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| ID | Type | Description | Link |
|---|---|---|---|
| TP22023001568 | Other Grant/Funding Number | Office of Population Affairs |
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| Name | Class |
|---|---|
| University of California, San Francisco | OTHER |
| Power to Decide | OTHER |
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The goal of this cluster-level randomized controlled trial is to evaluate the impacts of Let's Talk Birth Control, a clinical decision support intervention for adolescents that consists of a printed contraceptive decision aid (CDA), contraceptive counseling, and a QR code to the Bedsider.org Method Explorer (ME). The goal of Let's Talk Birth Control is to reduce rates of sex without a contraceptive method among adolescent patients, increase use of preferred contraceptive method, as well as to increase self-efficacy to discuss, obtain, and correctly use contraceptive methods
The primary research questions are:
The evaluation will focus on the impacts of receiving the Let's Talk Birth Control intervention, as compared to receiving standard health care services.
As part of this study:
Staff at health centers randomized to receive the Let's Talk intervention will be asked to:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Adolescents receiving Let's Talk Birth Control | Experimental | Participants in the Let's Talk Birth Control condition receive access to the CDA materials, contraceptive counseling with trained healthcare providers, and asynchronous access to the Bedsider ME web platform. |
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| Adolescents receiving standard reproductive and sexual health care services | No Intervention | Participants in the control condition receive standard health care services from their medical provider. Health centers in the control condition will not be using an adolescent-focused sexual and reproductive health CDA or contraceptive counseling initiative. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Let's Talk Birth Control | Behavioral | Let's Talk is an innovative, multi-level intervention addressing adolescents and providers that includes both in-person and online components and is feasible to implement in clinical settings. The three core components are: (1) a printed contraceptive decision aid (CDA) with a QR code linking to the Method Explorer (ME) page on Power to Decide's online birth control website, Bedsider; (2) the Bedsider ME, with information on the full range of contraceptive methods and a personalized method comparison feature; and (3) an online training for providers on Patient-centered Contraceptive Counseling (PCCC), including use of the CDA to support shared decision-making with adolescents. |
| Measure | Description | Time Frame |
|---|---|---|
| Rates of sex without a contraceptive method | Penile-vaginal sex without any contraception (including condom) in the past 3 months (yes/no). Yes if had sex in the past 3 months and did not use a contraceptive method "all the time". No if did not have sex or used a contraceptive method "all the time". | 9 months post-intervention |
| Use of preferred contraceptive method | Currently using preferred birth control method (yes/no). Respondents are coded as No if they report there is a method of birth control that they would like to be using right now but are not currently using. Otherwise, they are coded as Yes. | 9 months post-intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Self-efficacy to discuss contraception with a provider | Confident they can talk about birth control with their doctor or health care provider (yes/no, "Strongly agree" vs other responses). | 1 week post-intervention |
| Self-efficacy to make informed decisions about contraception |
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Inclusion Criteria:
Health Centers:
Participants:
Exclusion Criteria:
Health Centers
Participants:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kate Welti, MPP | Contact | 202-744-2413 | kwelti@childtrends.org | |
| Riley Steiner, Mph, PhD | Contact | 202-478-8515 | rsteiner@powertodecide.org |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Siouxland Community Health Center | Recruiting | Sioux City | Iowa | 51105 | United States |
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| ID | Term |
|---|---|
| D012725 | Sexual Behavior |
| D000294 | Adolescent Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
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This research project will use a cluster-level randomized control trial design in which a participating health center is randomized to either the experimental condition (Let's Talk Birth Control) or the control condition (standard health services). All participants enrolled at health centers randomized to the experimental condition should receive the Let's Talk Birth Control intervention while all participants enrolled at health centers randomized to the control condition should receive health services as usual.
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Strongly agree that they 1) feel sure about the best birth control option for their needs and 2) have received enough support and advice to make a choice about birth control methods (yes/no, "Strongly agree" to both items vs other responses) |
| 1 week post-intervention |
| Intentions to use contraception | Intends to use contraception if chooses to have penile-vaginal sex in the next 3 months (yes/no, "Yes, definitely" vs other responses) | 1 week post-intervention |
| Self-efficacy to use contraception | 4-item Likert scale capturing 1) confidence in starting a new method of birth control if they want, 2) using birth control correctly, 3) knowing the steps needed to continue a birth control method, and 4) avoiding unintended pregnancy (1-5 scale) | 1 week post-intervention |
| Knowledge of contraceptive methods | Knowledge of contraceptive methods (% correct out of 6 items) | 1 week after post-intervention |
| Attitudes about contraception | 6-item Contraceptive Concerns and Beliefs Scale | 1 week post-intervention |
| Signature Health | Recruiting | Mentor | Ohio | 44060 | United States |
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