miPlan: A Trial of miPlan Intervention vs. Standard of Care
Study Details
Study Description
Brief Summary
Using our experience in digital media, behavior theory, client-centered interventions, and family planning, we have prototyped a digital application ("app")-miPlan-to be used in the clinic waiting room prior to a contraceptive visit. The goal of this research is to refine the app and conduct a randomized controlled trial of the miPlan intervention vs. standard care. The aim of this study is to understand miPlan's impact. The primary outcome is LARC uptake at clinic discharge. The secondary outcomes are contraceptive use at discharge, self-efficacy and decisional balance for highly effective contraception post-app use, contraceptive satisfaction, and intention to continue method use. The research will consist of baseline activities as well as a three-month follow-up call.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Using our experience in digital media, behavior theory, client-centered interventions, and family planning, we have prototyped a digital application ("app")-miPlan-to be used in the clinic waiting room prior to a contraceptive visit. The goal of this research is to refine the app and conduct a randomized controlled trial of the miPlan intervention vs. standard care contraceptive counseling. The aim of this study is to understand miPlan's impact in terms of contraceptive knowledge, intentions and behaviors. The primary outcome is LARC uptake, which will be measured via chart review at clinic discharge, i.e. immediately following a patient's family planning visit. The secondary outcomes are contraceptive use at discharge (measured via chart review immediately following patient's family planning visit), self-efficacy and decisional balance (both measured via adapted validated scales for each) for highly effective contraception post-app use (measured immediately following intervention and prior to contraceptive counseling session), contraceptive satisfaction (measured at 3 months post baseline), and intention to continue method use (measured at 3 months post baseline). The research will consist of baseline activities as well as a three-month follow-up call.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Intervention After completing baseline the baseline questionnaire, women randomized to the intervention group will receive an iPad, along with a brief tutorial on iPad navigation, and use the miPlan app for up to 15 minutes. They will complete a post-intervention survey before proceeding to standard of care contraceptive counseling. |
Behavioral: miPlan intervention
miPlan mobile contraceptive counseling waiting room app intervention
|
No Intervention: Control After completing baseline the baseline questionnaire, women randomized to the control arm will proceed to standard of care contraceptive counseling. |
Outcome Measures
Primary Outcome Measures
- LARC uptake [at time of intervention (baseline (0 weeks)]
uptake of the implant or IUD at time of intervention (measured via contraceptive method choice and delivery by checkbox)
Secondary Outcome Measures
- contraceptive use [at time of intervention (baseline (0 weeks))]
use of contraceptive methods at time of intervention (measured via contraceptive method choice and delivery by checkbox)
- change in self-efficacy for contraception at 12 weeks [baseline (0 weeks) and 12 weeks]
change in self efficacy for contraceptive method use (measured via validated 5-item attitudinal scale by Galavotti et al 1995) from baseline to 12 weeks
- change in decisional balance for highly effective methods at 12 weeks [baseline (0 weeks) and 12 weeks]
change in decisional balance for highly effective methods (measured via validated 10-item attitudinal scale by Galavotti et al 1995) from baseline to 12 weeks
- contraceptive satisfaction [12 weeks post-enrollment]
satisfaction with contraceptive method choice (measured by 4-point Likert scale)
- intention to continue method use [12 weeks post enrollment]
intention to continue contraceptive method use (measured dichotomously)
Eligibility Criteria
Criteria
Inclusion Criteria:
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African American or Latina female and sexually active with a male partner(s) within the past 6 months,
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age 15 to 29 years
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present for contraception initiation
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English speaking
Exclusion Criteria:
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not currently pregnant or intending pregnancy within the next 6 months
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and not currently using LARC
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not highly intending LARC at enrollment
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Planned Parenthood Illinois, Englewood Health Center | Chicago | Illinois | United States | 60636 |
Sponsors and Collaborators
- University of Chicago
Investigators
- Principal Investigator: Melissa Gilliam, MD, MPH, University of Chicago, Dept. of OBGYN
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 14-0599