IUD Self-Removal: Evaluating an Online Guide for Self-removal in Clinical and Non-clinical Settings

University of Washington116 enrolled

Overview

Investigators previously developed a guide to help people with IUD self-removal. In this randomized study, the goal is to see if this guide makes it easier for IUD-users to remove their own IUDs. The main question the study aims to answer is: -Does use of the previously developed IUD self-removal guide increase rates of self removal? Participants will: * Complete a pre-study survey * Be randomized to self-removal with use of the guide or no additional resource * Self-select participation at home or in clinic * Attempt IUD self-removal either at home or in clinic * Complete a post-study survey. Investigators will compare rates of successful self-removal between those randomized to the guide to those randomized to no additional resource to see if increases success.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

116

Conditions

IUD Contraception

Interventions

We previously developed an online guide for IUD self-removal through an iterative process including advice from key expert informants, focus groups, interviews, and a pilot clinical study. It includes an online animation, step-by-step guide, troubleshooting tips, and information about pregnancy and contraception.

Eligibility

Sex: FEMALEMin age: 14 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Ages 14 and older * IUD in place and desiring removal * Interest in attempting self-removal * English speaking * Working cell-phone with camera. Exclusion Criteria: * Not meeting above inclusion criteria, no other specific exclusion criteria

Outcomes

Primary Outcomes

Comparison of successful IUD self-removal rates

Successful self-removal will be reported by participants on the post-study survey and documented with an uploaded photo of the removed IUD on a study ruler sheet. Rates of successful self-removal will be compared between those randomized to the guide versus no additional resource.

Time frame: The post study survey will be completed within 48 hours of study participation. Participants schedule their participation on average 1-3 months from study enrollment but up to 1 year (the duration of the study being open).