BACKGROUND: Discontinuation and incorrect use of contraceptive methods may contribute to as many as 1 million unintended pregnancies annually in the United States. Interventions to improve contraceptive method continuation and adherence are needed. STUDY DESIGN: A three-arm randomized controlled trial was conducted at two family planning sites testing the efficacy of a computer-based contraceptive assessment module in increasing the proportion of patients who continued use of their chosen contraceptive method 4 months after the family planning visit (n=224). RESULTS: In analyses adjusting for clinical site of recruitment, family planning patients who used the module and received individually tailored health materials (n=78), compared to those in the control group (n=70), were significantly more likely to continue use of their chosen contraceptive method [95% compared to 77%; odds ratio (OR)=5.48; 95% confidence interval (CI): 1.72-17.42] and to adhere to their method (86% compared to 69%; OR=2.74; 95% CI: 1.21-6.21). No significant differences in these outcomes were found for participants who used the module but did not receive tailored materials (n=76), compared to the control group. CONCLUSIONS: Tailored health materials significantly improved contraceptive method continuation and adherence. Additional research on the impact of the intervention on continuation and adherence in a larger sample and over a longer follow-up period is merited.
RCT Entities:
BACKGROUND: Discontinuation and incorrect use of contraceptive methods may contribute to as many as 1 million unintended pregnancies annually in the United States. Interventions to improve contraceptive method continuation and adherence are needed. STUDY DESIGN: A three-arm randomized controlled trial was conducted at two family planning sites testing the efficacy of a computer-based contraceptive assessment module in increasing the proportion of patients who continued use of their chosen contraceptive method 4 months after the family planning visit (n=224). RESULTS: In analyses adjusting for clinical site of recruitment, family planning patients who used the module and received individually tailored health materials (n=78), compared to those in the control group (n=70), were significantly more likely to continue use of their chosen contraceptive method [95% compared to 77%; odds ratio (OR)=5.48; 95% confidence interval (CI): 1.72-17.42] and to adhere to their method (86% compared to 69%; OR=2.74; 95% CI: 1.21-6.21). No significant differences in these outcomes were found for participants who used the module but did not receive tailored materials (n=76), compared to the control group. CONCLUSIONS: Tailored health materials significantly improved contraceptive method continuation and adherence. Additional research on the impact of the intervention on continuation and adherence in a larger sample and over a longer follow-up period is merited.
Authors: Tessa Madden; Gina M Secura; Robert F Nease; Mary C Politi; Jeffrey F Peipert Journal: Am J Obstet Gynecol Date: 2015-01-30 Impact factor: 8.661
Authors: Judith Stephenson; Julia V Bailey; Ann Blandford; Nataliya Brima; Andrew Copas; Preethy D'Souza; Anasztazia Gubijev; Rachael Hunter; Jill Shawe; Greta Rait; Sandy Oliver Journal: Health Technol Assess Date: 2020-11 Impact factor: 4.014
Authors: Tessa Madden; Jessica Holttum; Ragini Maddipati; Gina M Secura; Robert F Nease; Jeffrey F Peipert; Mary C Politi Journal: Contraception Date: 2020-08-06 Impact factor: 3.375
Authors: Victoria Frye; Vijay Nandi; Sabina Hirshfield; Mary Ann Chiasson; Leo Wilton; DaShawn Usher; Donald R Hoover; Beryl A Koblin Journal: J Acquir Immune Defic Syndr Date: 2020-01-01 Impact factor: 3.731
Authors: Karen Pazol; Lauren B Zapata; Stephen J Tregear; Nancy Mautone-Smith; Loretta E Gavin Journal: Am J Prev Med Date: 2015-08 Impact factor: 5.043
Authors: Natasha Mack; Tineke J Crawford; Jeanne-Marie Guise; Mario Chen; Thomas W Grey; Paul J Feldblum; Laurie L Stockton; Maria F Gallo Journal: Cochrane Database Syst Rev Date: 2019-04-23