Effectiveness of LARC Forward Contraceptive Counseling: LOWE - A Cluster Randomized Intervention Project
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 1,200
- Locations
- 1
- Primary Endpoint
- LARC prescriptions (recorded electronic prescriptions)
Study Overview
Brief Summary
Training of health care providers and structured LARC forward counseling may contribute to increased LARC uptake. The hypothesis to be tested is that by introducing LARC forward counselling an increase in LARC usage will be the result as well as decreased unplanned pregnancy and abortion. It is expected that the results of this study will highlight the importance of LARC forward counseling and thus provide the evidence needed to train health care providers and increase access to LARC in youth clinics, midwifery clinics and for post abortion contraception.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •At risk for pregnancy (sexually active with men or anticipate becoming sexually active in the next 6 months).
- •Do not desire pregnancy .
- •No contraindications to LARC
Exclusion Criteria
- •Undergone tubal ligation or other sterilization procedure.
- •Use of contraceptives for other purposes than contraception
Arms & Interventions
Intervention
Clinics randomized to "intervention" will provide structured LARC centered counselling
Intervention: LARC forward structured contraceptive counselling (Other)
Routine counselling
Clinics randomized to routine counselling
Outcomes
Primary Outcomes
LARC prescriptions (recorded electronic prescriptions)
Time Frame: Evaluated at the index visit to the clinic
The rate of women who receive a LARC prescription
Secondary Outcomes
- LARC placements recorded in patient records(Evaluated at 3months follow up (FU))
- Contraceptive method used reported by participants(Evaluated at 3,6 and 12 months FU)
- Satisfaction with the chosen contraceptive method reported by participants(Evaluated at 3,6 and 12 months FU)
- (Unplanned) pregnancy reported by participants and recorded in patient records(Evaluated at 3,6 and 12 months FU)
Investigators
Kristina Gemzell Danielsson
Professor
Karolinska Institutet