Evaluating a Digital Health Information Tool

Study Overview
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Brief Summary
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The primary aim of the proposed project is to conduct a randomized controlled trial to evaluate the efficacy of a digital intervention tool that enables young people to correspond with trained staff via online chat or text messages about urgent questions related to sexual/reproductive health.

Detailed Description
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The present evaluation study engages digital technology to target young people to impact their use of sexual health services. The primary aim of the proposed project is to conduct a randomized controlled trial to evaluate the efficacy of an intervention tool that enables young people to correspond with trained staff via online chat or text messages about urgent questions related to sexual/reproductive health. Specifically, Chat/Text is a program designed to provide immediate answers to urgent sexual and reproductive health questions from a reliable and confidential source and to link young people to sexual and reproductive health services. Agents are trained on substantive topics, and on responding compassionately and appropriately. They are provided scripted responses to specific topics. Agent performance is monitored and evaluated to ensure high-quality responses that meet the goals of the program. The program targets groups experiencing sexual and reproductive health disparities, particularly Black and Latino/Hispanic teens and young adults. The Chat/Text program was launched in September 2010 by Planned Parenthood Federation of America (PPFA). The present project is evaluating the efficacy of the Chat/Text program. Specifically, the investigators will compare the effect of the Chat/Text program to the standard of care available from PPFA (website content) in the absence of the Chat/Text program. Participants will be randomized into one of the three arms of the evaluative study (experimental, control, and passive control). Participants in the experimental arm will receive access to the digital Chat/Text program where they can ask questions and receive answers about sexual and reproductive health issues in real-time, immediately followed by a combined baseline and follow-up assessment. Participants in the control arm of the study will be routed to the Planned Parenthood website to content and information on sexual and reproductive health issues, also followed by the combined assessment. Participants in the passive control will receive a standalone baseline assessment and then be routed to the website. No additional contact will be made with the passive control group. The experimental participants will receive booster sessions in the form of e-mail and SMS communications. The first (5 days post-intervention) and second (3 weeks post-intervention) booster sessions will focus on appointment adherence. The third (2 months post-intervention) and fourth (2.5 months post-intervention) booster sessions will focus on effective birth control methods in addition to appointment adherence. The control condition will not receive booster sessions, but will receive communications that aim to obtain additional tracking information. These tracking communications will be sent at the same time points as the experimental booster sessions (i.e., 5 days-, 3 weeks-, 2 months-, and 2.5 months-post website exposure).

Official Title
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Chat/Text Program: Digital Health Information Efficacy Trial

Conditions
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Behavior and Behavior Mechanisms

Intervention / Treatment
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* Behavioral: Chat/Text Program
* Behavioral: Website Content
* Other: Delayed Treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Female Aged 15-25 Had sex within the past 30 days prior to enrollment Never used the Planned Parenthood Chat/Text program Exclusion Criteria: Males Females outside the ages of 15-25 Female who report not having sex in the past 30 days Have used the Planned Parenthood Chat/Text program

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 25 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Delayed Treatment<br>Participants will receive a baseline survey and be routed to the Planned Parenthood website. No subsequent survey will be administered. | Other: Delayed Treatment<br>* Participants will receive a baseline survey and be routed to the Planned Parenthood website. No subsequent survey will be administered<br>|
| Experimental: Chat/Text Program<br>Participants will receive real-time answers to questions they have about sexual and reproductive health topics from trained chat agents via the digital intervention program. | Behavioral: Chat/Text Program<br>* Participants will receive access to the Chat/Text program on the internet via computer or mobile device. The Chat/Text program involves interactive, immediate, and tailored messages (with pre-determined content) delivered by Chat/Text agents via online chat or mobile phone text. At the conclusion of the session, the participants will receive a combination-baseline and follow-up survey.<br>|
| Other: Website Content<br>Participants will be routed to the Planned Parenthood website to information and content about issues regarding sexual and reproductive health. | Behavioral: Website Content<br>* Participants will be directed to content and information on the Planned Parenthood website. The website contains information on birth control methods, locations of Planned Parenthood health clinics, and on sexual and reproductive health more broadly.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Increasing clinic attendance | Increasing clinic attendance is measured using a self-report item that indicates if a participant completed a clinic appointment. | Measured at 10 days post-intervention | 
| Increasing clinic attendance | Increasing clinic attendance is measured using a self-report item that indicates if a participant completed a clinic appointment. | Measured at 30 days post-intervention | 
| Increasing clinic attendance | Increasing clinic attendance is measured using a self-report item that indicates if a participant completed a clinic appointment. | Measured at 3 months post-intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Use of more effective birth control use | The use of more effective birth control use is determined, through a self-report question asking if a participant changed her method of birth control to a more effective one. For example, a participant may change from a barrier method (e.g., condom) to a hormonal method. | Measured at 10 days post-intervention | 
| Use of more effective birth control use | The use of more effective birth control use is determined, through a self-report question asking if a participant changed her method of birth control to a more effective one. For example, a participant may change from a barrier method (e.g., condom) to a hormonal method. | Measured at 30 days post-intervention | 
| Use of more effective birth control use | The use of more effective birth control use is determined, through a self-report question asking if a participant changed her method of birth control to a more effective one. For example, a participant may change from a barrier method (e.g., condom) to a hormonal method. | Measured at 3 months post-intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Digital and mobile health, Sexual and reproductive health, Adolescents and young adults