Video Counseling for Effective Postpartum Contraception

Study Overview
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Brief Summary
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This is a randomized clinical trial to evaluate if the addition of long-acting reversible contraception (LARC) focused video-counseling during prenatal care increases uptake of postpartum LARC.

Detailed Description
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Eligible participants will be identified in the prenatal period and will be randomized to one of two groups. The control group will receive the standard of care contraceptive counseling during prenatal counseling. The intervention group will also receive the standard of care contraceptive counseling during prenatal care, but will also watch an evidence-based,12 minute LARC First video created by the CHOICE project which provides information on different contraceptive methods. All participants will receive information regarding access to free LARC methods in the postpartum period. All participants will be called at 12 weeks postpartum. Independent of randomization arm, they will all undergo a 5-minute survey by phone about contraceptive method choice and use.

Official Title
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Video Counseling for Effective Postpartum Contraception: a Randomized Clinical Trial

Conditions
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Contraception

Intervention / Treatment
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* Behavioral: LARC First Video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: woman presenting for routine prenatal care visit at University of North Carolina (UNC) Resident Continuity Clinic least 18 years old fluent in English able to read to a third-grade reading level not planning sterilization for postpartum contraception at least 28 weeks gestation at time of enrollment Exclusion Criteria: those who do not meet the previously outlined inclusion criteria those who are unable to provide informed consent.

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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Standard Counseling<br>Women in this arm will receive standard contraceptive counseling routinely provided during prenatal care. All participants will receive information regarding access to free LARC methods in the postpartum period. | |
| Experimental: Video Counseling<br>Women in this arm will receive LARC First video-based contraceptive counseling in addition to standard contraceptive counseling routinely provided during prenatal care. All participants will receive information regarding access to free LARC methods in the postpartum period. | Behavioral: LARC First Video<br>* LARC First is an evidence-based, 12-minute video developed by the CHOICE project that features women of all racial and ethnic backgrounds describing LARC methods of contraception in simple, understandable language with summary text when appropriate.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of women who received an intrauterine device (IUD) or implant by 12 weeks postpartum |  | 12 weeks postpartum | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of women using any contraceptive method at 12 weeks postpartum |  | 12 weeks postpartum | 
| Proportion of women who attended a postpartum visit |  | 12 weeks postpartum | 
| Proportion of women answering agree or strongly agree to the following statement I would recommend birth control counseling by video to a friend. |  | Baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Postpartum Period