Effect of Daily Text Messages on Oral Contraceptive Continuation A Randomized Controlled Trial
Effect of Daily Text Messages on Oral Contraceptive Continuation A Randomized Controlled Trial
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DOI：
10.1097/aog.0b013e31823d4167
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发表时间：
2012-01-01
影响因子：
7.2
通讯作者：
Westhoff, Carolyn
中科院分区：
文献类型：
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作者：
Castano, Paula M.;Bynum, Jillian Y.;Westhoff, Carolyn
目的：估计是否每天的教育短信影响口服避孕药（OCP）的延续在6 months.METHODS：我们随机选择OCP在城市计划生育卫生中心的年轻女性，无论是常规护理或常规护理加180天的日常教育短信。研究者对治疗分配设盲，对未设盲的受试者进行随机化。主要结果的措施是自我报告的OCP继续通过电话在6个月（5和8个月之间的联系）。结果：我们招募了962名参与者（480干预和482常规护理），并获得了683（346和337，分别）的继续数据。在随访时，64%的随机干预参与者仍然是OCP用户，而常规护理组为54%（P= 0.005）。如果在干预进行期间进行访谈，则干预组的继续率最高（75%与54%，P= 0.003）;干预结束后干预对继续率的影响较小（60%与54%，P= 0.16）。接受干预的参与者更有可能继续口服避孕药比对照组参与者在6个月（比值比1.44，95%置信区间1.03-2.00）在分析调整年龄，种族或民族，年龄在性交，怀孕史，和OCP experience.CONCLUSION：使用日常教育短信提高OCP连续6个月以上的常规护理。10名妇女将需要接受这种简单的干预，以改善在一个持续。这种影响在文本干预正在进行时进行随访的妇女中最强。
OBJECTIVE: To estimate whether daily educational text messages affect oral contraceptive pill (OCP) continuation at 6 months.METHODS: We randomized young women electing OCPs at an urban family planning health center to either routine care or routine care plus 180 days of daily educational text messages. Investigators masked to treatment allocation randomized participants who were not masked to treatment. The primary outcome measure was self-reported OCP continuation through a telephone call at 6 months (contacts between 5 and 8 months).RESULTS: We enrolled 962 participants (480 intervention and 482 routine care) and obtained continuation data on 683 (346 and 337, respectively). At the follow-up, 64% of participants randomized to the intervention were still OCP users compared with 54% of the routine care group (P=.005). Continuation was highest in the intervention group if the interview took place while the intervention was ongoing (75% compared with 54%, P=.003); the effect of the intervention on continuation was less after the intervention ended (60% compared with 54%, P=.16). Participants receiving the intervention were more likely to continue oral contraception than control participants at 6 months (odds ratio 1.44, 95% confidence interval 1.03-2.00) in analyses adjusted for age, race or ethnicity, age at coitarche, pregnancy history, and OCP experience.CONCLUSION: The use of daily educational text messages improves OCP continuation at 6 months over routine care alone. Ten women would need to receive this simple intervention to improve continuation in one. This effect is strongest in the women whose follow-up took place while the text intervention was ongoing.