Intrauterine Device (IUD) Self Removal

Study Overview
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Brief Summary
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This pilot research study will teach patients how to self-remove intrauterine contraceptive device (IUD) through an educational video and simulation and evaluate patient perspectives and experiences related to IUD self-removal with two surveys. Patients will be recruited for this study at the time of presentation to the office for IUD removal. After consenting to the procedure, participants will complete a pre-intervention survey, watch a video explaining how to self-remove the IUD, and use two models to simulate IUD removal. After completion of using the models to practice IUD removal, participants will complete a second short survey. The participant will then be given the option of attempting self-removal and be given time to attempt the removal. If the participant elects to have the provider remove their IUD, the provider will do so. At the end of the encounter, participants will fill out a final survey. Research staff will measure the length of the strings of all IUDs prior to routine disposal of the device.

Official Title
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Patients Pull the Strings: A Pilot Study of IUD Self-Removal Simulation

Conditions
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IUD Removal

Intervention / Treatment
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* Other: IUD self-removal education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: English or Spanish speaking Present to Boston Medical Center Yawkey for removal of IUD and have been consented for removal Are eligible for removal of IUD in the office setting Exclusion Criteria: Current incarceration

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Participants consented for IUD removal<br>Participants will be shown an educational video about IUD self-removal and simulation models. After the video, participants will be given the choice to either attempt IUD self-removal or to have their provider perform standard removal. If a participant elects to attempt self-removal and fails, their provider will offer standard removal. | Other: IUD self-removal education<br>* Two part educational intervention (watching IUD self-removal video and practicing IUD removal on two simulation models)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in proportion of participants who are willing to attempt IUD self-removal | Participants will be asked before and after reviewing the educational video and practicing self-removal through simulation, if they are willing to attempt IUD self-removal. The change in the proportion willing to attempt IUD self-removal will be calculated. | baseline, 15-30 minutes | 
| Proportion of participants who attempt IUD self-removal | Attempt Yes/No | 15-30 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Success of IUD self removal | Success Yes/No | 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Self removal of IUD, Educational video, Simulation, Patient education, Intrauterine device, Contraception