Targeted Video Messaging About Emergency Contraception

Study Overview
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Brief Summary
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This research study will assess the real-world effectiveness of Facebook advertising as a strategy to reach women of reproductive age who are at risk of unintended pregnancy with a brief educational intervention about emergency contraception (EC).

Detailed Description
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This research study will assess the real-world effectiveness of Facebook advertising as a strategy to reach women of reproductive age who are at risk of unintended pregnancy with a brief educational intervention about emergency contraception (EC). The investigators will assess whether a video or website link has superior reach, engagement, and return on investment (measured as cost per click) through a Facebook ad campaign. The investigators will also ensure that both modalities of consumer engagement (website and video) are efficacious at ensuring adequate and improved knowledge of emergency contraception through a laboratory-environment trial.

Official Title
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Targeted Video Messaging About Emergency Contraception Via a Social Media Platform

Conditions
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Contraception

Intervention / Treatment
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* Other: Emergency contraception website
* Other: Emergency contraception video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women 18 to 29 years old Living or seeking care in or around Boston, MA Able to participate in an in-person visit at Planned Parenthood League of Massachusetts (PPLM) Boston Health Center English fluency Have at least one social media account (i.e. Facebook, Instagram, Twitter, Pinterest, YouTube, Snapchat) Endorse using social media at least once a week Exclusion Criteria: PPLM staff Currently or ever employed in the reproductive health field Currently using long-acting reversible contraception (LARC) History of permanent sterilization (by participant or sexual partner) Previous participation in the study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 29 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: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Website about emergency contraception<br>Subjects are randomly assigned to view an existing website about emergency contraception. The website contains information about the three methods of emergency contraception: the copper IUD, ulipristal pill, and levonorgestrel pill. It includes information about their relative effectiveness and where to access emergency contraception. | Other: Emergency contraception website<br>* Existing website with factual information about emergency contraception<br>|
| Other: Video about emergency contraception<br>Subjects are randomly assigned to view an existing video about emergency contraception. The video is two minutes in length and contains information about the three methods of emergency contraception: the copper IUD, ulipristal pill, and levonorgestrel pill. It includes information about their relative effectiveness and where to access emergency contraception. | Other: Emergency contraception video<br>* Existing video with factual information about emergency contraception<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Emergency contraception knowledge (binary) | This outcome is a binary outcome that reflects a participant's ability to correctly identify an emergency contraceptive method, when to use it, and how to access it | Immediately after intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Copper IUD as emergency contraception knowledge | This outcome is a binary outcomes that reflects a participant's ability to correctly identify the copper IUD as emergency contraception, when to use it, and how to access it. | Immediately after intervention | 
| Levonorgestrel pill as emergency contraception knowledge | This outcome is a binary outcomes that reflects a participant's ability to correctly identify the levonorgestrel pill as emergency contraception, when to use it, and how to access it. | Immediately after intervention | 
| Ulipristal pill as emergency contraception knowledge | This outcome is a binary outcomes that reflects a participant's ability to correctly identify the ulipristal pill as emergency contraception, when to use it, and how to access it. | Immediately after intervention | 
| Emergency contraception knowledge (continuous) | This outcome reflects the participant's overall knowledge of emergency contraception after the website or video intervention, as measured by the proportion of questions they get correct on the survey | Immediately after intervention | 
| Change in emergency contraception knowledge pre- and post-intervention | This outcome reflects the participant's change in knowledge of emergency contraception before and after the website or video intervention, as measured by the proportion of questions they get correct on the survey. | Immediately before and immediately after intervention | 
| Likelihood of using emergency contraception pre- and post-intervention | This outcome reflects the participant's likelihood of using emergency contraception both before and after the intervention, as measured on a 6 point likert scale (I would definitely use it, Very likely, Somewhat likely, Somewhat unlikely, Very unlikely, I definitely would NOT use it) | Immediately before and immediately after intervention |