The Young Woman's Reach Project: Trial of an Intervention to Impact Contraceptive Behavior, Unintended Pregnancy, and Sexually Transmitted Infections (STIs) Among Adolescent Females
NCT ID: NCT00230880
Last Updated: 2012-12-05
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
800 participants
INTERVENTIONAL
2005-07-31
2009-06-30
Brief Summary
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Detailed Description
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Currently there is very little research on the impact of different types of reproductive health clinic protocols on adolescent contraceptive use. Different outcomes have been found in the few studies that do exist on this topic. Hercog-Baron found that follow-up phone calls did not affect contraceptive use; however, explained that most youth stopped using contraception after the first three months of supply had run out and no calls were made beyond that time-frame. Authors suggested that the intervention may be more effective with a longer duration of follow-up. Alternatively, another study reported that their program substantially reduced teen pregnancy rates over time. Although the intervention had many components, the authors reported that the staff credited the positive relationships they created between the health educator and each student, and the frequent reminders contributed to the reduction in sexual risk-taking and pregnancy.
A review by Miller and Sanchez concluded that the following seven elements of brief interventions induced positive change in a variety of health areas:
1. feedback and counseling on personal risk,
2. emphasis on personal responsibility for change,
3. clear message about behavior change,
4. a menu of behavior change options,
5. therapist/counselor empathy,
6. facilitation of client self-efficacy and
7. use of a "motivational interviewing style".
To the extent feasible, these elements will be incorporated into the Project REACH phone calls. Although there is very little data available in this area, the studies summarized above suggest that multiple contacts over time, even though brief, can have an impact.
The NGHC will improve its reproductive health services by expanding current services to include a series of follow-up phone calls. The main purpose of these calls will be to assess how well patients are doing, to discuss any questions or problems they have had with their methods, and to enforce the four main messages:
1. encourage condom use,
2. encourage patients to return to the clinic for hormonal methods of contraception if they are likely to remain sexually active or want to change their method of contraception,
3. get STI tested annually or if at risk and
4. use the clinic as a resource and return for reproductive health needs.
Clinics in San Francisco and around the country do not know whether conducting follow-up calls improves contraception compliance, increases STI testing or decreases unintended pregnancy. This study will significantly increase the field's knowledge of the feasibility and impact of conducting follow-up calls with youth over an extended period of time after they come to the clinic.
Conditions
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Keywords
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Study Design
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RANDOMIZED
SINGLE_GROUP
HEALTH_SERVICES_RESEARCH
SINGLE
Study Groups
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Treatment
follow-up phone counseling
follow-up phone counseling
9 calls over 12 months
Control
Usual care
No interventions assigned to this group
Interventions
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follow-up phone counseling
9 calls over 12 months
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* At risk for unintended pregnancy (using no contraceptive method, using condoms for contraception, or not using a hormonal contraceptive method continuously for the last 3 months)
Exclusion Criteria
* Using a hormonal contraceptive method continuously for the last 3 months
* Not willing to be contacted by phone for the intervention.
14 Years
18 Years
FEMALE
No
Sponsors
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ETR Associates
OTHER
William and Flora Hewlett Foundation
OTHER
University of California, San Francisco
OTHER
Responsible Party
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Principal Investigators
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Tina R Raine-Bennett, MD, MPH
Role: PRINCIPAL_INVESTIGATOR
University of California, San Francisco
Doug Kirby, PhD
Role: PRINCIPAL_INVESTIGATOR
ETR Associates
Locations
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New Generation Health Center/UCSF
San Francisco, California, United States
Countries
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Other Identifiers
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OSR# 04038166
Identifier Type: -
Identifier Source: org_study_id