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Study on Mhealth and Reproductive Health in Teens

Not Applicable
Completed
Conditions
Reproductive Health
Interventions
Behavioral: Interactive Treatment
Other: Control, comparator arm
Behavioral: Basic Treatment
Registration Number
NCT02031575
Lead Sponsor
Harvard University
Brief Summary

The purpose of the Study on Mhealth and Reproductive Health in Teens (SMART) is to evaluate the effectiveness of using text messages to improve the knowledge, communication, and attitudes about reproductive health among female adolescents in Greater Accra senior high schools. Previous research as well as qualitative work conducted by the Investigators shows that there are significant gaps in knowledge about reproductive health including on topics of pregnancy, sexually transmitted diseases, and contraception among secondary school students in Greater Accra. These gaps contribute to unwanted pregnancy and spread of sexually transmitted diseases. At the same time, phone ownership and use among young people has spread rapidly, especially in urban areas such as Accra. The Study on Mhealth and Reproductive Health (SMART) will seek to use mobile phone messages to increase awareness of these reproductive health issues among female adolescents in Accra. The objectives of SMART are to evaluate whether the messages can increase knowledge, increase communication, and improve attitudes towards reproductive health among adolescents in Greater Accra. By conducting a randomized controlled trial, we will be able to statistically evaluate if the messages have had any effect on improving outcomes for adolescents in the areas of knowledge, communication, and attitudes. This work can help guide future programs that can scale up this intervention and ultimately improve the health and wellbeing of adolescents across Ghana.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1419
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Interactive TreatmentInteractive TreatmentSends multiple choice questions and receives texts message responses from participants with incentive for responding correctly
ControlControl, comparator armSends messages to students about malaria prevention and control.
Basic TreatmentBasic TreatmentSends messages to participants about reproductive health.
Primary Outcome Measures
NameTimeMethod
Knowledge of Reproductive Health True/False Quiz of 20 questions5-6 months after baseline and then again 14-16 months after baseline
Sexual behavior14-16 months after baseline

Assessed via a number of items: age at sexual debut, sex without a condom in the past year, pregnancy in the past year, ever had sex, use of condom at sexual debut, sex in the past year, used any contraception in the past year, used contraception at last sex, had an abortion

Secondary Outcome Measures
NameTimeMethod
Communication about reproductive health with family, friends, professional, and boyfriend3 months (asked 5-6 months after baseline and again 12-14 months after baseline)

Communication is assessed via questionnaire items that ask the participant how often the participant has communicated with family, friends, professional, and boyfriend over the past 3 months.

Attitudes about reproductive health as measured by 5-point Likert type scale5-6 months after baseline and asked again 12-14 months after baseline

Attitudes about reproductive health are measured via questionnaire items that ask participants about their attitudes about reproductive health. They respond via a 5-point Likert type scale.

Trial Locations

Locations (1)

Innovations for Poverty Action

🇬🇭

Accra, Greater Accra, Ghana

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