Debunking Myths About Contraceptive Safety Among Women in Kingston, Jamaica

The Ohio State University

Status: Completed

Conditions: Contraception Behavior

Treatments: Behavioral: Intervention video; Behavioral: Control video

Study type: Interventional

Funder types: Other

Identifiers

NCT03775642

2017B0412

Details and patient eligibility

About

The primary hypothesis is that the intervention video - based on strategies from cognitive psychology - can correct women's misinformation about long-acting reversible contraception (LARC) and result in higher use of LARC. While there are no direct benefits to participants from being in the study, the research could benefit women in general by providing evidence to help prevent unintended pregnancy. Unlike many interventions that are not feasible for scaling up once shown to be effective in changing people's behavior, the proposed intervention has been carefully designed to impose a low burden to clinic staff and require few resources for translating to wider use. Thus, the investigators expect the intervention to have high potential for influencing clinical care and research for addressing the overall goal of reducing unintended pregnancy.

Full description

The investigators will conduct a randomized trial (RT) of consenting adult women (N=220) to test the effectiveness of the final intervention video.

Participants in the RT will complete the "Enrollment Questionnaire" and then will be randomized to either watch a short video on 1) debiasing about LARC safety (intervention arm; n=110) or 2) vector control (control arm; n=110) (Figure 2). Participants then will have the option of receiving routine contraceptive services that follow standard care. After three months, trained interviewers will contact participants to administer the short "Follow-up Questionnaire" via telephone. To corroborate participant reporting of contraception use during follow-up, the investigators also will extract data on LARC use from participant medical records.

Enrollment: 225 patients

Sex: Female

Ages: 18 to 25 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• present at the Comprehensive Health Centre;
• 18-25 years of age; and
• sexually active (defined as ≥1 penile-vaginal act in past month);

Exclusion criteria

• known to be pregnant;
• sterilized;
• breastfeeding;
• currently using the IUD or implant; or
• want pregnancy in the next 12 months

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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225 participants in 2 patient groups, including a placebo group

Intervention video

Experimental group

Description:

The intervention video will employ debiasing strategies to correct women's misinformation about the safety of the IUD and implant safety.

Treatment:

Behavioral: Intervention video

Control video

Placebo Comparator group

Description:

The video for the control arm will consist of an existing, public-use video on a non-contraception topic of similar duration.

Treatment:

Behavioral: Control video