Using mHealth to Promote Post-Menstrual Regulation Contraceptive Uptake and Continuation in Bangladesh

NCT02579785 | Completed

• 1 other identifier: MSI-007-14
• Study Type: interventional
• Target: 972
• Locations: 1 country
• Sites: 41

Brief Summary

The purpose of this study is to assess whether a mobile phone intervention can be effectively used to improve post menstrual regulation contraceptive uptake and continuation in Bangladesh. The study will consist of two phases: Phase I: A formative phase to understand barriers to post-abortion contraceptive uptake and continuation and the content and modality of messages most appropriate for women in the study areas; and Phase II: An RCT will be conducted to test the effectiveness of the mHealth intervention developed during the formative phase on contraceptive use.

Conditions

Contraception; Post-abortion; Abortion

Keywords

Family Planning; Abortion; mHealth; Behaviour Change Communication; Menstrual Regulation; Postabortion; Bangladesh

Outcome Measures

Primary Outcomes (1)

• Use of long acting and reversible contraceptive at 4 months

  Proportion of subjects that self-report using a long acting and reversible contraceptive (coil or implant)

  4 months

Secondary Outcomes (4)

• Use of long acting and reversible contraceptive at 2 weeks and 12 months

  2 weeks and 12 months

• Use of any modern method at 2 weeks, 4 months and 12 months

  2 weeks, 4 months and 12 months

• Pregnancy

  4 months and 12 months

• Menstrual Regulation

  4 months and 12 months

Study Arms (2)

mhealth intervention

EXPERIMENTAL

Receives standard care which includes face to face post-MR family counselling and provision of existing hotline phone number. Also receives Mobile phone based intervention for post-abortion contraceptive uptake.

Behavioral: Mhealth intervention

Standard Care

NO INTERVENTION

Receives standard care which includes face to face post-MR family counselling and provision of existing hotline phone number.

Interventions

Mhealth intervention BEHAVIORAL

A series of ten automated interactive voice messages will be delivered to the participant's mobile phone over a period of 4 months. Messages will be targeted to the method of contraception the participant is using (no-method, condoms, pills, injectable, implant, copper coil). Messages will support uptake of contraception among no-method users. Messages will support existing users to continue their method and to use it correctly and will also encourage participants who are not happy with their method to switch to a different method. All messages will end with five options: Press 1 to repeat the message, press 2 to listen to recorded information about methods of contraception, press 3 to speak to a counsellor, press 4 to tell me you're fine, press 5 to stop receiving these messages.

mhealth intervention

Eligibility Criteria

• Age: 18 Years - 49 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Received menstrual regulation services using Manual Vacuum Aspiration (MVA) or Medical Abortion (MA)
• Have a personal mobile telephone
• Agree to receive messages on mobile about family planning
• Provide informed consent for participation

You may not qualify if:

• Received anaesthesia for their MVA procedure
• Intend to become pregnant within the next six months
• Intend to use, or for partner to use, a permanent method of contraception (i.e. sterilisation) within the next six months

Sponsors & Collaborators

• Marie Stopes International: lead
• Ipas: collaborator
• London School of Hygiene and Tropical Medicine: collaborator

Study Sites (41)

Marie Stopes Bangladesh Maternity Clinic,

Chittagong, Bangladesh

Location

Marie Stopes Clinic Brahman Baria

Chittagong, Bangladesh

Location

Marie Stopes Clinic Chandpur, Comilla

Chittagong, Bangladesh

Location

Marie Stopes Clinic Chittagong 1

Chittagong, Bangladesh

Location

Marie Stopes Clinic Comilla

Chittagong, Bangladesh

Location

Marie Stopes Clinic Cox's Bazar

Chittagong, Bangladesh

Location

Marie Stopes Clinic Shitakunda

Chittagong, Bangladesh

Location

Marie Stopes Femi Maternity Clinic

Chittagong, Bangladesh

Location

RHSTEP Bandarban Clinic

Chittagong, Bangladesh

Location

RHSTEP Chittagong Medical College Hospital

Chittagong, Bangladesh

Location

RHSTEP Clinic Khagrachhari

Chittagong, Bangladesh

Location

RHSTEP Cox's Bazar Sadar Hospital

Chittagong, Bangladesh

Location

RHSTEP Rangamati Sadar Hospital

Chittagong, Bangladesh

Location

Faridpur Maternal and Child Welfare Centre

Dhaka, Bangladesh

Location

Kishoreganj Maternal and Child Welfare Centre

Dhaka, Bangladesh

Location

Manikganj Maternal and Child Welfare Centre

Dhaka, Bangladesh

Location

Mari Stopes Clinic Manikgonj

Dhaka, Bangladesh

Location

Marie Stopes Bashail Maternity Clinic

Dhaka, Bangladesh

Location

Marie Stopes Clinic Balurmath

Dhaka, Bangladesh

Location

Marie Stopes Clinic Gazipur

Dhaka, Bangladesh

Location

Marie Stopes Clinic Kallyanpur

Dhaka, Bangladesh

Location

Marie Stopes Clinic Kamrangirchar

Dhaka, Bangladesh

Location

Marie Stopes Clinic Madaripur

Dhaka, Bangladesh

Location

Marie Stopes Clinic Mymensingh

Dhaka, Bangladesh

Location

Marie Stopes Clinic Sherpur

Dhaka, Bangladesh

Location

Marie Stopes Clinic Tongi

Dhaka, Bangladesh

Location

Marie Stopes Kadamtali Maternity Clinic

Dhaka, Bangladesh

Location

Marie Stopes Premium 1 Clinic

Dhaka, Bangladesh

Location

Marie Stopes Premium 2 Clinic

Dhaka, Bangladesh

Location

Marie Stopes Referal Clinic, Tangail

Dhaka, Bangladesh

Location

Mohammapur Fertility Services and Training Centre

Dhaka, Bangladesh

Location

RHSTEP Dhaka Medical College Hospital

Dhaka, Bangladesh

Location

RHSTEP Faridpur Medical College Hospital

Dhaka, Bangladesh

Location

RHSTEP Mymensingh Medical College Hospital

Dhaka, Bangladesh

Location

RHSTEP Sir Salaimullh Medical College Hospital

Dhaka, Bangladesh

Location

Rupganj UHC Health Unit

Dhaka, Bangladesh

Location

Marie Stopes Clinic Chatak

Sylhet, Bangladesh

Location

Marie Stopes Clinic Moulvi Bazar

Sylhet, Bangladesh

Location

Marie Stopes Sylhet Maternity Clinic

Sylhet, Bangladesh

Location

RHSTEP Sylhet OAG Osmani Medical College Hospital

Sylhet, Bangladesh

Location

Shreemongol UHC Health Unit

Sylhet, Bangladesh

Location

Related Publications (3)

• Palmer MJ, Henschke N, Villanueva G, Maayan N, Bergman H, Glenton C, Lewin S, Fonhus MS, Tamrat T, Mehl GL, Free C. Targeted client communication via mobile devices for improving sexual and reproductive health. Cochrane Database Syst Rev. 2020 Jul 14;8(8):CD013680. doi: 10.1002/14651858.CD013680.

  PMID: 32779730 DERIVED

• Reiss K, Andersen K, Pearson E, Biswas K, Taleb F, Ngo TD, Hossain A, Barnard S, Smith C, Carpenter J, Menzel J, Footman K, Keenan K, Douthwaite M, Reena Y, Mahmood HR, Tabbassum T, Colombini M, Bacchus L, Church K. Unintended Consequences of mHealth Interactive Voice Messages Promoting Contraceptive Use After Menstrual Regulation in Bangladesh: Intimate Partner Violence Results From a Randomized Controlled Trial. Glob Health Sci Pract. 2019 Sep 26;7(3):386-403. doi: 10.9745/GHSP-D-19-00015. Print 2019 Sep.

  PMID: 31558596 DERIVED

• Reiss K, Andersen K, Barnard S, Ngo TD, Biswas K, Smith C, Carpenter J, Church K, Nuremowla S, Pearson E. Using automated voice messages linked to telephone counselling to increase post-menstrual regulation contraceptive uptake and continuation in Bangladesh: study protocol for a randomised controlled trial. BMC Public Health. 2017 Oct 3;17(1):769. doi: 10.1186/s12889-017-4703-z.

  PMID: 28974209 DERIVED

Study Officials

• Kathryn Anderson, PhD

  Ipas

  PRINCIPAL INVESTIGATOR

• Sadid Nuremowla, PhD

  Marie Stopes International

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 16, 2015
• First Posted: October 20, 2015
• Study Start: December 19, 2015
• Primary Completion: July 15, 2016
• Study Completion: July 15, 2016
• Last Updated: February 25, 2021

Record last verified: 2021-02

Locations

BA (41)