone in possession
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Ennaltaehkäisy
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Ei väliintuloa: Ei väliintuloa
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Kokeellinen: Text messaging
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Text messages to cell phone with education messages about the specific birth control they are using
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Continuation of a birth control method
Aikaikkuna: at 4 months
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Birth control continuation will be assessed at 4 months by direct asking of the participant to see if participant has attended for a refill of her birth control method.
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at 4 months
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Change in birth control method being used.
Aikaikkuna: at 4 months
|
whether subjects continue with the initial method of birth control or discontinue a method at the 4 months.
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at 4 months
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Pregnancy
Aikaikkuna: at 4 months
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at 4 months
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Yhteistyökumppanit ja tutkijat
Tutkijat
- Päätutkija: Jenny Francis, MD, Mount Sinai Adolescent Health Center
Julkaisuja ja hyödyllisiä linkkejä
Yleiset julkaisut
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- Gilliam M, Knight S, McCarthy M Jr. Success with oral contraceptives: a pilot study. Contraception. 2004 May;69(5):413-8. doi: 10.1016/j.contraception.2003.12.006.
- Woods JL, Shew ML, Tu W, Ofner S, Ott MA, Fortenberry JD. Patterns of oral contraceptive pill-taking and condom use among adolescent contraceptive pill users. J Adolesc Health. 2006 Sep;39(3):381-7. doi: 10.1016/j.jadohealth.2005.12.014. Epub 2006 Jul 10.
- Moos MK, Bartholomew NE, Lohr KN. Counseling in the clinical setting to prevent unintended pregnancy: an evidence-based research agenda. Contraception. 2003 Feb;67(2):115-32. doi: 10.1016/s0010-7824(02)00472-9.
- Bruckner H, Martin A, Bearman PS. Ambivalence and pregnancy: adolescents' attitudes, contraceptive use and pregnancy. Perspect Sex Reprod Health. 2004 Nov-Dec;36(6):248-57. doi: 10.1363/psrh.36.248.04.
- Langston AM, Rosario L, Westhoff CL. Structured contraceptive counseling--a randomized controlled trial. Patient Educ Couns. 2010 Dec;81(3):362-7. doi: 10.1016/j.pec.2010.08.006.
- Speizer IS, Santelli JS, Afable-Munsuz A, Kendall C. Measuring factors underlying intendedness of women's first and later pregnancies. Perspect Sex Reprod Health. 2004 Sep-Oct;36(5):198-205. doi: 10.1363/psrh.36.198.04.
- Santelli J, Rochat R, Hatfield-Timajchy K, Gilbert BC, Curtis K, Cabral R, Hirsch JS, Schieve L; Unintended Pregnancy Working Group. The measurement and meaning of unintended pregnancy. Perspect Sex Reprod Health. 2003 Mar-Apr;35(2):94-101. doi: 10.1363/3509403. No abstract available.
- Zabin LS, Astone NM, Emerson MR. Do adolescents want babies? The relationship between attitudes and behavior. J Res Adolesc. 1993;3(1):67-86. doi: 10.1207/s15327795jra0301_4.
- Cowley C, Farley T. Adolescent girls' attitudes toward pregnancy: the importance of asking what the boyfriend wants. J Fam Pract. 2001 Jul;50(7):603-7.
- Miller BC. Family influences on adolescent sexual and contraceptive behavior. J Sex Res. 2002 Feb;39(1):22-6. doi: 10.1080/00224490209552115.
- Gold J, Lim MS, Hellard ME, Hocking JS, Keogh L. What's in a message? Delivering sexual health promotion to young people in Australia via text messaging. BMC Public Health. 2010 Dec 29;10:792. doi: 10.1186/1471-2458-10-792.
- Adams BN, McAnarney ER, Panzarine S, Tuttle JI. Successful contraceptive behavior among adolescent mothers: are there predictors? J Adolesc Health Care. 1990 Jul;11(4):319-25. doi: 10.1016/0197-0070(90)90042-z.
- Barnet B, Liu J, DeVoe M, Duggan AK, Gold MA, Pecukonis E. Motivational intervention to reduce rapid subsequent births to adolescent mothers: a community-based randomized trial. Ann Fam Med. 2009 Sep-Oct;7(5):436-45. doi: 10.1370/afm.1014.
- Hall KS, Castano PM, Stone PW, Westhoff C. Measuring oral contraceptive knowledge: a review of research findings and limitations. Patient Educ Couns. 2010 Dec;81(3):388-94. doi: 10.1016/j.pec.2010.10.016. Epub 2010 Nov 16.
- Jaccard J, Helbig DW, Wan CK, Gutman MA, Kritz-Silverstein DC. The prediction of accurate contraceptive use from attitudes and knowledge. Health Educ Q. 1996 Feb;23(1):17-33. doi: 10.1177/109019819602300102.
- Jones RK, Kooistra K. Abortion incidence and access to services in the United States, 2008. Perspect Sex Reprod Health. 2011 Mar;43(1):41-50. doi: 10.1363/4304111. Epub 2011 Jan 10.
- Lim MS, Hocking JS, Aitken CK, Fairley CK, Jordan L, Lewis JA, Hellard ME. Impact of text and email messaging on the sexual health of young people: a randomised controlled trial. J Epidemiol Community Health. 2012 Jan;66(1):69-74. doi: 10.1136/jech.2009.100396. Epub 2011 Mar 17.
- U.S Teenage Pregnancies, Births, Abortions: National and State Trends and trends by Race and Ethnicity. Guttmacher Institute. January 2010.
- Pesa JA, Mathews J. The relationship between barriers to birth control use and actual birth control use among Mexican-American adolescents. Adolescence. 2000 Winter;35(140):695-707.
- Lopez LM, Tolley EE, Grimes DA, Chen-Mok M. Theory-based interventions for contraception. Cochrane Database Syst Rev. 2011 Mar 16;(3):CD007249. doi: 10.1002/14651858.CD007249.pub3.
- Santelli JS, Lindberg LD, Finer LB, Singh S. Explaining recent declines in adolescent pregnancy in the United States: the contribution of abstinence and improved contraceptive use. Am J Public Health. 2007 Jan;97(1):150-6. doi: 10.2105/AJPH.2006.089169. Epub 2006 Nov 30.
- Canto De Cetina TE, Canto P, Ordonez Luna M. Effect of counseling to improve compliance in Mexican women receiving depot-medroxyprogesterone acetate. Contraception. 2001 Mar;63(3):143-6. doi: 10.1016/s0010-7824(01)00181-0.
- Jones RK, Kost K, Singh S, Henshaw SK, Finer LB. Trends in abortion in the United States. Clin Obstet Gynecol. 2009 Jun;52(2):119-29. doi: 10.1097/GRF.0b013e3181a2af8f.
- Rose SB, Lawton BA, Brown SA. Uptake and adherence to long-acting reversible contraception post-abortion. Contraception. 2010 Oct;82(4):345-53. doi: 10.1016/j.contraception.2010.04.021. Epub 2010 May 26.
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Avainsanat
Muut tutkimustunnusnumerot
- GCO 11-1385
- HS#: 11-01558
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