The objective of this study is to develop and test an emergency department (ED)-based intervention which uses text messages to facilitate contraception initiation.
Our hypothesis is that adolescent females at high pregnancy risk who receive text message reminders and motivational messages that promote contraception and referral to the Family Planning Clinic are more likely to start effective contraception than those who receive standard paper-based referral to the Family Planning Clinic alone.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
100
Morgan Stanley Children's Hospital Emergency Department
Manhattan, New York, United States
Initiation of highly effective contraception, as defined by the World Health Organization.
We will be assessing contraception initiation rates based on electronic medical record review and telephone call follow up.
Time frame: 3 months after initial enrollment
Patient visits to Family Planning Clinic
We assess Family Planning Clinic visits using our electronic medical records.
Time frame: 3 months after initial enrollment
Follow up for contraceptive counseling to a doctor or nurse
We will be asking patients during our phone call follow if they have had contraceptive counseling with any healthcare professional. We will also be looking through electronic medical records for documentation of contraceptive counseling such as by ICD-9 coding or a physician's/nurse's note.
Time frame: 3 months after initial enrollment
Change in pregnancy intentions
We will compare pregnancy intentions elicited from the answers provided in the baseline questionnaire to those reported on the telephone follow up for both study arms.
Time frame: 3 months after initial enrollment
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