Using mHealth to Promote Post-Menstrual Regulation Contraceptive Uptake and Continuation in the Sylhet, Chittagong and Dhaka Regions of Bangladesh
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 972
- 试验地点
- 41
- 主要终点
- Use of long acting and reversible contraceptive at 4 months
研究概览
简要总结
The purpose of this study is to assess whether a mobile phone intervention can be effectively used to improve post menstrual regulation contraceptive uptake and continuation in Bangladesh.
The study will consist of two phases: Phase I: A formative phase to understand barriers to post-abortion contraceptive uptake and continuation and the content and modality of messages most appropriate for women in the study areas; and Phase II: An RCT will be conducted to test the effectiveness of the mHealth intervention developed during the formative phase on contraceptive use.
详细描述
The proposed study aims to develop and evaluate a mHealth intervention to promote post-abortion contraceptive uptake and continuation among menstrual regulation clients in the Sylhet, Chittagong and Dhaka regions of Bangladesh.
The aim of the formative phase of the study is to develop an interactive two-way messaging service for post-MR clients. The messaging service will deliver information relating to the women's contraceptive method of choice as well as information about other modern contraceptive methods. This part of the study will focus on determining the modality, content, timing, language and acceptability of messaging services for post menstrual regulation clients.
The aim of the RCT phase is to measure the effect of mHealth on uptake or switching to long-acting reversible contraceptives at the 4 month and 12 month follow ups. The investigators expect mHealth to have a positive effect on uptake and a negative effect on discontinuation rates of contraceptive users.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 49 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Received menstrual regulation services using Manual Vacuum Aspiration (MVA) or Medical Abortion (MA)
- •Have a personal mobile telephone
- •Agree to receive messages on mobile about family planning
- •Provide informed consent for participation
排除标准
- •Received anaesthesia for their MVA procedure
- •Intend to become pregnant within the next six months
- •Intend to use, or for partner to use, a permanent method of contraception (i.e. sterilisation) within the next six months
结局指标
主要结局
Use of long acting and reversible contraceptive at 4 months
时间窗: 4 months
Proportion of subjects that self-report using a long acting and reversible contraceptive (coil or implant)
次要结局
- Use of long acting and reversible contraceptive at 2 weeks and 12 months(2 weeks and 12 months)
- Use of any modern method at 2 weeks, 4 months and 12 months(2 weeks, 4 months and 12 months)
- Pregnancy(4 months and 12 months)
- Menstrual Regulation(4 months and 12 months)