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Texting to Increase Contraceptive Initiation Among Adolescents in the Emergency Department.

ABSTRACT: PURPOSE:To evaluate the feasibility and acceptability of a text messaging intervention to increase contraception among adolescent emergency department patients. METHODS: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. RESULTS: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. CONCLUSIONS:A pregnancy prevention texting intervention was feasible and acceptable among adolescent females in the emergency department setting.

SUBMITTER: Chernick LS

PROVIDER: S-EPMC5701840 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature

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Texting to Increase Contraceptive Initiation Among Adolescents in the Emergency Department.

Chernick Lauren S LS Stockwell Melissa S MS Wu Mengfei M Castaño Paula M PM Schnall Rebecca R Westhoff Carolyn L CL Santelli John J Dayan Peter S PS

The Journal of adolescent health : official publication of the Society for Adolescent Medicine 20171019 6

<h4>Purpose</h4>To evaluate the feasibility and acceptability of a text messaging intervention to increase contraception among adolescent emergency department patients.<h4>Methods</h4>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 foll ...[more]

PMID: 29056437

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Project description:IntroductionUnintended pregnancy disproportionately affects marginalized populations and has significant negative health and financial impacts on women, their families, and society. The emergency department (ED) is a promising alternative setting to increase access to sexual and reproductive health (SRH) services including contraception, especially among marginalized populations. The primary objective of this study was to determine the extent to which adult women of childbearing age who present to the ED would be receptive to receiving contraception and/or information about contraception in the ED. As a secondary objective, we sought to identify the barriers faced in attempting to obtain SRH care in the past.MethodsWe conducted a quantitative, cross-sectional, assisted, in-person survey of women aged 18-50 in the ED setting at two large, urban, academic EDs between June 2018-September 2019. The survey was approved by the institutional review board. Survey items included demographics, interest in contraception initiation and/or receiving information about contraception in the ED, desire to conceive, prior SRH care utilization, and barriers to SRH.ResultsA total of 505 patients participated in the survey. Participants were predominantly single and Black, with a mean age of 31 years, and reporting not wanting to become pregnant in the next year. Of those participants, 55.2% (n = 279) stated they would be interested in receiving information about birth control AND receiving birth control in the ED if it were available. Of those who reported the ability to get pregnant, and not desiring pregnancy in the next year (n = 279, 55.2%), 32.6% were not currently using anything to prevent pregnancy (n = 91). Only 10.5% of participants stated they had experienced barriers to SRH care in the past (n = 53). Participants who experienced barriers to SRH reported higher interest in receiving information and birth control in the ED (74%, n = 39) compared to those who had not experienced barriers (53%, n = 240); (P = 0.004, 95% confidence interval, 1.30-4.66).ConclusionThe majority of women of childbearing age indicated the desire to access contraception services in the ED setting. This finding suggests favorable patient acceptability for an implementation study of contraception services in emergency care.

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Texting to Increase Contraceptive Initiation Among Adolescents in the Emergency Department.

Publications

Texting to Increase Contraceptive Initiation Among Adolescents in the Emergency Department.

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