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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Counseling | No Intervention | 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. | |
| Video Counseling | Experimental | 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. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LARC First Video | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of women who received an intrauterine device (IUD) or implant by 12 weeks postpartum | 12 weeks postpartum |
| Measure | Description | 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 | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jessica Morse, MD | University of North Carolina, Chapel Hill | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| North Carolina Women's Hospital | Chapel Hill | North Carolina | 27599 | United States |
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| Proportion of women answering agree or strongly agree to the following statement "I would recommend birth control counseling by video to a friend." |
| Baseline |