Division of Pediatric Emergency Medicine, Department of Pediatrics, Columbia University Medical Center, New York, New York.
Department of Child and Adolescent Health, Columbia University Medical Center, New York, New York; Department of Population and Family Health, Mailman School of Public Health, Columbia University Medical Center, New York, New York.
J Adolesc Health. 2017 Dec;61(6):786-790. doi: 10.1016/j.jadohealth.2017.07.021. Epub 2017 Oct 19.
To evaluate the feasibility and acceptability of a text messaging intervention to increase contraception among adolescent emergency department patients.
A pilot randomized controlled trial of sexually active females aged 14-19 receiving 3 months of theory-based, unidirectional educational and motivational texts providing reproductive health information versus standardized discharge instructions. Blinded assessors measured contraception initiation via telephone follow-up and health record review at 3 months.
We randomized 100 eligible participants (predominantly aged 18-19, Hispanic, and with a primary provider); 88.0% had follow-up. In the intervention arm, 3/50 (6.0%) participants opted out, and 1,172/1,654 (70.9%) texts were successfully delivered; over 90% of message failures were from one mobile carrier. Most (36/41; 87.7%) in the intervention group liked and wanted future reproductive health messages. Contraception was initiated in 6/50 (12.0%) in the intervention arm and in 11/49 (22.4%) in the control arm.
A pregnancy prevention texting intervention was feasible and acceptable among adolescent females in the emergency department setting.
评估短信干预措施在增加青少年急诊患者避孕措施中的可行性和可接受性。
对 14-19 岁有性行为的女性进行了一项试点随机对照试验，这些女性接受了 3 个月的基于理论的、单向的教育和动机短信，提供生殖健康信息，而不是标准的出院指导。盲法评估员通过 3 个月的电话随访和健康记录审查来测量避孕措施的开始情况。
我们随机选择了 100 名符合条件的参与者（主要是 18-19 岁，西班牙裔，有主要的提供者）；88.0%的人有随访。在干预组中，有 3/50（6.0%）名参与者选择退出，1,172/1,654（70.9%）条短信成功发送；超过 90%的短信失败是来自一个移动运营商。在干预组中，大多数（36/41；87.7%）人喜欢并希望未来能收到生殖健康信息。在干预组中，有 6/50（12.0%）人开始使用避孕措施，而在对照组中，有 11/49（22.4%）人开始使用避孕措施。
在急诊环境中，针对青少年女性的妊娠预防短信干预措施是可行且可接受的。
