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| Name | Class |
|---|---|
| Society of Family Planning | OTHER |
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The objective of this study is to develop and test an emergency department (ED)-based intervention which uses text messages to facilitate contraception initiation.
Our hypothesis is that adolescent females at high pregnancy risk who receive text message reminders and motivational messages that promote contraception and referral to the Family Planning Clinic are more likely to start effective contraception than those who receive standard paper-based referral to the Family Planning Clinic alone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Text Messaging Intervention | Experimental | Patients in the text messaging group will receive educational and motivational text messages. |
|
| Standard Referral | Active Comparator | Patients in the standard referral arm will receive paper based information about the Family Planning Clinic. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Text Messaging Intervention | Other |
| ||
| Standard Referral |
| Measure | Description | Time Frame |
|---|---|---|
| Initiation of highly effective contraception, as defined by the World Health Organization. | We will be assessing contraception initiation rates based on electronic medical record review and telephone call follow up. | 3 months after initial enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Patient visits to Family Planning Clinic | We assess Family Planning Clinic visits using our electronic medical records. | 3 months after initial enrollment |
| Follow up for contraceptive counseling to a doctor or nurse |
| Measure | Description | Time Frame |
|---|---|---|
| Text messaging intervention safety | Safety will be assessed during the telephone follow up. | 3 months after initial enrollment |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lauren Chernick, MD | Columbia University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Morgan Stanley Children's Hospital Emergency Department | Manhattan | New York | 10032 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32779730 | Derived | Palmer MJ, Henschke N, Villanueva G, Maayan N, Bergman H, Glenton C, Lewin S, Fonhus MS, Tamrat T, Mehl GL, Free C. Targeted client communication via mobile devices for improving sexual and reproductive health. Cochrane Database Syst Rev. 2020 Jul 14;8(8):CD013680. doi: 10.1002/14651858.CD013680. |
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| ID | Term |
|---|---|
| D043762 | Reproductive Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| Other |
|
We will be asking patients during our phone call follow if they have had contraceptive counseling with any healthcare professional. We will also be looking through electronic medical records for documentation of contraceptive counseling such as by ICD-9 coding or a physician's/nurse's note.
| 3 months after initial enrollment |
| Change in pregnancy intentions | We will compare pregnancy intentions elicited from the answers provided in the baseline questionnaire to those reported on the telephone follow up for both study arms. | 3 months after initial enrollment |