The Feasibility of Providing Family Planning Counseling Services for Women With Chronic Medical Conditions in an Inpatient Setting
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 76
- 试验地点
- 1
- 主要终点
- Pregnancy - 3 months
研究概览
简要总结
Women with chronic medical conditions have been found in multiple studies to use birth control less often compared to women without chronic medical conditions. The investigators hypothesized that approaching women with chronic medical conditions who were admitted to the hospital and having a bedside conversation about pregnancy intention and counseling regarding birth control usage along with offering to start birth control before discharge would increase the use of birth control in this population. As a separate intervention, the investigators hypothesized that having a brief conversation with the participants and then giving them a flyer that recommended talking with their doctor about birth control could also increase the use of birth control in this population.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Currently admitted to the hospital
- •Has one or more qualifying chronic medication conditions listed in their chart (hypertension, obesity with BMI>35, diabetes, current or history of breast cancer, rheumatoid arthritis, sickle cell disease, or lupus)
排除标准
- •Currently pregnant
- •Using surgical or non-surgical contraception
- •Immediately post-partum or admitted to the gynecology service
- •Non-English speaking
- •Non-verbal or too ill to consent
研究组 & 干预措施
Bedside Family Planning Counseling
Patient is screened for pregnancy intention and then has a bedside family planning counseling session with the investigator taking into account pregnancy intention, medical conditions, medications, and previous contraception used. At the end of the conversation, if patient is desiring contraception, the patient is offered three contraception options (as appropriate for their medical conditions and paid for as part of the study) to be initiated prior to discharge: Etonogestrel implant, medroxyprogesterone 150 mg IM injection, or a year's supply of oral contraception pills.
干预措施: Counseling (Behavioral)
Flyer
Patient is given a flyer that recommends they discuss pregnancy intention and contraception with their OB/GYN or primary care physician.
干预措施: Flyer (Behavioral)
Routine care
Patients receive a deception consent so as not to influence them by the consent process. Consent states that the purpose of the project is to study patterns of birth control usage of women admitted to the hospital. Patient is not given any further intervention.
结局指标
主要结局
Pregnancy - 3 months
时间窗: 3 months
Number of pregnancies 3 months post discharge as ascertained by telephone interview.
Contraception use - 12 months
时间窗: 12 months
Number of patient using contraception 12 months post discharge as ascertained by telephone interview.
Pregnancy - 12 months
时间窗: 12 months
Number of pregnancies 12 months post discharge as ascertained by telephone interview.
Contraception use - 3 months
时间窗: 3 months
Number of patients using contraception 3 months post discharge as ascertained by telephone interview.
次要结局
- EHR accuracy(up to 5 minutes)
- General contraception usage(up to 5 minutes)
- Contraception initiation(up to 1 hour)
研究者
Ryan Spielvogel
Principal Investigator
Sutter Health