Improving Person Centered Care for Post Abortion Patients in Kenya

Not Applicable

Completed

• Conditions: Reproductive Health
• Interventions: Behavioral: Person Centered Care - Post Abortion Support

• Registration Number: NCT04206514
• Lead Sponsor: University of California, San Francisco

Brief Summary

The purpose of this study is to understand the effect of a phone based post-abortion intervention on the experience of post-abortion care.

Detailed Description

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.

Study Timeline

• Study Start: 2018-08-27
• Primary Completion: 2018-12-18
• Study Completion: 2018-12-18
• Study First Submitted: 2019-12-18
• Study First Submitted QC: 2019-12-18
• Study First Posted: 2019-12-20
• Status Verified: 2020-01
• Last Update Submitted: 2020-01-10
• Last Update Posted: 2020-01-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 371

Inclusion Criteria

• 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

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Exclusion Criteria

• 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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Peer Counselor	Person Centered Care - Post Abortion Support	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
Nurse	Person Centered Care - Post Abortion Support	Participants receive personalized text messages and phone calls from a nurse trained in post abortion care and PCC

Primary Outcome Measures

Name	Time	Method
Person-Centered Abortion Scale Score	4 weeks post-procedure	Survey conducted with women: self-report of experiences of PCC. Possible range 0-100; higher the score, better the experience

Secondary Outcome Measures

Name	Time	Method
Post-abortion family planning uptake	4 weeks post-procedure	self-report of uptake of family planning (Yes/No/Refused to answer)
Post abortion family planning counseling	baseline	Self-report if women received counseling on family planning (Yes/No)
Perceived social support	4 weeks post-procedure	Medical Outcomes Study-Social Support 15-item Scale (MOS-SSS): 18-90 where higher scores indicate greater social support
Perceived abortion stigma	4 weeks post procedure	The Individual Level Abortion Stigma Scale (ILAS Scale) Abbreviated 3-item Scale: 0-9 where higher scores indicate greater worry about stigma
Mental Health	2-weeks post procedure	Mental Health Inventory (MHI-5) scale; 0-100 with higher scores indicating better mental health

Trial Locations

Locations (1)

Marie Stopes International Kenya; 🇰🇪 Nairobi, Kenya