Effect of a mobile phone-based intervention on post-abortion contraception: a randomized controlled trial in Cambodia.
Effect of a mobile phone-based intervention on post-abortion contraception: a randomized controlled trial in Cambodia.
复制标题
DOI：
10.2471/blt.15.160267
复制
发表时间：
2015-12-01
影响因子：
11.1
通讯作者：
Free C
中科院分区：
文献类型：
--
作者：
Smith C;Ngo TD;Gold J;Edwards P;Vannak U;Sokhey L;Machiyama K;Slaymaker E;Warnock R;McCarthy O;Free C
评估基于移动的电话的干预（mHealth）对柬埔寨妇女使用堕胎后避孕措施的影响。移动的技术促进改善计划生育（MOTIF）研究涉及在柬埔寨四家玛丽斯托普斯国际诊所寻求安全堕胎服务的妇女。我们将249名妇女随机分配到一个基于移动的电话的干预，其中包括六个自动的，互动的语音信息与顾问电话支持，根据需要，而251名妇女被分配到一个对照组接受标准护理。主要结局是流产后4个月和12个月自我报告的有效避孕方法的使用。431名（86%）参与者在4个月时和328名（66%）参与者在12个月时有效避孕的数据。与对照组相比，干预组中报告在4个月时有效使用避孕措施的女性明显更多（分别为64%和46%;相对风险，RR：1.39; 95%置信区间，CI：1.17-1.66），但在12个月时则不然（分别为50%和43%; RR：1.16; 95%CI：0.92-1.47）。然而，在两次随访中，干预组中有更多的妇女报告使用长效避孕方法。两组在4个月或12个月时重复妊娠或流产方面无显著差异。在柬埔寨的堕胎护理服务中增加基于移动的电话干预对任何有效避孕措施的总体使用产生了短期影响，而长效避孕方法的使用则持续了整个研究期间。
To assess the effect of a mobile phone-based intervention (mHealth) on post-abortion contraception use by women in Cambodia. The Mobile Technology for Improved Family Planning (MOTIF) study involved women who sought safe abortion services at four Marie Stopes International clinics in Cambodia. We randomly allocated 249 women to a mobile phone-based intervention, which comprised six automated, interactive voice messages with counsellor phone support, as required, whereas 251 women were allocated to a control group receiving standard care. The primary outcome was the self-reported use of an effective contraceptive method, 4 and 12 months after an abortion. Data on effective contraceptive use were available for 431 (86%) participants at 4 months and 328 (66%) at 12 months. Significantly more women in the intervention than the control group reported effective contraception use at 4 months (64% versus 46%, respectively; relative risk, RR: 1.39; 95% confidence interval, CI: 1.17–1.66) but not at 12 months (50% versus 43%, respectively; RR: 1.16; 95% CI: 0.92–1.47). However, significantly more women in the intervention group reported using a long-acting contraceptive method at both follow-up times. There was no significant difference between the groups in repeat pregnancies or abortions at 4 or 12 months. Adding a mobile phone-based intervention to abortion care services in Cambodia had a short-term effect on the overall use of any effective contraception, while the use of long-acting contraceptive methods lasted throughout the study period.
影响因子：
2.5
作者：
Smith C;Ngo TD;Edwards P;Free C
通讯作者：
Free C