Mobile contraceptive application use in a clinical setting in addition to standard contraceptive counseling: A randomized controlled trial
Mobile contraceptive application use in a clinical setting in addition to standard contraceptive counseling: A randomized controlled trial
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DOI：
10.1016/j.contraception.2018.07.001
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发表时间：
2018-10-01
期刊：
影响因子：
2.9
通讯作者：
Gilliam, Melissa L.
中科院分区：
文献类型：
--
作者：
Hebert, Luciana E.;Hill, Brandon J.;Gilliam, Melissa L.
目的：评价候诊室避孕咨询移动应用程序miPlan对临床接触时讨论长效可逆避孕（LARC）的兴趣和LARC摄取的影响。研究设计：本随机对照试验评估了miPlan避孕咨询应用程序。在中西部一个大城市的四个计划生育诊所就诊的15-29岁的非洲裔美国人和拉丁裔年轻女性被随机分为两组：(1)在避孕诊所就诊前使用miPlan（干预）或(2)单独避孕诊所就诊（对照组）。比较各组对避孕有效性的认识、讨论LARC的兴趣、使用LARC的行为意图和LARC的摄取。结果：2015年2月至2016年1月，207名年轻女性随机分为干预组（n=104）和对照组（n=103）。在使用应用程序后，干预组对植入物的了解和兴趣都有所增加。随访后立即，两组间LARC的摄取无显著差异（p < 0.05）。干预后3个月，app用户报告的宫内节育器有效性知识比对照组多（52.3% vs 30.8%, p=.001）。LARC的使用差异无统计学意义。结论：App使用与LARC方法使用的增加无关。它与避孕有效性知识的增加、对植入物学习的兴趣以及使用LARC方法的行为意图有关。意义：miPlan应用程序是提高避孕知识和意愿的可行临床辅助手段，然而，它与LARC使用的增加无关。移动应用程序可以为避孕咨询访问提供方便的补充。(C) 2018爱思唯尔公司版权所有。
Objective: To evaluate the effect of miPlan, a waiting-room contraceptive counseling mobile application (app), on interest in discussing long-acting reversible contraception (LARC) during the clinical encounter and LARC uptake.Study design: This randomized controlled trial evaluated the miPlan contraceptive counseling app. African American and Latina young women ages 15-29 years attending four family planning clinics in a large Midwestern city were randomized to either: (1) use miPlan (intervention) prior to the contraceptive clinic visit or (2) contraceptive clinic visit alone (control). Groups were compared on knowledge of contraceptive effectiveness, interest in discussing LARC, behavioral intentions to use LARC, and LARC uptake.Results: From February 2015 to January 2016, 207 young women were randomized to intervention (n=104) or control (n=103) group. Immediately following app use, the intervention group had an increase in knowledge and interest in learning about the implant. Immediate post visit, there was no significant difference in uptake of LARC between the two groups (p>.05). At three months post intervention, app users reported more knowledge of IUD effectiveness (52.3% vs 30.8%, p=.001) compared to controls. There was no significant difference in LARC use.Conclusion: App use was not associated with an increase in using LARC methods. It was associated with increased knowledge of contraceptive effectiveness, an interest in learning about the implant, and behavioral intentions to use LARC methods.Implications: The miPlan app is a feasible clinic adjunct for increasing contraceptive knowledge and intentions, however, it is not associated with increased LARC use. Mobile applications can offer an accessible complement to the contraceptive counseling visit. (C) 2018 Elsevier Inc. All rights reserved.