Evaluating the Impact of CHOICE-AYA on Contraceptive Use, Continuation and Satisfaction
Study Details
Study Description
Brief Summary
This is a prospective study involving two phases: 1) adaptation and 2) intervention, in adolescents aged 14-21 experiencing homelessness. The overarching goal is to develop and evaluate the effectiveness and feasibility of a counselling intervention to improve access to contraception among AYA experiencing homelessness. During the first phase, referred to as the adaption phase, we will rely on collective input from formative groups of AYA experiencing homelessness to adapt the CHOICE counselling intervention for this underserved and under-resourced population. In the second phase, referred to as the intervention phase, we will evaluate the effectiveness and feasibility of the adapted intervention (CHOICE-AYA).
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
This study will adapt an evidence-based contraceptive counseling intervention (CHOICE) using input from the formative groups of AYA experiencing homelessness and study the impact of the adapted counseling (CHOICE-AYA) on contraceptive use, continuation, and satisfaction in a specialized community care setting. After informed consent is obtained, participants will receive the CHOICE-AYA counseling intervention by trained clinic staff. Provision of contraception based on participant choice will occur through the clinic provider same day.
Participants will be sent links to complete the follow-up surveys at 1, 3, 6, and 12 months. In addition, Clinic staff (e.g., prescribers and nurses) will be sent electronic surveys following randomly selected study visits.
Findings will inform best practices for this vulnerable population and provide foundational evidence for future studies focused on expanding care to other sites that serve this group.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Intervention (CHOICE-AYA) The impact of CHOICE-AYA contraceptive counseling on contraceptive use, satisfaction, and continuation will be assessed. |
Behavioral: CHOICE-AYA
Adapted contraceptive counseling specific to AYA experiencing homelessness
|
Outcome Measures
Primary Outcome Measures
- Contraceptive uptake [Study Day 1]
Rates of reliable contraceptive use
Secondary Outcome Measures
- Contraceptive satisfaction [1, 3, 6, and 12 months post intervention]
brief likert-style survey assessing whether they are still on the method, how satisfied they are with this method
- Contraceptive continuation [1, 3, 6, and 12 months post intervention]
brief survey
- Feasibility of intervention (perceived by clinic staff and participants) [Post-visit]
Brief survey based on Bowen's constructs of feasibility
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Adolescents and young adults experiencing homelessness and housing instability (defined as those seeking care at our community-based clinic on the campus of a youth shelter) aged 14-21 who have female reproductive organs (In Missouri, youth aged ≤13 are not legally able to consent to sex)
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English speaking
-
Prior sexual activity or anticipated future sexual activity that creates the risk of pregnancy
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Either not currently on hormonal contraception OR interested in switching methods
Exclusion Criteria:
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AYA currently seeking pregnancy in the next 3 months
-
AYA with a severe developmental or cognitive delay that interferes with the ability to engage in consensual reproductive sex (determined by the investigator)
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Children's Mercy Research Institute | Kansas City | Missouri | United States | 64108 |
Sponsors and Collaborators
- Children's Mercy Hospital Kansas City
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- STUDY00001846