Exploring the Role of At-home Semi-quantitative Pregnancy Tests for Follow-up to Menstrual Regulation Service
Simplifying Menstrual Regulation (MR): Exploring the Role of At-home Semi-quantitative Pregnancy Tests for Follow-up to Menstrual Regulation Service Provision in Pakistan
1 other identifier
interventional
280
1 country
11
Brief Summary
The study seeks to test whether it is feasible and acceptable for both women and providers (in this context the Lady Health Visitor) to use the semi-quantitative pregnancy test (SQPT) as a tool for follow up after MR services. The study is planned at 11service delivery points (primary health clinics) in Punjab province where consenting women will be asked to take a baseline test at the clinic the morning they present for the MR procedure. Women will be asked to complete a second test at home the morning of their scheduled follow up visit and return to the clinic for follow-up care later that day. The results of the at home test will be compared to the baseline to determine the outcome of the MR. This is of particular importance because to-date no research has documented the accuracy of the test in detecting MR outcomes with misoprostol only regimens. We hypothesize that women and providers will find the test easy and acceptable to use thereby improving follow up and simplifying MR service provision. In addition, the simple pictorial instructions will enable most women to use the test and interpret the results correctly on their own.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2013
11 active sites
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
First Submitted
Initial submission to the registry
September 26, 2013
CompletedFirst Posted
Study publicly available on registry
October 1, 2013
CompletedStudy Start
First participant enrolled
November 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2014
CompletedJanuary 16, 2015
January 1, 2015
1 year
September 26, 2013
January 14, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Feasibility to determine successful completion of MR
1. The proportion of woman for whom Human Chorionic Gonadotropin (hCG) remains the same after MR 2. The proportion of woman for whom hCG remains increases after MR 3. The proportion of woman for whom hCG declines after MR 4. Any additional care received by women in each of the above groups (1-3) will also be described
2 weeks
Secondary Outcomes (3)
Comprehension of pregnancy test
2 weeks
Confidence in test
2 weeks
Selecting and receiving family planning method
2 weeks
Study Arms (1)
Semi-quantitative pregnancy test
OTHERSemi-quantitative urine pregnancy test (SQPT) (dBest One Step hCG Panel Test Kit)
Interventions
Eligibility Criteria
You may qualify if:
- Eligible for medical menstrual regulation services according to clinic guidelines
- Willing to follow instructions and use the SQPT at home
- Agrees to return for a follow-up visit 7 days after receipt of misoprostol for the MR procedure
You may not qualify if:
- Not eligible for medical menstrual regulation services according to clinic guidelines
- Not willing to follow instructions and use the SQPT at home
- Does not agree to return for a follow-up visit 7 days after receipt of misoprostol for the MR procedure
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (11)
Bhagwal Service Delivery Clinic
Bhagwal, Chakwal, Pakistan
Chakumra Service Delivery Clinic
Chakumra, Chakwal, Pakistan
Karrila Service Delivery Clinic
Karrila, Chakwal, Pakistan
Khanpur Service Delivery Clinic
Khanpur, Chakwal, Pakistan
Chak 128 GB Service Delivery Clinic
Faisalabad, Faisalabad, Pakistan
BagaSher Service Delivery Clinic
BagaSher, Muzaffargarh, Pakistan
Dasrat Colony Service Delivery Clinic
Dasrat Colony, Muzaffargarh, Pakistan
Fazal Nagal Service Delivery Clinic
Fazal Nagal, Muzaffargarh, Pakistan
TibbiAryain Service Delivery Clinic
TibbiAryain, Muzaffargarh, Pakistan
Bahari Colony Service Delivery Clinic
Bahari Colony, Rawalpindi, Pakistan
DhokeHasso Service Delivery Clinic
DhokeHasso, Rawalpindi, Pakistan
Study Officials
- PRINCIPAL INVESTIGATOR
Jennifer Blum, MPH
Gynuity Health Projects
- PRINCIPAL INVESTIGATOR
Beverly Winikoff, MD, MPH
Gynuity Health Projects
- PRINCIPAL INVESTIGATOR
Asifa Khanum, MPhil, MSc
Rahnuma FPAP
- PRINCIPAL INVESTIGATOR
Anjum Rizvi, MBBS, MHA
Rahnuma FPAP
- PRINCIPAL INVESTIGATOR
Dina Abbas, MPH
Gynuity Health Projects
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 26, 2013
First Posted
October 1, 2013
Study Start
November 1, 2013
Primary Completion
November 1, 2014
Study Completion
November 1, 2014
Last Updated
January 16, 2015
Record last verified: 2015-01