An Intervention Delivered by App Instant Messaging to Increase Use of Effective Contraception Among Young Women in Bolivia

Study Overview
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Brief Summary
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This randomised controlled trial will establish the effect a contraceptive intervention delivered by mobile phone app instant messaging on use of effective contraception in Bolivia. Woman aged 16-24 will be randomised to have access to Centro de Investigacion, Educacion y Servicios's sexual and reproductive health app (control) or the app plus 0-3 instant messages a day for 4 months (intervention). Participants will complete a questionnaire at baseline and 4 month follow-up.

Official Title
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A Randomised Controlled Trial of an Intervention Delivered by App Instant Messaging to Increase Use of Effective Contraception Among Young Women in Bolivia

Conditions
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Contraception

Intervention / Treatment
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* Behavioral: Contraceptive instant messages
* Other: Mobile phone app


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged 16-24 Own a personal Android mobile phone Live in El Alto or La Paz Bolivia Sexually active Not using the pill, implant, injection, intrauterine device or patch Want to avoid a pregnancy Exclusion Criteria: Cannot read Spanish

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 24 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 |
| --- | --- |
| Experimental: Intervention<br>App plus the contraceptive instant messages | Behavioral: Contraceptive instant messages<br>* Contraceptive Instant messages<br>Other: Mobile phone app<br>* Mobile phone app<br>|
| Placebo Comparator: Control<br>App only | Other: Mobile phone app<br>* Mobile phone app<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Use of effective contraception | The proportion reporting current use of effective contraception (pill, intrauterine device, injection, implant, patch) | 4 months | 
| Acceptability of at least one method of effective contraception | The proportion reporting that at least one method of effective contraception is acceptable (pill, intrauterine device, injection, implant, patch) | 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Acceptability of individual effective contraceptive methods | The proportion reporting that individual methods of effective contraception are acceptable (pill, intrauterine device, injection, implant, patch) | 4 months | 
| Discontinuation of effective contraception | The proportion reporting use of effective contraception at any time during the 4 months (pill, intrauterine device, injection, implant, patch) | 4 months | 
| Service uptake | The proportion reporting attending a sexual health service during the 4 months | 4 months | 
| Unintended pregnancy | The proportion reporting that they became pregnant and did not want to become pregnant during the study | 4 months | 
| Induced abortion | The proportion reporting having an abortion during the study | 4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Reproductive health