Tailored health messaging improves contraceptive continuation and adherence: results from a randomized controlled trial
Tailored health messaging improves contraceptive continuation and adherence: results from a randomized controlled trial
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DOI：
10.1016/j.contraception.2012.02.005
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发表时间：
2012-11-01
期刊：
影响因子：
2.9
通讯作者：
Chiasson, Mary Ann
中科院分区：
文献类型：
--
作者：
Garbers, Samantha;Meserve, Allison;Chiasson, Mary Ann
背景：在美国，停止和不正确使用避孕方法可能导致每年多达100万例意外怀孕。研究设计：在两个计划生育地点进行了一项三臂随机对照试验，以测试计算机避孕评估模块在增加患者在计划生育访问4个月后继续使用其选择的避孕方法的比例方面的有效性(n=224)。结果：在对招募的临床地点进行调整的分析中，使用该模块并接受个性化定制卫生材料的计划生育患者(n=78)与对照组(n=70)相比，显著更有可能继续使用其选择的避孕方法[95%比77%；优势比(OR)=5.48；95%可信区间(CI)：1.72-17.42]，并坚持他们的方法(86%比69%；OR=2.74；95%CI：1.21-6.21)。使用该模块但没有收到定制材料的参与者(n=76)与对照组相比，这些结果没有显著差异。结论：定制健康材料显著提高了避孕方法的连续性和依从性。在更大的样本和更长的随访期内，关于干预对持续和坚持的影响的进一步研究是值得的。(C)2012 Elsevier Inc.保留所有权利。
Background: Discontinuation and incorrect use of contraceptive methods may contribute to as many as 1 million unintended pregnancies annually in the United States. Interventions to improve contraceptive method continuation and adherence are needed.Study Design: A three-arm randomized controlled trial was conducted at two family planning sites testing the efficacy of a computer-based contraceptive assessment module in increasing the proportion of patients who continued use of their chosen contraceptive method 4 months after the family planning visit (n=224).Results: In analyses adjusting for clinical site of recruitment, family planning patients who used the module and received individually tailored health materials (n=78), compared to those in the control group (n=70), were significantly more likely to continue use of their chosen contraceptive method [95% compared to 77%; odds ratio (OR)=5.48; 95% confidence interval (CI): 1.72-17.42] and to adhere to their method (86% compared to 69%; OR=2.74; 95% CI: 1.21-6.21). No significant differences in these outcomes were found for participants who used the module but did not receive tailored materials (n=76), compared to the control group.Conclusions: Tailored health materials significantly improved contraceptive method continuation and adherence. Additional research on the impact of the intervention on continuation and adherence in a larger sample and over a longer follow-up period is merited. (C) 2012 Elsevier Inc. All rights reserved.