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Reducing unintended pregnancies through web based reproductive life planning and contraceptive action planning among privately insured women: Study protocol for the MyNewOptions randomized controlled trial
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2015 Nov-Dec
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Source: Womens Health Issues. 25(6):641-648
[PDF-444.02 KB]
Details:
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Alternative Title:Womens Health Issues
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Personal Author:
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Description:Background:
The Affordable Care Act (ACA) mandates that most women of reproductive age with private health insurance have full contraceptive coverage with no out-of-pocket costs, creating an actionable time for women to evaluate their contraceptive choices without cost considerations. The MyNewOptions study is a three-arm randomized controlled trial testing web-based interventions aimed at assisting privately insured women with making contraceptive choices that are consistent with their reproductive goals.
Methods:
Privately-insured women between the ages of 18 and 40 not intending pregnancy were randomly assigned to one of three groups: 1) a reproductive life planning (RLP) intervention, 2) a reproductive life planning enriched with contraceptive action planning (RLP+) intervention, or 3) an information only control group. Both the RLP and RLP+ guide women to identify their individualized reproductive goals and contraceptive method requirements. The RLP+ additionally includes a contraceptive action planning component, which uses if-then scenarios that allow the user to problem solve situations that make it difficult to be adherent to their contraceptive method. All three groups have access to a reproductive options library, containing information about their contraceptive coverage and the attributes of alternative contraceptive methods. Women completed a baseline survey with follow-up surveys every 6 months over 2 years concurrent with intervention boosters. Study outcomes include contraceptive use and adherence. ClinicalTrials.gov Identifier: NCT02100124
Discussion:
Results from the MyNewOptions study will demonstrate whether web-based reproductive life planning, with or without contraceptive action planning, helps insured women make patient-centered contraceptive choices compared with an information-only control condition.
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Pubmed ID:26307564
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Pubmed Central ID:PMC6492249
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Volume:25
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Issue:6
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