Priya Batra1, Carol M Mangione2,3, Eric Cheng3,4, W Neil Steers2, Tina A Nguyen3,5, Douglas Bell2,3, Alice A Kuo3,6,7, Kimberly D Gregory8. 1. 1 Center for Healthy Communities, School of Medicine, University of California, Riverside, CA, USA. 2. 2 Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, CA, USA. 3. 3 David Geffen School of Medicine, University of California, Los Angeles, CA, USA. 4. 4 Department of Neurology, University of California, Los Angeles, CA, USA. 5. 5 Department of Obstetrics and Gynecology, University of California, Los Angeles, CA, USA. 6. 6 Department of Internal Medicine, University of California, Los Angeles, CA, USA. 7. 7 Department of Pediatrics, University of California, Los Angeles, CA, USA. 8. 8 Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Abstract
PURPOSE: To evaluate whether exposure to MyFamilyPlan-a web-based preconception health education module-changes the proportion of women discussing reproductive health with providers at well-woman visits. DESIGN: Cluster randomized controlled trial. One hundred thirty participants per arm distributed among 34 clusters (physicians) required to detect a 20% change in the primary outcome. SETTING:Urban academic medical center (California). PARTICIPANTS: Eligible women were 18 to 45 years old, were English speaking, were nonpregnant, were able to access the Internet, and had an upcoming well-woman visit. E-mail and phone recruitment between September 2015 and May 2016; 292 enrollees randomized. INTERVENTION: Intervention participants completed the MyFamilyPlan module online 7 to 10 days before a scheduled well-woman visit; control participants reviewed standard online preconception health education materials. MEASURES: The primary outcome was self-reported discussion of reproductive health with the physician at the well-woman visit. Self-reported secondary outcomes were folic acid use, contraceptive method initiation/change, and self-efficacy score. ANALYSIS: Multilevel multivariate logistic regression. RESULTS: After adjusting for covariates and cluster, exposure to MyFamilyPlan was the only variable significantly associated with an increase in the proportion of women discussing reproductive health with providers (odds ratio: 1.97, 95% confidence interval: 1.22-3.19). Prespecified secondary outcomes were unaffected. CONCLUSION: MyFamilyPlan exposure was associated with a significant increase in the proportion of women who reported discussing reproductive health with providers and may promote preconception health awareness; more work is needed to affect associated behaviors.
RCT Entities:
PURPOSE: To evaluate whether exposure to MyFamilyPlan-a web-based preconception health education module-changes the proportion of women discussing reproductive health with providers at well-woman visits. DESIGN: Cluster randomized controlled trial. One hundred thirty participants per arm distributed among 34 clusters (physicians) required to detect a 20% change in the primary outcome. SETTING: Urban academic medical center (California). PARTICIPANTS: Eligible women were 18 to 45 years old, were English speaking, were nonpregnant, were able to access the Internet, and had an upcoming well-woman visit. E-mail and phone recruitment between September 2015 and May 2016; 292 enrollees randomized. INTERVENTION: Intervention participants completed the MyFamilyPlan module online 7 to 10 days before a scheduled well-woman visit; control participants reviewed standard online preconception health education materials. MEASURES: The primary outcome was self-reported discussion of reproductive health with the physician at the well-woman visit. Self-reported secondary outcomes were folic acid use, contraceptive method initiation/change, and self-efficacy score. ANALYSIS: Multilevel multivariate logistic regression. RESULTS: After adjusting for covariates and cluster, exposure to MyFamilyPlan was the only variable significantly associated with an increase in the proportion of women discussing reproductive health with providers (odds ratio: 1.97, 95% confidence interval: 1.22-3.19). Prespecified secondary outcomes were unaffected. CONCLUSION: MyFamilyPlan exposure was associated with a significant increase in the proportion of women who reported discussing reproductive health with providers and may promote preconception health awareness; more work is needed to affect associated behaviors.
Entities:
Keywords:
health education; internet; preconception health; pregnancy; randomized controlled trial; reproductive health
Authors: Drieda Zaçe; Alessia Orfino; Anna Mariaviteritti; Valeria Versace; Walter Ricciardi; Maria Luisa DI Pietro Journal: J Prev Med Hyg Date: 2022-04-26