Pregnancy Clinical Trial
Official title:
A Second Chance With Emergency Contraception (ECP): Reducing Unintended Pregnancy
Emergency contraception is a method of birth control that can be used up to three days after sexual intercourse. Emergency contraceptive pills (ECPs) can be given to a woman before she needs them (advance provision) or when she needs them (emergency provision). This study will compare these two methods of providing ECPs.
ECPs can give women a “second chance” to prevent an unintended pregnancy that might arise
because of lack or improper/defective use of contraceptives. By using ECP, a woman can
reduce her risk of pregnancy by at least 75%; however, there is little information on what
distribution patterns and other factors are most likely to encourage ECP use. This study
will compare the use and cost of two ECP distribution patterns: advance provision and
emergency provision. It will also identify environmental, situational, and behavioral
factors associated with ECP acceptance and use.
Participants in this study will be recruited from four family planning clinics in the
Philadelphia area and five family planning clinics in the Pittsburgh area. Participants from
the Philadelphia clinics will be given ECPs as part of a regular clinic visit (advance
provision); participants from the Pittsburgh clinics will be given ECPs on an emergency
basis (emergent provision). Each participant will complete a short intake form and will be
issued a pager. Participants will be paged every month over an 18-month period as a reminder
to respond to a short automated telephone survey on ECP, contraceptives, and pregnancy
status. Approximately half of the participants will be randomly selected to participate in
in-depth interviews at study entry and Months 9 and 18. Clinic visit data will augment the
surveys to verify use of the clinic and contraceptive method and to develop cost data.
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Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Open Label, Primary Purpose: Prevention
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