Improving Women's Sexual Health While in Drug Addiction Treatment
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 90
- 试验地点
- 2
- 主要终点
- Contraceptive Consultation Appointment
研究概览
简要总结
This study will develop and initially evaluate Sex and Female Empowerment (SAFE), an intervention designed to increase acceptance of and adherence to contraceptive practices among opioid-agonist-maintained women of childbearing age. The intervention will be delivered in one of two formats: a face-to-face brief intervention approach or a novel computer-adaptive platform. To the extent that either version of SAFE is found to be efficacious compared with usual care, it has the potential to reduce the number of unintended pregnancies and consequently decrease the need for and the costs of child protective services.
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 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- 未提供
研究组 & 干预措施
computer-adaptive SAFE
Computer-adaptive SAFE will consist of 4 60-minute sessions. Sessions 1 and 2 will explore participants' reasons to become and rewards for becoming pregnant/having children or avoiding it, introduce reproductive biology in the context of different contraceptive methods and explore the participant's ambivalence toward using different contraceptive methods. Session 3 will provide in-depth coverage of contraceptive methods and the need for use of a barrier method. Session 4 will focus on effective strategies to communicate with a sexual partner. Computer-adaptive SAFE will use an audio computer-assisted self-interviewing (ACASI) format.
干预措施: Computer-adaptive SAFE (Behavioral)
Face-to-face SAFE
Face-to-face SAFE will consist of 4 60-minute sessions using motivational interviewing techniques. Each session will be led by an experienced counselor. Sessions 1 and 2 will explore participants' reasons to become and rewards for becoming pregnant/having children or avoiding it, introduce reproductive biology in the context of different contraceptive methods and explore the participant's ambivalence toward using different contraceptive methods. Session 3 will provide in-depth coverage of contraceptive methods and the need for use of a barrier method, and relevant skills regarding how to use and negotiate use of contraceptive methods. Session 4 will focus on effective strategies to communicate with a sexual partner.
干预措施: Face-to-face SAFE (Behavioral)
Usual Care
Usual care comprises four 60-minute provider-led individual care sessions about HIV, STIs, and their risks, as well as prevention methods. Contraceptive methods are discussed within this context. There will be no demand on participants to attend these sessions. Participants will receive written take-home materials to review on their own and/or with their sex partners.
干预措施: Usual Care (Behavioral)
结局指标
主要结局
Contraceptive Consultation Appointment
时间窗: The earlier of the completion of the 4 intervention sessions or 6 weeks.
Binary variable: Did or did not the participant schedule and attend an appointment with a obstetrical provider at University of North Carolina at Chapel Hill Obstetrical/Gynecological Services, determined from medical records.
Intervention Satisfaction
时间窗: The earlier of the completion of the 4 interventions sessions or 6 weeks.
Summary scale score: Derived from responses to a four-item 5-point Likert-type scale (1 = "not at all help" to 5 = "extremely helpful") of satisfaction with the intervention, administered at the end of each of the four intervention sessions.
Contraceptive Method Effectiveness
时间窗: The earlier of the completion of the 4 intervention sessions or 6 weeks.
Percentage: The typical use effectiveness level of the contraceptive method in use at the end of the intervention based on responses to the National Survey of Family Growth contraceptive methods items. If the participant does not make an appointment and choose a contraceptive method, the typical-use effectiveness level of the contraceptive method indicated at intake in response to the Survey of Family Growth contraceptive methods items will be used. Typical effectiveness rating of contraceptive methods is a percentage between 15% and 99.85%, and will be based on Hatcher, R.A., Contraceptive technology, which reports success and failure rates for contraceptive methods in current use.
Intervention Completion
时间窗: The earlier of the completion of the 4 interventions sessions or 6 weeks.
Binary variable: Completes or fails to complete all four intervention sessions in a 6-week period, determined from study records.
次要结局
- Knowledge of Reproduction(Baseline, 1-, 3-, and 6-months post-baseline)
- Knowledge of Contraceptive Methods(Baseline, 1-, 3-, 6-months post-baseline)
- Contraceptive Self-efficacy Scale(Baseline, 1-, 3-, and 6-months post-baseline)
- Number of Times Engaged in Unprotected Sex in past 30 days(Baseline, 1-, 3-, and 6-months post-baseline)
- Effective Contraceptive Behavior(Baseline, 1-, 3-, and 6-months post-baseline)
- Frequency of Use of Barrier Protection in past 30 days(Baseline, 1-, 3-, and 6-months post-baseline)