A Cluster Randomized Controlled Trial of the MyFamilyPlan Online Preconception Health Education Tool
A Cluster Randomized Controlled Trial of the MyFamilyPlan Online Preconception Health Education Tool
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DOI：
10.1177/0890117117700585
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发表时间：
2018-05-01
影响因子：
2.7
通讯作者：
Gregory, Kimberly D.
中科院分区：
文献类型：
--
作者：
Batra, Priya;Mangione, Carol M.;Gregory, Kimberly D.
目的：为了评估是否暴露于MyFamilyPlan-一个基于网络的孕前健康教育模块-改变妇女讨论生殖健康与供应商在well-woman visits.Design的比例：集群随机对照试验。每组130名参与者分布在34个群组（医生）中，需要检测20%的主要结局变化。设置：城市学术医疗中心（加州）。参与者：符合条件的女性年龄为18至45岁，讲英语，未怀孕，能够访问互联网，并有一个即将到来的妇女访问。在2015年9月和2016年5月之间通过电子邮件和电话招募; 292名入组者随机化。干预：干预参与者在预定的健康女性访问前7至10天在线完成MyFamilyPlan模块;对照参与者审查标准的在线孕前健康教育材料。自我报告的次要结果是叶酸的使用、避孕方法的开始/改变和自我效能score.Analysis：Multilevel multivariate logistic regression.Results：在调整协变量和聚类后，MyFamilyPlan的暴露是唯一与女性与提供者讨论生殖健康的比例增加显著相关的变量（比值比：1.97，95%置信区间：1.22-3.19）。结论：MyFamilyPlan暴露与报告与提供者讨论生殖健康的女性比例显着增加相关，并可能促进孕前健康意识;需要更多的工作来影响相关行为。
Purpose: To evaluate whether exposure to MyFamilyPlan-a web-based preconception health education module-changes the proportion of women discussing reproductive health with providers at well-woman visits.Design: Cluster randomized controlled trial. One hundred thirty participants per arm distributed among 34 clusters (physicians) required to detect a 20% change in the primary outcome.Setting: Urban academic medical center (California).Participants: Eligible women were 18 to 45 years old, were English speaking, were nonpregnant, were able to access the Internet, and had an upcoming well-woman visit. E-mail and phone recruitment between September 2015 and May 2016; 292 enrollees randomized.Intervention: Intervention participants completed the MyFamilyPlan module online 7 to 10 days before a scheduled well-woman visit; control participants reviewed standard online preconception health education materials.Measures: The primary outcome was self-reported discussion of reproductive health with the physician at the well-woman visit. Self-reported secondary outcomes were folic acid use, contraceptive method initiation/change, and self-efficacy score.Analysis: Multilevel multivariate logistic regression.Results: After adjusting for covariates and cluster, exposure to MyFamilyPlan was the only variable significantly associated with an increase in the proportion of women discussing reproductive health with providers (odds ratio: 1.97, 95% confidence interval: 1.22-3.19). Prespecified secondary outcomes were unaffected.Conclusion: MyFamilyPlan exposure was associated with a significant increase in the proportion of women who reported discussing reproductive health with providers and may promote preconception health awareness; more work is needed to affect associated behaviors.