The Influence of Trust in the Health Care System on Postpartum Contraceptive Choice

Contraception Clinical Trial

Official title:

The Influence of Trust in the Health Care System on Postpartum Contraceptive Choice

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02213874
• Other study ID #: Dempsey-Trust Pro 12660
• Status: Completed
• Phase: N/A
• Start date: January 2012
• Est. completion date: January 2015

Study information

• Verified date: April 2023
• Source: Medical University of South Carolina
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this research is to understand the relationship between trust in the health care system and choice of contraception during the postpartum period among pregnant women receiving prenatal care. Research subjects will complete a questionnaire at enrollment and between delivery and within 5 days of hospital discharge. A chart review will also be completed to gather use of a birth control method at the six week postpartum visit as well as pertinent medical diagnoses and recorded data such as height, weight, body mass index, and contraceptive plan as documented in the postpartum medical chart.

Description:

The aims of the proposed research are three-fold: 1. To identify whether trust in the health care system is associated with choice of the highest efficacy contraception (intrauterine contraception, implantable contraception, and sterilization) in the immediate postpartum period among pregnant women receiving prenatal care. 2. To explore which patient-level factors (sociodemographic, reproductive history, future pregnancy intentions) and provider-level factors (antenatal contraceptive counseling) are associated with choice of the highest efficacy contraception in the immediate postpartum period among pregnant women receiving prenatal care. 3. To determine whether trust in the health care system is altered during the receipt of prenatal care or delivery.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 208
• Est. completion date: January 2015
• Est. primary completion date: January 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Pregnant Women receiving prenatal care at Medical University of South Carolina (MUSC)
• Age 18 or older

Exclusion Criteria:

• Greater than 20 weeks gestation

Related Conditions & MeSH terms

• Contraception
• Contraception Behavior

Intervention

Other:
• Questionnaire
A questionnaire will be administered during the early stages of prenatal care & again during the postpartum period. The initial questionnaire will assess trust in the health care system, locus of control, religiosity, health literacy & collect information about demographics, contraceptive & reproductive history, future pregnancy intentions, & baseline knowledge about contraception. The postpartum questionnaire will repeat questions about future pregnancy & contraception intentions, trust in the health care system, knowledge of contraception and collect new information about characteristics of antenatal contraceptive counseling received including whether a provider recommended a specific method of contraception, the amount of counseling received, & the type of counseling received.

Locations

Country	Name	City	State
United States	MUSC Women's Health	Charleston	South Carolina

Sponsors (2)

Lead Sponsor	Collaborator
Medical University of South Carolina	Society of Family Planning

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Choice of long acting contraception (IUD or implant) for postpartum contraception	Using a questionnaire adminstered immediately postpartum, we will ascertain whether participants indicate plan to use either an IUD or implant for contraception. We will also measure use of IUD or implant through chart abstraction of their 6 week postpartum visit.	immediately postpartum
Secondary	Trust in the health care system	We will also evaluate trust as an outcome and evaluate whether certain patient-level or antepartum care characteristics predict higher levels of trust. Trust is measured through a validated scale containing 17 questions measured using a likert scale.	immediately postpartum