Patient-centered Information on Permanent Contraception

University of California San Francisco (UCSF)

Status: Enrolling

Conditions: Contraception; Contraception Behavior; Reproductive Behavior

Treatments: Behavioral: Control arm: Existing educational website; Behavioral: Advancing Access Website

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT06296797

R18HS029432 (U.S. AHRQ Grant/Contract)

5R18HS029432-02

Details and patient eligibility

About

The goal of this study is to understand whether providing information to women with a strong desire to avoid future pregnancy about how tubal sterilization compares to long-acting reversible contraceptives improves perceived access to available contraceptives.

Participants will:

• Complete a baseline survey
• Receive access to web-based educational resources
• Complete a brief follow up survey immediately after exploring these web-based resources
• Complete a follow-up survey 3 months after enrolling

The investigators will compare outcomes among participants provided with access to a new website (intervention) summarizing recent patient-centered outcomes research (PCOR) comparing interval laparoscopic tubal sterilization and long-acting reversible contraception (LARC) to control participants provided with access to the existing Planned Parenthood website on tubal sterilization.

Full description

This study evaluates the potential benefits of web-based resources to prepare patients considering tubal sterilization to effectively communicate their personal values and priorities to their clinicians, informed by recent patient centered outcomes research (PCOR) comparing interval tubal sterilization to long-acting reversible contraceptives. The investigators hypothesize that patients provided with information on the comparative safety and effectiveness of all available long acting contraceptives will be more likely to obtain contraceptive care that aligns with their personal preferences. The short-term goal of this work is to support patient-centered contraceptive care by increasing knowledge of and perceived access to all available long acting contraceptives among those who wish to avoid future pregnancy. The long-term goal of this work is to increase the proportion of women who are using a method of contraception that aligns with their personal preferences, reduce the proportion of women who regret having undergone a permanent contraceptive procedure, and reduce racial disparities in surgical sterilization.

Enrollment: 650 estimated patients

Sex: Female

Ages: 21 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Self-reported fertility
• Have a strong desire to avoid future pregnancy
• Speak English or Spanish

Exclusion criteria

• Current pregnancy
• The inability to speak English or Spanish
• Prior tubal sterilization or "Essure" procedure
• Menopause
• Infertility
• Hysterectomy

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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650 participants in 2 patient groups

Comparative information on tubal sterilization and other long-acting contraceptives

Experimental group

Description:

A new website comparing tubal sterilization to vasectomy and long-acting reversible contraceptives

Treatment:

Behavioral: Advancing Access Website

Information on tubal sterilization

Active Comparator group

Description:

Participants will be shown an existing web page developed by Planned Parenthood for people considering tubal sterilization

Treatment:

Behavioral: Control arm: Existing educational website