Patient-Centered Support for Contraceptive Decision-Making
Completed · Not applicable
Conditions studied: Contraception, Contraceptive Behavior
In brief
The investigators have designed a tablet-based decision support tool to help women learn more about their birth control options and support them in choosing a method they are happy with. The investigators will test whether the decision support tool helps women choose a birth control method they can continue using successfully by having some women use the tool before their birth control-related visit to a health care provider, and some women not use the tool before their visit. The investigators will then follow up with all the women at four months and seven months after their visit to see if they are still using the birth control method they chose at the visit and how happy they are with the method. Hypotheses: 1. Women who use the contraceptive decision support tool will be more likely to continue using their chosen method at 4 and 7 months follow-up, compared to women who receive usual care. 2. The contraceptive decision support tool will increase women's knowledge, choice of, and use of highly effective reversible contraception, compared to usual care. 3. The contraceptive decision support tool will decrease decision conflict, compared to usual care. 4. The contraceptive decision support tool will increase patient satisfaction with the clinic visit and with their method, compared to usual care. 5. Women who use the contraceptive decision support tool will have fewer unintended pregnancies during the follow-up period, compared to women who received usual care. 6. The contraceptive decision support tool will increase shared patient-provider decision making in contraceptive counseling visits, compared to usual care. 7. The contraceptive decision support tool will decrease provider frustration when providing contraceptive counseling and increase provider job satisfaction. 8. Women using the tool will be more likely to report use of any moderately or highly effective method of contraception at 4 and 7 months follow-up, compared to women not using the tool.
Key facts
- Study ID
- NCT02078713
- Run by
- University of California, San Francisco
- People needed
- 786
- Starts
- 2014-10-01
- Expected to finish
- 2016-10-01
- Last updated by the study team
- 2018-11-19
Who can join
Age: 15 and older, up to 45. Sex: female. Healthy volunteers: accepted.
You may qualify if…
- Patients
- Women of reproductive age (15-45)
- Wish to discuss starting or changing a contraceptive method during their visit
- Speak, read, and understand English or Spanish (Note: for the pre- and post-intervention audio recording phases, only patients who can speak, read, and understand English easily will be enrolled.)
- History of sexual activity with men
- Providers
- Provide contraceptive counseling in one of the participating clinics
- Plan to remain in job role for at least six months
- Clinic staff
- Work at one of the participating clinics
- Had a job that included patient contact, but did not solely consist of family planning counseling at the time of the implementation of the intervention
You may not qualify if…
- Patients
- Previously enrolled in the study
- Previously used the decision support tool at the Women's Community Clinic in San Francisco
- Are unable to get pregnant
- Appointment reason is for insertion of IUD or contraceptive implant
- Currently pregnant
- Desire pregnancy currently or in the next seven months (Note: The last criterion is designed to ensure we will have limited numbers of women that will discontinue their contraceptive methods during the study due to planning a pregnancy.)
Where it is running
- San Francisco City Clinic — San Francisco, California, United States
- Planned Parenthood San Francisco Health Center — San Francisco, California, United States
- San Francisco General Hospital Family Planning Clinic — San Francisco, California, United States
- City College of San Francisco Student Health Services — San Francisco, California, United States
Full record on ClinicalTrials.gov
Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.