Impact of Video Intervention on Postabortal Uptake of Long Acting Reversible Contraception (LARC)

Study Overview
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Brief Summary
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Primary: To compare rates of immediate postabortal LARC uptake between women exposed to a brief, theory-based, video intervention prior to standard contraceptive counseling and women exposed to standard counseling alone. Secondary: To identify predictors of immediate postabortal LARC uptake among all participants including the role of: Demographic and reproductive health history variables Baseline decisional balance, self-efficacy and stage of change for contraceptive initiation

Detailed Description
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This is a randomized controlled trial evaluating the effect of a brief video intervention on postabortal uptake of long acting reversible contraception.

Conditions
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Abortion

Intervention / Treatment
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* Behavioral: Video intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Ages 18 - 29 Surgical abortion being performed the day of the study English speaking Exclusion Criteria: Nonviable pregnancy Sexual assault Administered sedative medication Non English speaking

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 29 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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Video intervention<br>Participants will view a seven - minute theory-based video of patient testimonials about their own postabortal LARC uptake. | Behavioral: Video intervention<br>* Brief 7 minute video of physician describing LARC methods followed by two patient testimonials about their own postabortal LARC experience.<br>|
| No Intervention: Control<br>Patients will view a 7 minute video about stress management delivered by local psychologist. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postabortal LARC uptake | Immediate uptake of IUD or contraceptive implant following surgical abortion | Immediate | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Perceived self efficacy surrounding LARC decision making | Subject's own perception of her ability to uptake LARC in the postabortal period. | Baseline | 
| Perceived decisional balance surrounding LARC decision making | Subjects perceived pros and cons around starting a LARC method in the postabortal period | Immediate | 
| Stage of behavioral change around LARC uptake |  | Immediate | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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IUD, Abortion, LARC, Contraception, Contraceptive implant, behavioral change, video intervention