MObile Technology for Improved Family Planning Services (MOTIF): study protocol for a randomised controlled trial.
MObile Technology for Improved Family Planning Services (MOTIF): study protocol for a randomised controlled trial.
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DOI：
10.1186/1745-6215-14-427
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发表时间：
2013-12-12
期刊：
影响因子：
2.5
通讯作者：
Free C
中科院分区：
文献类型：
--
作者：
Smith C;Vannak U;Sokhey L;Ngo TD;Gold J;Khut K;Edwards P;Rathavy T;Free C
在堕胎后向妇女提供避孕方法对降低重复堕胎率很重要，但堕胎后有效的计划生育干预措施的证据有限。该方案概述了对柬埔寨使用语音信息支持堕胎后计划生育的移动的电话干预措施的评价。500名参与者的单盲随机对照试验。18岁或以上的客户，在柬埔寨的四家玛丽斯托普国际诊所进行堕胎，拥有移动的电话，目前不希望有孩子，以1：1的分配比例随机分配到基于移动的电话的干预或控制（标准护理）。该干预措施包括一系列六条自动语音消息，以提醒客户可用的计划生育方法，并提供额外支持的渠道。客户可以响应消息提示，要求咨询师打电话，或者声明他们没有问题。要求与顾问交谈或不回复信息提示的客户会接到玛丽斯托普斯国际柬埔寨顾问的电话，该顾问提供有关计划生育的个性化建议和支持。干预的持续时间为3个月。对照组接受现有的标准治疗，不接受额外的基于移动的电话的支持。我们假设，干预措施将提醒客户有关可用的避孕方法，及早发现副作用问题并提供支持，从而增加堕胎后计划生育的使用，同时减少中止和不安全的方法转换。参与者在基线和4个月时进行评估。主要结局指标是在流产后4个月使用有效的现代避孕方法。次要结局指标包括避孕措施的使用、妊娠和流产后4个月内的重复流产。风险比将被用作干预对结局影响的衡量标准，并将在95%置信区间内进行估计。所有分析都将基于“意向治疗”原则。本研究将提供证据，证明基于移动的电话的干预措施使用语音信息支持识字率有限的人群使用避孕药具的有效性。调查结果可以推广到不同环境中的类似人群。ClinicalTrials.gov标识符：NCT 01823861
Providing women with contraceptive methods following abortion is important to reduce repeat abortion rates, yet evidence for effective post-abortion family planning interventions are limited. This protocol outlines the evaluation of a mobile phone-based intervention using voice messages to support post-abortion family planning in Cambodia. A single blind randomised controlled trial of 500 participants. Clients aged 18 or over, attending for abortion at four Marie Stopes International clinics in Cambodia, owning a mobile phone and not wishing to have a child at the current time are randomised to the mobile phone-based intervention or control (standard care) with a 1:1 allocation ratio. The intervention comprises a series of six automated voice messages to remind clients about available family planning methods and provide a conduit for additional support. Clients can respond to message prompts to request a phone call from a counsellor, or alternatively to state they have no problems. Clients requesting to talk to a counsellor, or who do not respond to the message prompts, receive a call from a Marie Stopes International Cambodia counsellor who provides individualised advice and support regarding family planning. The duration of the intervention is 3 months. The control group receive existing standard of care without the additional mobile phone-based support. We hypothesise that the intervention will remind clients about contraceptive methods available, identify problems with side effects early and provide support, and therefore increase use of post-abortion family planning, while reducing discontinuation and unsafe method switching. Participants are assessed at baseline and at 4 months. The primary outcome measure is use of an effective modern contraceptive method at 4 months post abortion. Secondary outcome measures include contraception use, pregnancy and repeat abortion over the 4-month post-abortion period. Risk ratios will be used as the measure of effect of the intervention on the outcomes, and these will be estimated with 95% confidence intervals. All analyses will be based on the ‘intention to treat’ principle. This study will provide evidence on the effectiveness of a mobile phone-based intervention using voice messages to support contraception use in a population with limited literacy. Findings could be generalisable to similar populations in different settings. ClinicalTrials.gov Identifier: NCT01823861
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影响因子：
168.9
作者：
Lester, Richard T.;Ritvo, Paul;Plummer, Francis A.
通讯作者：
Plummer, Francis A.
影响因子：
2.1
作者：
BRUCE, J
通讯作者：
BRUCE, J
影响因子：
168.9
作者：
Free, Caroline;Knight, Rosemary;Robertson, Steven;Whittaker, Robyn;Edwards, Phil;Zhou, Weiwei;Rodgers, Anthony;Cairns, John;Kenward, Michael G.;Roberts, Ian
通讯作者：
Roberts, Ian
影响因子：
7.2
作者：
Hou, Melody Y.;Hurwitz, Shelley;Goldberg, Alisa B.
通讯作者：
Goldberg, Alisa B.
影响因子：
2.9
作者：
L'Engle, Kelly L.;Vandat, Heather L.;Zan, Trinity
通讯作者：
Zan, Trinity