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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.

作者信息

Reiss Kate, Andersen Kathryn, Barnard Sharmani, Ngo Thoai D, Biswas Kamal, Smith Christopher, Carpenter James, Church Kathryn, Nuremowla Sadid, Pearson Erin

机构信息

Department of Population Health, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.

Ipas, P.O. Box 9990, Chapel Hill, NC, 27515, USA.

出版信息

BMC Public Health. 2017 Oct 3;17(1):769. doi: 10.1186/s12889-017-4703-z.


DOI:10.1186/s12889-017-4703-z
PMID:28974209
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5627401/
Abstract

BACKGROUND: Adoption of modern contraceptive methods after menstrual regulation (MR) is thought to reduce subsequent unwanted pregnancy and abortion. Long-acting reversible contraceptives (LARCs) are highly effective at reducing unintended pregnancy, but uptake in Bangladesh is low. Providing information on the most effective methods of contraception increases uptake of more effective methods. This protocol describes a randomised controlled trial of an intervention delivered by mobile phone designed to support post-MR contraceptive use in Bangladesh. METHODS: This is a multi-site single blind individual randomised controlled trial. At least 960 women undergoing MR procedures at selected facilities will be recruited after their procedure by female research assistants. Women will be randomised into the control or intervention group with a 1:1 ratio. All participants will receive usual clinic care, including contraceptive counselling and the telephone number of a non-toll-free call centre which provides counselling on MR and contraception. During the 4 months after their MR procedure, intervention participants will be sent 11 recorded interactive voice messages to their mobile phone about contraception with a focus on their chosen method and LARCs. Each message allows the participant to connect directly to the call centre. The intervention is free to the user. The control group will receive no messages delivered by mobile phone. All participants will be asked to complete an in-person questionnaire at recruitment and follow-up questionnaires by telephone at 2 weeks, 4 months and 12 months after their MR. The primary outcome for the trial will be self-reported LARC use 4 months post-MR. Secondary outcomes include LARC use at 2 weeks and 12 months post-MR, use of any effective modern contraceptive method at 2 weeks, 4 months and 12 months post-MR, and contraceptive discontinuation, contraceptive method switching, pregnancy, subsequent MR and experience of violence during the 12 month study period. DISCUSSION: Mobile phones offer a low-cost mechanism for providing individualised support to women with contraception outside of the clinic setting. This study will provide information on the effects of such an intervention among MR clients in Bangladesh. TRIAL REGISTRATION: Trial registered with clinicaltrials.gov Registration number: NCT02579785 Date of registration: 16th October 2015.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fb/5627401/81f048277392/12889_2017_4703_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fb/5627401/81f048277392/12889_2017_4703_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fb/5627401/81f048277392/12889_2017_4703_Fig1_HTML.jpg

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[1]
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.

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[5]
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[1]
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[2]
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[3]
Use of implementation science to advance family planning programs in low- and middle-income countries: A systematic review.

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[4]
Formative Study of Mobile Phone Use for Family Planning Among Young People in Sierra Leone: Global Systematic Survey.

JMIR Form Res. 2021-11-12

[5]
Targeted client communication via mobile devices for improving sexual and reproductive health.

Cochrane Database Syst Rev. 2020-7-14

[6]
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. 2019-9-26

[7]
A randomized controlled trial of an intervention delivered by mobile phone app instant messaging to increase the acceptability of effective contraception among young people in Tajikistan.

Reprod Health. 2018-2-13

本文引用的文献

[1]
Developing mHealth Messages to Promote Postmenstrual Regulation Contraceptive Use in Bangladesh: Participatory Interview Study.

JMIR Mhealth Uhealth. 2017-12-14

[2]
The Incidence of Menstrual Regulation Procedures and Abortion in Bangladesh, 2014.

Int Perspect Sex Reprod Health. 2017-3-21

[3]
Mobile Technology for Improved Family Planning (MOTIF): the development of a mobile phone-based (mHealth) intervention to support post-abortion family planning (PAFP) in Cambodia.

Reprod Health. 2016-1-5

[4]
Effect of a mobile phone-based intervention on post-abortion contraception: a randomized controlled trial in Cambodia.

Bull World Health Organ. 2015-12-1

[5]
Mobile phone-based interventions for improving contraception use.

Cochrane Database Syst Rev. 2015-6-26

[6]
Assessing the impact of mHealth interventions in low- and middle-income countries--what has been shown to work?

Glob Health Action. 2014-10-27

[7]
The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers: a systematic review.

PLoS Med. 2013-1-15

[8]
The incidence of menstrual regulation procedures and abortion in Bangladesh, 2010.

Int Perspect Sex Reprod Health. 2012-9

[9]
Continuation and satisfaction of reversible contraception.

Obstet Gynecol. 2011-5

[10]
The Contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception.

Am J Obstet Gynecol. 2010-6-11

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