Contraception Clinical Trial
— BIBSOfficial title:
Birth Control to Improve Birth Spacing: a Prospective Longitudinal Cohort Study
This study aims to investigate the drivers of postpartum contraceptive use with a prospective cohort. The study will clarify the role of contraceptive knowledge, attitudes, norms, and self-efficacy in driving intention to initiate contraception postpartum and describe the impact of environmental barriers on enacting intended postpartum contraception initiation.
Status | Recruiting |
Enrollment | 1400 |
Est. completion date | June 30, 2024 |
Est. primary completion date | September 30, 2023 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Age 18 or older - Pregnant - Attending prenatal care visits at one of the two study sites Exclusion Criteria: - Under the age of 18 - Cannot complete a survey in English or Spanish - Do not have physical or cognitive ability to complete a survey on a tablet |
Country | Name | City | State |
---|---|---|---|
United States | Boston Medical Center | Boston | Massachusetts |
United States | Brigham and Women's Hospital | Boston | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Brigham and Women's Hospital | Boston Medical Center, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Harvard Medical School (HMS and HSDM) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Immediate and delayed postpartum method uptake | contraceptive method prescribed, inserted, injected, or otherwise provided | 72 hours postpartum, 12 weeks postpartum | |
Primary | Desired birth spacing | self-reported desire to space births | Baseline | |
Primary | Contraceptive attitudes and norms | measured via validated psychometric scales; Examining Contraceptive Use and Unmet Need Study, 12-58 range, higher score indicates more knowledge, citation: Callegari, Lisa S., MD, MPH, Zhao, Xinhua, PhD, Schwarz, Eleanor Bimla, MD, MS, Rosenfeld, Elian, PhD, Mor, Maria K., PhD, & Borrero, Sonya, MD, MS. (2017). Racial/ethnic differences in contraceptive preferences, beliefs, and self-efficacy among women veterans. American Journal of Obstetrics and Gynecology, 216(5), 504.e1-504.e10.
DOI: 10.1016/j.ajog.2016.12.178 |
Baseline | |
Primary | contraceptive self-efficacy | measured via validated psychometric scales; Examining Contraceptive Use and Unmet Need Study, 12-58 range, higher score indicates more knowledge, citation: Callegari, Lisa S., MD, MPH, Zhao, Xinhua, PhD, Schwarz, Eleanor Bimla, MD, MS, Rosenfeld, Elian, PhD, Mor, Maria K., PhD, & Borrero, Sonya, MD, MS. (2017). Racial/ethnic differences in contraceptive preferences, beliefs, and self-efficacy among women veterans. American Journal of Obstetrics and Gynecology, 216(5), 504.e1-504.e10.
DOI: 10.1016/j.ajog.2016.12.178 |
Baseline | |
Primary | Contraceptive knowledge | measured via the Contraceptive Knowledge Assessment (Haynes et al 2017), 0-25 score range, higher scores reflect greater knowledge. Haynes MC, Ryan N, Saleh M, Winkel AF, Ades V. Contraceptive Knowledge Assessment: validity and reliability of a novel contraceptive research tool. Contraception. 2017 Feb;95(2):190-197. doi: 10.1016/j.contraception.2016.09.002. Epub 2016 Sep 9. | Baseline | |
Primary | Intention to initiate contraception postpartum | self-reported desire to use contraception within 12 weeks of birth | Baseline | |
Primary | Planned postpartum contraceptive method | self-report of selected method | Baseline | |
Primary | Contraceptive use | Participants will be asked if they have used a contraceptive method since giving birth. | 12-week follow up | |
Primary | Environmental barriers to contraceptive use | Participants will rate the difficulty in accessing their desired contraceptive method after giving birth and respond to the reasons why it is - or is not - easy to access. | 12-week follow up | |
Secondary | Intimate partner violence | measured via validated psychometric scales; Abuse Assessment Screen, 5 items, citation: Soeken, K. L., McFarlane, J., Parker, B., & Lominack, M. C. (1998). The Abuse Assessment Screen: A clinical instrument to measure frequency, severity, and perpetrator of abuse against women. In J. C. Campbell (Ed.), Sage series on violence against women. Empowering survivors of abuse: Health care for battered women and their children (pp. 195-203). Thousand Oaks, CA, US: Sage Publications, Inc. | 12-week follow up |
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