NCT01849900

Brief Summary

This study examines the efficacy of the "Preconception Reproductive Knowledge Promotion (PREKNOP)" intervention, designed to promote women's reproductive health and positive pregnancy outcomes. The study's goal is to educate low-income women about reproductive changes related to their menstrual cycle. The main hypothesis of the study is that women who receive the PREKNOP intervention will report reduced risk of unplanned pregnancy and increased reproductive knowledge, self-efficacy about that knowledge, and pregnancy planning ability.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
120

participants targeted

Target at P25-P50 for not_applicable pregnancy

Timeline
Completed

Started Feb 2013

Longer than P75 for not_applicable pregnancy

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2013

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

May 1, 2013

Completed
8 days until next milestone

First Posted

Study publicly available on registry

May 9, 2013

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2017

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2017

Completed
Last Updated

April 11, 2017

Status Verified

April 1, 2017

Enrollment Period

4.2 years

First QC Date

May 1, 2013

Last Update Submit

April 8, 2017

Conditions

Keywords

Menstrual cycleOvulation timepregnancy recognitionCommunity-based participatory researchUnintended pregnancy

Outcome Measures

Primary Outcomes (1)

  • Change from baseline reproductive knowledge of ovulation, menstrual cycle, peak fertile times, and early signs of pregnancy.

    The investigators will measure if there is an increase in reproductive knowledge of ovulation time, menstrual cycle, peak fertile times, and early signs of pregnancy among the 120 participants in the study. The investigators will compare if there is higher increase in knowledge among the intervention group compared to the 60 participants in control group.

    Baseline, 3, 6, 12, 18 and 24 months

Secondary Outcomes (1)

  • Change from baseline number of unplanned pregnancies

    Baseline, 3 months, 6 months, 12 months, 18months, 24 months

Other Outcomes (1)

  • Change in self-efficacy about reproductive knowledge and pregnancy planning ability

    Baseline, 3 months, 6 months, 12 months, 18 months, 24 months

Study Arms (2)

Healthy Lifestyle

OTHER

60 women randomly assigned to the control group

Behavioral: Healthy Lifestyle

Knowing your body

OTHER

60 women randomly assigned to intervention group

Other: Knowing your bodyBehavioral: Healthy Lifestyle

Interventions

Women will receive the "Knowing your body" kit. The kit contains: 6 ovulation test strips, a 12 month menstrual log sheet/calendar, and a thermometer to help women determine their body temperature; and educational materials that contain information on female body parts involved in pregnancy, hormones and the menstrual cycle, how birth control works, body temperature changes, characteristics of cervical fluid, and adapting to pregnancy during the first trimester. Participants will receive a total of 10 visits. During the first visit, the nursing student/community health workers team will review the intervention kit and continue to discuss topics related to women's health during subsequent visits.

Knowing your body

Women will receive educational materials on healthy lifestyle such as maintaining good nutrition and the importance of folic acid for women of childbearing age during the first visit. Participants will receive a total of 10 visits. The nursing student/community health workers team will continue to discuss topics related to promoting healthy lifestyle during subsequent visits.

Healthy LifestyleKnowing your body

Eligibility Criteria

Age18 Years - 44 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • low-income women of childbearing age

You may not qualify if:

  • Menopause
  • Hysterectomy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Calvin College Nursing Department Community sites

Grand Rapids, Michigan, 49546, United States

Location

Related Publications (6)

  • Ayoola AB, Nettleman M, Brewer J. Reasons for unprotected intercourse in adult women. J Womens Health (Larchmt). 2007 Apr;16(3):302-10. doi: 10.1089/jwh.2007.0210.

    PMID: 17439376BACKGROUND
  • Nettleman MD, Chung H, Brewer J, Ayoola A, Reed PL. Reasons for unprotected intercourse: analysis of the PRAMS survey. Contraception. 2007 May;75(5):361-6. doi: 10.1016/j.contraception.2007.01.011. Epub 2007 Mar 12.

    PMID: 17434017BACKGROUND
  • Finer LB, Zolna MR. Unintended pregnancy in the United States: incidence and disparities, 2006. Contraception. 2011 Nov;84(5):478-85. doi: 10.1016/j.contraception.2011.07.013. Epub 2011 Aug 24.

    PMID: 22018121BACKGROUND
  • Dott M, Rasmussen SA, Hogue CJ, Reefhuis J; National Birth Defects Prevention Study. Association between pregnancy intention and reproductive-health related behaviors before and after pregnancy recognition, National Birth Defects Prevention Study, 1997-2002. Matern Child Health J. 2010 May;14(3):373-81. doi: 10.1007/s10995-009-0458-1. Epub 2009 Feb 28.

    PMID: 19252975BACKGROUND
  • Ayoola AB, Zandee GL, Johnson E, Pennings K. Contraceptive use among low-income women living in medically underserved neighborhoods. J Obstet Gynecol Neonatal Nurs. 2014 Jul-Aug;43(4):455-64. doi: 10.1111/1552-6909.12462. Epub 2014 Jun 24.

    PMID: 24958447BACKGROUND
  • Ayoola AB, Zandee GL. Low-income women's recommendations for promoting early pregnancy recognition. J Midwifery Womens Health. 2013 Jul-Aug;58(4):416-22. doi: 10.1111/jmwh.12078. Epub 2013 Jul 23.

    PMID: 23879232BACKGROUND

Study Officials

  • Adejoke B Ayoola, RN, PhD

    Calvin College

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr.

Study Record Dates

First Submitted

May 1, 2013

First Posted

May 9, 2013

Study Start

February 1, 2013

Primary Completion

April 30, 2017

Study Completion

June 30, 2017

Last Updated

April 11, 2017

Record last verified: 2017-04

Locations