Strengthening Patient-Centered Accessibility, Respect, and Quality of Care for Post Abortion Care Through Peer and Nurse Based Phone Support
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 371
- 试验地点
- 1
- 主要终点
- Person-Centered Abortion Scale Score
研究概览
简要总结
The purpose of this study is to understand the effect of a phone based post-abortion intervention on the experience of post-abortion care.
详细描述
This study evaluates whether personalized text messages and phone calls to post abortion women can improve post abortion person-centered care, perceived social support, post-abortion family planning, and reduce perceptions of social stigma and stress. Women were randomized to one of three study arms: personalized communication with a peer counselor or nurse who received person-centered care (PCC) training, or a control arm where participants received the standard of care.
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
- 15 Years 至 49 Years（Child, Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Women of reproductive age
- •Had an Safe Abortion (SA)/Post Abortion Care (PAC) procedure at one of six private clinics that day
- •Has her own cellphone that is WhatsApp compatible and will have access to this phone for the next four weeks
- •Willing to receive receive short message service (SMS) messages and phone calls from an Marie Stopes Kenya (MSK) or Innovation for Poverty Action (IPA) professional
- •Able to communicate in English and/or Swahili
- •Willing and able to comprehend and give informed consent
- •Willing to participate in a baseline survey immediately after providing consent
- •Willing to be followed up by phone at two weeks and four weeks post procedure for a 15-minute survey at each time-point
- •Has not already participated in this study
排除标准
- •Is not a women of reproductive age
- •Did not have an SA/PAC procedure at one of six private clinics that day
- •Does not have her own cellphone that is WhatsApp compatible and will have access to this phone for the next four weeks
- •Is not willing to SMS messages and phone calls from an MSK/IPA professional
- •Is not able to communicate in English and/or Swahili
- •Is not willing or is not able to comprehend and give informed consent
- •Is not willing to participate in a baseline survey immediately after providing consent
- •Is not willing to be followed up by phone at two weeks and four weeks post procedure for a 15-minute survey at each time-point
- •Has already participated in this study
研究组 & 干预措施
Peer Counselor
Participants receive personalized text messages and phone calls from a peer counselor- a women who had an abortion and was trained in post abortion care and PCC
干预措施: Person Centered Care - Post Abortion Support (Behavioral)
Nurse
Participants receive personalized text messages and phone calls from a nurse trained in post abortion care and PCC
干预措施: Person Centered Care - Post Abortion Support (Behavioral)
control
Participants receive the standard of care for post-abortion patients in Kenya.
结局指标
主要结局
Person-Centered Abortion Scale Score
时间窗: 4 weeks post-procedure
Survey conducted with women: self-report of experiences of PCC. Possible range 0-100; higher the score, better the experience
Person-Centered Abortion Scale Score
时间窗: baseline
Survey conducted with women: self-report of experiences of PCC. Possible range 0-100; higher the score, better the experience
Person-Centered Abortion Scale Score
时间窗: 2 weeks post-procedure
Survey conducted with women: self-report of experiences of PCC. Possible range 0-100; higher the score, better the experience
次要结局
- Post-abortion family planning uptake(4 weeks post-procedure)
- Post abortion family planning counseling(baseline)
- Perceived social support(4 weeks post-procedure)
- Perceived abortion stigma(4 weeks post procedure)
- Mental Health(2-weeks post procedure)
- Post-abortion family planning uptake(baseline)
- Perceived social support(baseline)
- Perceived abortion stigma(baseline)
- Mental Health(baseline)
- Post-abortion family planning uptake(2 weeks post-procedure)