Contraception Behavior Clinical Trial
Official title:
An Emergency Department-Based Study to Reduce Adolescent Pregnancy
Verified date | January 2023 |
Source | Children's Hospital of Philadelphia |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This multi-site study is employing a brief contraception counseling intervention in the Emergency Department (ED) to shed light on factors that affect decision making as well as barriers and facilitators to conception initiation in the Emergency Department (ED) setting. The overarching goal of the study is to reduce unintended pregnancy among females ages 15 to 18 who present to the Emergency Department (ED).
Status | Completed |
Enrollment | 144 |
Est. completion date | April 30, 2021 |
Est. primary completion date | February 17, 2021 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 15 Years to 18 Years |
Eligibility | Inclusion Criteria: 1. Females aged 15-18 years who are at high-risk of pregnancy, defined as sexual activity within the last 6 months or likely future sexual activity. 2. Females who do not desire to become pregnant within the next year. 3. Eligible individuals must be proficient in speaking and reading in English. 4. Consent of the adolescent. Exclusion Criteria: 1. Females who are currently using hormonal contraception or an intrauterine device. 2. Females who are pregnant. 3. Patient has a developmental delay limiting participation. 4. Patient is presenting in the ED after sexual assault. 5. Patient is too ill to be screened. APPs: [no age limit]] Have been working in ED 6 months |
Country | Name | City | State |
---|---|---|---|
United States | Children's Mercy Hospital | Kansas City | Missouri |
United States | Children's Hospital of Philadelphia | Philadelphia | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
Children's Hospital of Philadelphia | Children's Mercy Hospital Kansas City, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), University of Pittsburgh |
United States,
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* Note: There are 57 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Number of Unique Themes Affecting Decision-Making | Semistructured interviews were conducted and analyzed using grounded theory to elucidate the factors that affect decision-making around contraception initiation. Only a subset of enrolled adolescents participated in interviews which were optional (28 participants).
Factors were based on a theoretical framework called eTPB, the ecologically expanded theory of planned behavior, relying on attitudes, subjective norms, community, health care and perceived behavioral control factors to explain behavior. Interview analysis yielded the following factors: concerns about contraception side effects and safety, previous experiences with contraception, reasons for using contraception, peer, family and partner influence, social media, pregnancy rates, and access to contraception eduction, provider encounters, confidence in contraception decision making and knowledge, and the ED session characteristics; all of the above factors corresponded with a construct from eTPB. |
up to 12 weeks | |
Primary | Intention to Initiate Contraception | Intention to initiate contraception at Emergency Department (ED) or follow-up visit from survey responses | up to 8 weeks | |
Secondary | Contraceptive Care Referral Completion | Participants completed a referral visit for any contraception care | up to 8 weeks | |
Secondary | Initiation of Contraception | Participant has started contraception as evidenced by electronic medical record view and follow-up phone calls or surveys | up to 12 weeks |
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