SexHealth Mobile: Integrating a Mobile Clinic and a Point-of-care Contraception Counseling and Access
Condition: Contraceptive Usage; Contraception
Study type: Interventional

Summary: 
      Pilot study aims to evaluate the effectiveness of "SexHealth Mobile" and improve access to
      highly effective contraception among women with substance use disorder (SUD) with "SexHealth
      Mobile" intervention. This intervention will consist of two existing services that will help
      reach women with or recovering from SUD and provide access to contraception, as well as
      counseling.
    

Detailed description: 
      Pilot study aims to evaluate the effectiveness of "SexHealth Mobile" and improve access to
      highly effective contraception among women with substance use disorder (SUD) with "SexHealth
      Mobile." Our study will follow a quasi-experimental design that uses an interrupted time
      series (i.e., usual care [control] then intervention care) to compare the uptake of
      contraception before and after implementing the "SexHealth Mobile" intervention.

      "SexHealth Mobile" integrates two existing services in our community: a mobile medical unit
      (MMU) operated by Swope Health Services and "SexHealth" a point-of-care contraception
      counseling service that our research team developed for Children's Mercy Hospital's emergency
      department (ED) for adolescents. Using a menu of adaptive services, "SexHealth Mobile" will
      bring contraceptive care to women with SUD (including the subset with opioid use disorder
      [OUD]) at recovery centers in the Kansas City community.

      Our primary hypothesis is that the current use of highly effective contraception will be
      greater at 1-month post-enrollment among women recruited during the intervention period
      (i.e., "SexHealth Mobile") compared to those recruited during the usual care period. The
      current use and discontinuation of contraception will also be compared at 2-weeks and
      3-months.

      Our approach consists of enrolling (n=170) eligible women are accessing health, recovery, or
      community services at a site we identified in our formative research work. We will aim to
      recruit up to 85 women during the usual care period and 85 during the intervention period. We
      will follow-up with participants at 2-weeks, 1-month, and 3-months after the enrollment date.
    

Intervention name(s): SexHealth Mobile
Intervention type(s): Behavioral
Intervention description(s): It will integrate two existing services in our community: a mobile medical unit (MMU) operated by Swope Health Services, and "SexHealth" a point-of-care contraception counseling service that our research team developed for Children's Mercy Hospital's emergency department (ED). Using a menu of adaptive services, "SexHealth Mobile" will bring contraceptive care to women with SUD (including a subset of women with OUD), if they wish to receive it, at targeted recovery sites Swope currently partners with.
Allocation: Non-Randomized
Intervention model: Sequential Assignment
Masking: Single (Participant)
Primary purpose: Health Services Research
Keywords: contraception; sexhealth mobile; substance abuse