Video Versus Conversational Contraceptive Counseling During Maternity Hospitalization

Study Overview
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Brief Summary
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A randomized trial comparing LARC uptake and satisfaction after either video or conversational-based contraceptive counseling for pregnant women in labor.

Detailed Description
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This was a multi-center randomized, controlled trial examining contraceptive counseling in the setting of long-acting reversible contraception (LARC) uptake and immediate provision. At two urban public hospitals with large adolescent populations, participants were randomized to a structured, in-person conversation with a trained counselor or a 14-minute video providing the same information. Both participant groups were provided written materials and both had the opportunity to ask questions of the counselor. The total time to complete counseling was measured, as well as participant satisfaction, pre- and post-intervention contraceptive knowledge, and intended postpartum contraceptive method.

Official Title
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Video Versus Conversational Contraceptive Counseling During Maternity Hospitalization: The COMSE Randomized Trial

Conditions
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Contraceptive Usage, Contraception Behavior

Intervention / Treatment
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* Other: Video counseling
* Other: Conversational counseling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Live pregnancy >20 weeks gestation Admission to maternity ward for labor Age >14 Exclusion Criteria: Pain >=8 on Wong-Baker FACES pain scale

Ages Eligible for Study
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Minimum Age: 14 Years
Maximum Age: 45 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
Interventional Model Description: Two groups randomized to counseling type.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Video counseling<br>The video group watched a 13.75 minute video of a local Colombian counselor reading a script of the same information provided by conversational counseling and had a chance to ask questions at the end. | Other: Video counseling<br>* Video counseling<br>|
| Active Comparator: Conversational counseling<br>The conversation group participated in a structured, face-to-face conversation with a trained counselor. | Other: Conversational counseling<br>* Conversational counseling<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total Counseling Time | Duration of counseling in minutes (from initiation of counseling to conclusion of all questions answered.) The clock was not stopped for breaks, which were allowed as needed. | Immediately following the intervention, an average of less than 30 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Knowledge Scores | Mean total correct answer (score) to 7 multiple-choice contraceptive knowledge questions. Total possible score is 0-7, with 7 representing 100% correct answers. Score measured after completion of the knowledge questionnaire, on average less than one hour, before (pre) and after (post) counseling. | One hour | 
| Number of Participants Initiating Postpartum LARC Uptake | Number of participants initiating long-acting reversible contraception (LARC - intrauterine device (IUD) or implant) prior to hospital discharge. | Assessed at the time of hospital discharge, on average less than 2 days |