A Pilot Study Using Text Messaging to Communicate With Adolescent Females in the Pediatric Emergency Department

Study Overview
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Brief Summary
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The objective of this study is to develop and test an emergency department (ED)-based intervention which uses text messages to facilitate contraception initiation.

Detailed Description
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Our hypothesis is that adolescent females at high pregnancy risk who receive text message reminders and motivational messages that promote contraception and referral to the Family Planning Clinic are more likely to start effective contraception than those who receive standard paper-based referral to the Family Planning Clinic alone.

Official Title
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Texting 2 Initiate: A Pilot Study Using Text Messaging to Communicate With Adolescent Females in the Pediatric Emergency Department (T2I)

Conditions
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Pregnancy

Intervention / Treatment
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* Other: Text Messaging Intervention
* Other: Standard Referral


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged 14-19 years Sexually active with males in the past three months Presenting to the ED for a reproductive health complaint. Exclusion Criteria: Presently pregnant Too ill for participation per the attending physician Cognitively impaired In foster care or a ward of the state Does not speak English or Spanish Does not own a cellular or mobile phone with text messaging capabilities Used contraception at last intercourse and/or is currently using any highly effective or effective form of contraception (as defined by the World Health Organization) Does not live in Manhattan or the Bronx

Ages Eligible for Study
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Minimum Age: 14 Years
Maximum Age: 19 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 |
| --- | --- |
| Experimental: Text Messaging Intervention<br>Patients in the text messaging group will receive educational and motivational text messages. | Other: Text Messaging Intervention<br> <br> |
| Active Comparator: Standard Referral<br>Patients in the standard referral arm will receive paper based information about the Family Planning Clinic. | Other: Standard Referral<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Initiation of highly effective contraception, as defined by the World Health Organization. | We will be assessing contraception initiation rates based on electronic medical record review and telephone call follow up. | 3 months after initial enrollment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient visits to Family Planning Clinic | We assess Family Planning Clinic visits using our electronic medical records. | 3 months after initial enrollment | 
| Follow up for contraceptive counseling to a doctor or nurse | We will be asking patients during our phone call follow if they have had contraceptive counseling with any healthcare professional. We will also be looking through electronic medical records for documentation of contraceptive counseling such as by ICD-9 coding or a physician's/nurse's note. | 3 months after initial enrollment | 
| Change in pregnancy intentions | We will compare pregnancy intentions elicited from the answers provided in the baseline questionnaire to those reported on the telephone follow up for both study arms. | 3 months after initial enrollment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pregnancy, Pregnancy, unplanned, Reproductive behavior, Pregnancy in Adolescence, Text messaging