Assessment of Cultural Acceptability of Long Acting Contraception in a Diverse, Urban Population

NCT03486743 | Completed

• 1 other identifier: Merck IIS# 55000 phase II
• Study Type: interventional
• Target: 437
• Locations: 1 country
• Sites: 7

Brief Summary

Preliminary data from our work with teen mothers suggest that many women would benefit from contraception but do not actually make visits nor initiate conversations regarding contraception unless the subject is raised by the clinician. Those coming for primary care visits discuss their conditions and care with family and friends, spreading health care information. A substantial proportion of citizens obtain their health information from friends, family, internet, social media and other non-clinicians. Thus, educating women, even when not coming expressly for contraceptive services, increases more accurate health information throughout their communities and actually identifies fertility needs, ultimately increasing use of contraception.

Conditions

Contraception Behavior

Keywords

LARC contraception cultural acceptance

Outcome Measures

Primary Outcomes (1)

• Determine cultural factors that affect women choosing their contraception.

  Racial and ethnic minority women are less likely to use LARC than majority women. No studies have primarily focused on contraceptive cultural beliefs of older teens and young women. Potential factors influencing the low LARC usage among teens are inadequate education regarding safety of these methods, misconceptions among clinicians regarding safety of LARC in teens, fewer than ideal numbers of clinicians trained to insert these devices, barriers to obtaining reimbursement for LARC in hospital settings postpartum

  2 years

Secondary Outcomes (2)

• Changes in LARC uptake among women seeking contraception.

  2 years

• Studying the effects of using contraception educational video on rates of different contraception methods.

  2 years

Study Arms (2)

Intervention arm

EXPERIMENTAL

Participants in the intervention arm will be asked to watch a short educational video on LARC (Long acting reversible contraceptive) and to complete a survey before and after watching the video.

Behavioral: Educational video on LARC

Control arm

NO INTERVENTION

Participants in the intervention arm will only be asked to complete a survey.

Interventions

Educational video on LARC BEHAVIORAL

Participants will watch a short educational video on long acting reversible contraceptive or LARC

Intervention arm

Eligibility Criteria

• Age: 18 Years - 45 Years
• Gender Eligibility Details: We target women aged 18-45 years because this study is designed to assess cultural beliefs regarding LARC in women in general and not specifically those who are seeking contraception.
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Between age of 18 and 45
• Not currently pregnant
• Did not participate in phase I of the study

You may not qualify if:

• Below 18 years or above 45
• Currently pregnant
• Participated in Phase I of the study

Sponsors & Collaborators

• University of Pittsburgh: lead

Study Sites (7)

Latterman Family Health Center

McKeesport, Pennsylvania, 15132, United States

Location

New Kensington Family Health Center

New Kensington, Pennsylvania, 15068, United States

Location

UPMC Matilda Theiss Health Center

Pittsburgh, Pennsylvania, 15213, United States

Location

Squirrel Hill Family Practice

Pittsburgh, Pennsylvania, 15217, United States

Location

UPMC Bloomfiled-Garfield FHC

Pittsburgh, Pennsylvania, 15224, United States

Location

Lawrenceville Family Health Center

Pittsburgh, Pennsylvania, 15232, United States

Location

Shadyside Family Health Center

Pittsburgh, Pennsylvania, 15232, United States

Location

Related Publications (17)

• Mestad R, Secura G, Allsworth JE, Madden T, Zhao Q, Peipert JF. Acceptance of long-acting reversible contraceptive methods by adolescent participants in the Contraceptive CHOICE Project. Contraception. 2011 Nov;84(5):493-8. doi: 10.1016/j.contraception.2011.03.001. Epub 2011 Apr 27.

  PMID: 22018123 BACKGROUND

• Secura GM, Allsworth JE, Madden T, Mullersman JL, Peipert JF. The Contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception. Am J Obstet Gynecol. 2010 Aug;203(2):115.e1-7. doi: 10.1016/j.ajog.2010.04.017. Epub 2010 Jun 11.

  PMID: 20541171 BACKGROUND

• Romero L, Pazol K, Warner L, Gavin L, Moskosky S, Besera G, Loyola Briceno AC, Jatlaoui T, Barfield W; Centers for Disease Control and Prevention (CDC). Vital signs: trends in use of long-acting reversible contraception among teens aged 15-19 years seeking contraceptive services-United States, 2005-2013. MMWR Morb Mortal Wkly Rep. 2015 Apr 10;64(13):363-9.

  PMID: 25856258 BACKGROUND

• Harper CC, Blum M, de Bocanegra HT, Darney PD, Speidel JJ, Policar M, Drey EA. Challenges in translating evidence to practice: the provision of intrauterine contraception. Obstet Gynecol. 2008 Jun;111(6):1359-69. doi: 10.1097/AOG.0b013e318173fd83.

  PMID: 18515520 BACKGROUND

• Stanwood NL, Bradley KA. Young pregnant women's knowledge of modern intrauterine devices. Obstet Gynecol. 2006 Dec;108(6):1417-22. doi: 10.1097/01.AOG.0000245447.56585.a0.

  PMID: 17138775 BACKGROUND

• Whitaker AK, Sisco KM, Tomlinson AN, Dude AM, Martins SL. Use of the intrauterine device among adolescent and young adult women in the United States from 2002 to 2010. J Adolesc Health. 2013 Sep;53(3):401-6. doi: 10.1016/j.jadohealth.2013.04.011. Epub 2013 Jun 12.

  PMID: 23763968 BACKGROUND

• Damle LF, Gohari AC, McEvoy AK, Desale SY, Gomez-Lobo V. Early initiation of postpartum contraception: does it decrease rapid repeat pregnancy in adolescents? J Pediatr Adolesc Gynecol. 2015 Feb;28(1):57-62. doi: 10.1016/j.jpag.2014.04.005. Epub 2014 May 5.

  PMID: 25555302 BACKGROUND

• Okpo E, Allerton L, Brechin S. 'But you can't reverse a hysterectomy!' Perceptions of long acting reversible contraception (LARC) among young women aged 16-24 years: a qualitative study. Public Health. 2014 Oct;128(10):934-9. doi: 10.1016/j.puhe.2014.08.012. Epub 2014 Oct 22.

  PMID: 25369357 BACKGROUND

• Greenberg KB, Makino KK, Coles MS. Factors associated with provision of long-acting reversible contraception among adolescent health care providers. J Adolesc Health. 2013 Mar;52(3):372-4. doi: 10.1016/j.jadohealth.2012.11.003.

  PMID: 23427785 BACKGROUND

• Rubin SE, Davis K, McKee MD. New york city physicians' views of providing long-acting reversible contraception to adolescents. Ann Fam Med. 2013 Mar-Apr;11(2):130-6. doi: 10.1370/afm.1450.

  PMID: 23508599 BACKGROUND

• Russo JA, Miller E, Gold MA. Myths and misconceptions about long-acting reversible contraception (LARC). J Adolesc Health. 2013 Apr;52(4 Suppl):S14-21. doi: 10.1016/j.jadohealth.2013.02.003.

  PMID: 23535052 BACKGROUND

• Roncancio AM, Ward KK, Berenson AB. The use of effective contraception among young Hispanic women: the role of acculturation. J Pediatr Adolesc Gynecol. 2012 Feb;25(1):35-8. doi: 10.1016/j.jpag.2011.08.008. Epub 2011 Nov 3.

  PMID: 22051784 BACKGROUND

• Doescher MP, Saver BG, Franks P, Fiscella K. Racial and ethnic disparities in perceptions of physician style and trust. Arch Fam Med. 2000 Nov-Dec;9(10):1156-63. doi: 10.1001/archfami.9.10.1156.

  PMID: 11115223 BACKGROUND

• Kissling E, Valenciano M, Larrauri A, Oroszi B, Cohen JM, Nunes B, Pitigoi D, Rizzo C, Rebolledo J, Paradowska-Stankiewicz I, Jimenez-Jorge S, Horvath JK, Daviaud I, Guiomar R, Necula G, Bella A, O'Donnell J, Gluchowska M, Ciancio BC, Nicoll A, Moren A. Low and decreasing vaccine effectiveness against influenza A(H3) in 2011/12 among vaccination target groups in Europe: results from the I-MOVE multicentre case-control study. Euro Surveill. 2013 Jan 31;18(5):20390. doi: 10.2807/ese.18.05.20390-en.

  PMID: 23399425 BACKGROUND

• deBorja L, Lin C, Maier J, South-Paul JE, Lewis E. Assessment of Cultural Acceptability of Long-Acting Reversible Contraception in a Diverse, Urban Population: Phase II of a Two Phase Study.North American Primary Care Research Group Annual Meeting - NOV 2018 / Chicago, IL (https://www.napcrg.org/conferences/46/sessions/23230)

  RESULT

• deBorja L. The Role of Social Influence and Usage of Long-Acting Reversible Contraception: Analysis of Survey Responses. North American Primary Care Research Group Annual Meeting - Toronto, ON / NOV. 2019. (https://www.napcrg.org/conferences/2001/sessions/794)

  RESULT

• Lin CJ, Maier J, Nwankwo C, Burley C, deBorja L, Aaraj YA, Lewis E, Rhem M, Nowalk MP, South-Paul J. Awareness and Use of Contraceptive Methods and Perceptions of Long-Acting Reversible Contraception Among White and Non-White Women. J Womens Health (Larchmt). 2021 Sep;30(9):1313-1320. doi: 10.1089/jwh.2020.8642. Epub 2020 Dec 9.

  PMID: 33297819 DERIVED

MeSH Terms

Conditions

Contraception Behavior

Condition Hierarchy (Ancestors)

Reproductive Behavior; Behavior

Study Officials

• Jeannette E. South-Paul, MD

  University of Pittsburgh

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Andrew W. Mathieson UPMC Professor and Chair

Model Details: different sites of participant recruitment will be randomized between the use of an informational video during the survey process and no video. The primary focus of the study is the survey that is designed to collect information about cultural perspectives on LARC in the participants.

Study Record Dates

• First Submitted: March 27, 2018
• First Posted: April 3, 2018
• Study Start: April 15, 2018
• Primary Completion: August 1, 2019
• Study Completion: August 1, 2019
• Last Updated: May 8, 2020

Record last verified: 2020-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (7)