Improving Person Centered Care for Post Abortion Patients in Kenya

Study Overview
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Brief Summary
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The purpose of this study is to understand the effect of a phone based post-abortion intervention on the experience of post-abortion care.

Detailed Description
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This study evaluates whether personalized text messages and phone calls to post abortion women can improve post abortion person-centered care, perceived social support, post-abortion family planning, and reduce perceptions of social stigma and stress. Women were randomized to one of three study arms: personalized communication with a peer counselor or nurse who received person-centered care (PCC) training, or a control arm where participants received the standard of care.

Official Title
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Strengthening Patient-Centered Accessibility, Respect, and Quality of Care for Post Abortion Care Through Peer and Nurse Based Phone Support

Conditions
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Reproductive Health

Intervention / Treatment
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* Behavioral: Person Centered Care - Post Abortion Support


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women of reproductive age Had an Safe Abortion (SA)/Post Abortion Care (PAC) procedure at one of six private clinics that day Has her own cellphone that is WhatsApp compatible and will have access to this phone for the next four weeks Willing to receive receive short message service (SMS) messages and phone calls from an Marie Stopes Kenya (MSK) or Innovation for Poverty Action (IPA) professional Able to communicate in English and/or Swahili Willing and able to comprehend and give informed consent Willing to participate in a baseline survey immediately after providing consent Willing to be followed up by phone at two weeks and four weeks post procedure for a 15-minute survey at each time-point Has not already participated in this study Exclusion Criteria: Is not a women of reproductive age Did not have an SA/PAC procedure at one of six private clinics that day Does not have her own cellphone that is WhatsApp compatible and will have access to this phone for the next four weeks Is not willing to SMS messages and phone calls from an MSK/IPA professional Is not able to communicate in English and/or Swahili Is not willing or is not able to comprehend and give informed consent Is not willing to participate in a baseline survey immediately after providing consent Is not willing to be followed up by phone at two weeks and four weeks post procedure for a 15-minute survey at each time-point Has already participated in this study

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 49 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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Peer Counselor<br>Participants receive personalized text messages and phone calls from a peer counselor- a women who had an abortion and was trained in post abortion care and PCC | Behavioral: Person Centered Care - Post Abortion Support<br>* Post abortion phone based support<br>|
| Experimental: Nurse<br>Participants receive personalized text messages and phone calls from a nurse trained in post abortion care and PCC | Behavioral: Person Centered Care - Post Abortion Support<br>* Post abortion phone based support<br>|
| No Intervention: control<br>Participants receive the standard of care for post-abortion patients in Kenya. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Person-Centered Abortion Scale Score | Survey conducted with women: self-report of experiences of PCC. Possible range 0-100; higher the score, better the experience | baseline | 
| Person-Centered Abortion Scale Score | Survey conducted with women: self-report of experiences of PCC. Possible range 0-100; higher the score, better the experience | 2 weeks post-procedure | 
| Person-Centered Abortion Scale Score | Survey conducted with women: self-report of experiences of PCC. Possible range 0-100; higher the score, better the experience | 4 weeks post-procedure | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Post abortion family planning counseling | Self-report if women received counseling on family planning (Yes/No) | baseline | 
| Post-abortion family planning uptake | Self-report of uptake of family planning (Yes/No/Refused to answer) | baseline | 
| Perceived social support | Medical Outcomes Study-Social Support 15-item Scale (MOS-SSS): 18-90 where higher scores indicate greater social support | baseline | 
| Perceived abortion stigma | The Individual Level Abortion Stigma Scale (ILAS Scale) Abbreviated 3-item Scale: 0-9 where higher scores indicate greater worry about stigma | baseline | 
| Mental Health | Mental Health Inventory (MHI-5) scale; 0-100 with higher scores indicating better mental health | baseline | 
| Post-abortion family planning uptake | self-report of uptake of family planning (Yes/No/Refused to answer) | 2 weeks post-procedure | 
| Mental Health | Mental Health Inventory (MHI-5) scale; 0-100 with higher scores indicating better mental health | 2-weeks post procedure | 
| Post-abortion family planning uptake | self-report of uptake of family planning (Yes/No/Refused to answer) | 4 weeks post-procedure | 
| Perceived social support | Medical Outcomes Study-Social Support 15-item Scale (MOS-SSS): 18-90 where higher scores indicate greater social support | 4 weeks post-procedure | 
| Perceived abortion stigma | The Individual Level Abortion Stigma Scale (ILAS Scale) Abbreviated 3-item Scale: 0-9 where higher scores indicate greater worry about stigma | 4 weeks post procedure | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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post abortion, person-centered care