NCT02411357

Brief Summary

Nearly 9 of every 10 pregnant opioid-dependent women report that the current pregnancy was unintended and the majority of non-pregnant opioid-maintained women do not use contraception or use less effective methods like condoms. This proposal aims to further test a novel contraceptive management program to increase use of more effective contraceptives among opioid-maintained women at risk of unintended pregnancy.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
138

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started May 2015

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 2, 2015

Completed
6 days until next milestone

First Posted

Study publicly available on registry

April 8, 2015

Completed
27 days until next milestone

Study Start

First participant enrolled

May 5, 2015

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 6, 2019

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 9, 2019

Completed
3.4 years until next milestone

Results Posted

Study results publicly available

February 10, 2023

Completed
Last Updated

February 10, 2023

Status Verified

January 1, 2023

Enrollment Period

3.8 years

First QC Date

April 2, 2015

Results QC Date

December 2, 2022

Last Update Submit

January 19, 2023

Conditions

Keywords

ContraceptionUnintended pregnancyHIV riskSexually transmitted infectionsWomenPregnancyNeonatal healthDrug useDrug treatmentOpioids

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants With Verified Prescription Contraceptive Use at the 6-month Assessment

    6 months after randomization

Study Arms (3)

Treatment as usual

ACTIVE COMPARATOR

The usual care condition will be given general information about contraceptive options and contact information for clinics and providers that provide contraceptive services.

Behavioral: Treatment as usual

WHO contraception protocol

EXPERIMENTAL

The WHO contraception protocol condition will receive the World Health Organization's contraception protocol and will be invited to attend follow-up visits.

Behavioral: Treatment as usualBehavioral: WHO contraception protocol

WHO contraception protocol + incentives

EXPERIMENTAL

The WHO + incentives condition will receive the World Health Organization's contraception protocol and will be invited to attend follow-up visits, but will also receive financial incentives contingent on attending those follow-up visits.

Behavioral: Treatment as usualBehavioral: WHO contraception protocolBehavioral: Incentives

Interventions

General information about contraceptive options and referral to contraceptive service providers

Treatment as usualWHO contraception protocolWHO contraception protocol + incentives

World Health Organization's contraception protocol

WHO contraception protocolWHO contraception protocol + incentives
IncentivesBEHAVIORAL

Financial incentives contingent on follow-up visit attendance

WHO contraception protocol + incentives

Eligibility Criteria

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

You may qualify if:

  • years of age
  • pre-menopausal and have no history of tubal ligation or hysterectomy
  • have had heterosexual vaginal sex in the past 3 months
  • have no plans to become pregnant in the next 6 months
  • be medically eligible to use prescription contraceptives
  • report no prescription contraceptive use (i.e., no use of pill, patch, ring, implants, or IUDs in the past 7 days or injections in the past 3 months)
  • be in opioid maintenance treatment
  • at least 8 weeks postpartum
  • not be facing imminent incarceration
  • have no plans to leave the area in the next 12 months
  • be English-speaking

You may not qualify if:

  • refusal to participate

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Vermont Center on Behavior and Health

Burlington, Vermont, 05401, United States

Location

Related Publications (1)

  • Heil SH, Melbostad HS, Matusiewicz AK, Rey CN, Badger GJ, Shepard DS, Sigmon SC, MacAfee LK, Higgins ST. Efficacy and Cost-Benefit of Onsite Contraceptive Services With and Without Incentives Among Women With Opioid Use Disorder at High Risk for Unintended Pregnancy: A Randomized Clinical Trial. JAMA Psychiatry. 2021 Oct 1;78(10):1071-1078. doi: 10.1001/jamapsychiatry.2021.1715.

MeSH Terms

Conditions

Contraception BehaviorOpioid-Related DisordersSexually Transmitted Diseases

Interventions

TherapeuticsFertility

Condition Hierarchy (Ancestors)

Reproductive BehaviorBehaviorNarcotic-Related DisordersSubstance-Related DisordersChemically-Induced DisordersMental DisordersCommunicable DiseasesInfectionsGenital DiseasesUrogenital DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Reproductive Physiological PhenomenaReproductive and Urinary Physiological Phenomena

Results Point of Contact

Title
Sarah H. Heil, PhD
Organization
University of Vermont

Study Officials

  • Sarah H. Heil, Ph.D.

    University of Vermont

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

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
Professor

Study Record Dates

First Submitted

April 2, 2015

First Posted

April 8, 2015

Study Start

May 5, 2015

Primary Completion

March 6, 2019

Study Completion

September 9, 2019

Last Updated

February 10, 2023

Results First Posted

February 10, 2023

Record last verified: 2023-01

Locations