Pregnancy Clinical Trial
Official title:
Effectiveness of Nurse Home Contraceptive Dispensing
This study will evaluate a program that provides birth control to low income and minority women through home visits by a community health nurse. The goal of the program is to reduce unwanted pregnancies.
Unintended pregnancy is associated with significant public health problems, including
inadequate prenatal care, low birth weight infants, infant mortality, and maternal morbidity
and mortality. Children born as a result of unplanned pregnancies are at greater risk for
poor outcomes such as poor mental health and developmental disabilities. This research
project will determine whether providing contraception in the home can reduce the incidence
of unintended pregnancy in low income and minority women. The project will also determine
whether delaying a pelvic exam encourages or discourages the utilization of clinic-based
preventive services to screen for sexually transmitted diseases (STDs) and cervical cancer.
Participants will be randomized to either an experimental group or a comparison group. Each
participant will receive family planning counseling during a home visit by a community
health nurse. Participants in the experimental group will be offered a three-month supply of
oral contraceptives or a depo-provera shot; both forms of contraceptives will be delivered
during home visits. Each participant will complete a survey during the initial visit and
during a 1-year follow-up. The study will last approximately three years.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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