Lauren S Chernick1, Melissa S Stockwell2, Mengfei Wu3, Paula M Castaño4, Rebecca Schnall5, Carolyn L Westhoff6, John Santelli2, Peter S Dayan7. 1. Division of Pediatric Emergency Medicine, Department of Pediatrics, Columbia University Medical Center, New York, New York. Electronic address: lc2243@columbia.edu. 2. Department of Child and Adolescent Health, Columbia University Medical Center, New York, New York; Department of Population and Family Health, Mailman School of Public Health, Columbia University Medical Center, New York, New York. 3. Department of Biostatistics, Columbia University, New York, New York. 4. Department of Obstetrics-Gynecology, Columbia University Medical Center, New York, New York. 5. School of Nursing, Columbia University, New York, New York. 6. Department of Population and Family Health, Mailman School of Public Health, Columbia University Medical Center, New York, New York; Department of Obstetrics-Gynecology, Columbia University Medical Center, New York, New York. 7. Division of Pediatric Emergency Medicine, Department of Pediatrics, Columbia University Medical Center, New York, New York.
Abstract
PURPOSE: To evaluate the feasibility and acceptability of a text messaging intervention to increase contraception among adolescent emergency department patients. METHODS: A pilot randomized controlled trial of sexually active females aged 14-19 receiving 3 months of theory-based, unidirectional educational and motivational texts providing reproductive health information versus standardized discharge instructions. Blinded assessors measured contraception initiation via telephone follow-up and health record review at 3 months. RESULTS: We randomized 100 eligible participants (predominantly aged 18-19, Hispanic, and with a primary provider); 88.0% had follow-up. In the intervention arm, 3/50 (6.0%) participants opted out, and 1,172/1,654 (70.9%) texts were successfully delivered; over 90% of message failures were from one mobile carrier. Most (36/41; 87.7%) in the intervention group liked and wanted future reproductive health messages. Contraception was initiated in 6/50 (12.0%) in the intervention arm and in 11/49 (22.4%) in the control arm. CONCLUSIONS: A pregnancy prevention texting intervention was feasible and acceptable among adolescent females in the emergency department setting.
RCT Entities:
PURPOSE: To evaluate the feasibility and acceptability of a text messaging intervention to increase contraception among adolescent emergency department patients. METHODS: A pilot randomized controlled trial of sexually active females aged 14-19 receiving 3 months of theory-based, unidirectional educational and motivational texts providing reproductive health information versus standardized discharge instructions. Blinded assessors measured contraception initiation via telephone follow-up and health record review at 3 months. RESULTS: We randomized 100 eligible participants (predominantly aged 18-19, Hispanic, and with a primary provider); 88.0% had follow-up. In the intervention arm, 3/50 (6.0%) participants opted out, and 1,172/1,654 (70.9%) texts were successfully delivered; over 90% of message failures were from one mobile carrier. Most (36/41; 87.7%) in the intervention group liked and wanted future reproductive health messages. Contraception was initiated in 6/50 (12.0%) in the intervention arm and in 11/49 (22.4%) in the control arm. CONCLUSIONS: A pregnancy prevention texting intervention was feasible and acceptable among adolescent females in the emergency department setting.
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