Structured Online Contraceptive Counseling (LOWE Trial) At Emergency Contraception (EC) Pharmacy Provision LOWE+EC=LOWEC

NCT ID: NCT06299475

Last Updated: 2024-09-19

Study Results

Results pending

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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Recruitment Status

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-27

Study Completion Date

2026-09-30

Brief Summary

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To increase sexual and reproductive health and rights through the improvement of contraceptive counseling and easy access to service and, thus, women's use of effective contraceptives after purchase of an emergency contraceptive pill (ECP).

Detailed Description

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This pragmatic cluster randomised cross-over controlled trial aims to determine whether the composite intervention of online contraceptive counseling at the time of a pharmacy provision of emergency contraceptive pill (ECP), plus an invitation to a sexual and reproductive health clinic, will result in increased use of subsequent effective contraception (hormonal or intrauterine) compared with standard care.

The study will be conducted at approximately 30 pharmacies in the Stockholm Region. Clients who will buy an ECP (without prescription) at one of these pharmacies will be invited by posters and pharmacy personnel to participate in the study. By scanning a quick response (QR) code they will receive more information about the study. Eligible women who choose to participate in the study and give their consent will be allocated to intervention or control group depending on the visited pharmacy's allocation.

Participants at the intervention pharmacies will receive an intervention package with online structured contraceptive counseling followed by an online invitation to a clinic for contraceptive provision. While participants at the control pharmacies will purchase the ECP without any further guidance. The order in which the pharmacies will provide the intervention or control will be randomly assigned at a ratio 1:1 by an independent statistician. The recruitment will halter for an intervening period of at least two weeks when the pharmacies switch to the new group depending on their first allocation (cross-over).

An online baseline questionnaire and follow-up questionnaires will be collected at 1 and 12 months following the ECP provision for participants both from intervention and control pharmacies.

The randomized controlled trial will be conducted together with a process evaluation.

Conditions

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Contraception

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

A cluster randomized crossover trial
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Online counseling and invitation

Participants receive structured online contraceptive counseling and an online invitation to a clinic for contraceptive provision

Group Type EXPERIMENTAL

Online counseling and invitation

Intervention Type OTHER

Online counseling - An educational video including contraceptive models, four key questions and an effectiveness chart (the LOWE intervention material).

Invitation to a clinic - access by weblinks to a regional or national website

Control

Participants receive standard praxis i.e. no contraceptive counseling or online invitation

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Online counseling and invitation

Online counseling - An educational video including contraceptive models, four key questions and an effectiveness chart (the LOWE intervention material).

Invitation to a clinic - access by weblinks to a regional or national website

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Women \>/=15 years visiting a pharmacy to buy ECP for her own use
* Has a smartphone with an electronic identification and ability to scan a QR code
* Ability to read Swedish or English
* Willing and able to provide informed consent
* Willing to participate in the follow-up

Exclusion Criteria

\* Ongoing pregnancy
Minimum Eligible Age

15 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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the Swedish Pharmacy Association

UNKNOWN

Sponsor Role collaborator

Karolinska Institutet

OTHER

Sponsor Role lead

Responsible Party

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Karin Emtell Iwarsson

Registered nurse-midwife, PhD, Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Karin Emtell Iwarsson, PhD

Role: PRINCIPAL_INVESTIGATOR

WHO-centre, Karolinska Institutet, Sweden

Locations

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Karolinska Institutet

Stockholm, , Sweden

Site Status

Countries

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Sweden

Other Identifiers

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2023-06755-01

Identifier Type: -

Identifier Source: org_study_id

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