Game Changers for Family Planning Peer Advocacy Program

Study Overview
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Brief Summary
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This study will adapt the Game Changers peer advocacy training model for family planning context and pilot test the feasibility, acceptability and preliminary efficacy of the intervention to empower female contraception users to advocate for contraception use among women in their social networks who have unmet need for contraception.

Detailed Description
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The investigators will conduct a pilot RCT of Game Changers for Family Planning (GC-FP) with 40 female modern contraceptive (MC) users (index participants) at one rural public clinic, with 20 randomly assigned to receive the intervention (in 2 groups of 10) and 20 to the wait-list control; enrollment and randomization will be stratified by age and relationship status. Each index will recruit up to 3 social network members (alters) with unmet need for MC (max. total=120). Data will be collected at baseline and month 6 from all participants; primary outcome is alter MC use at month 6.

Official Title
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Pilot of a Peer Advocacy Training Intervention to Reduce Unmet Need for Contraception in Uganda

Conditions
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Family Planning

Intervention / Treatment
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* Behavioral: Game Changers for Family Planning


Participation Criteria
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Eligibility Criteria
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Index participants: Inclusion Criteria: MC user for past year Social network member participant: Inclusion Criteria: Not using MC, but reports trying to prevent pregnancy Know about the MC use of their referring index participant

Ages Eligible for Study
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Minimum Age: 18 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: parallel randomized controlled trial, with individual randomization to receive the intervention or wait-list control
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>peer-led, multi-session advocacy training group intervention | Behavioral: Game Changers for Family Planning<br>* Game Changers for Family Planning (GC-FP) intervention. The intervention will consist of 7 group sessions. The sessions will focus on stigma reduction, disclosure decision making, knowledge, and building skills for advocacy. The 2-hour, weekly sessions will be facilitated by 2 trained peers who are MC users, and conducted in Luganda using a structured manual, and group format to facilitate: sharing of experiences to build support, modeling and motivation; group problem solving and role playing to build skills and self-efficacy; and homework between sessions to practice skills and generate experiences to be processed in the group.<br>|
| No Intervention: Wait-list control<br>Usual care/no intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of use of modern contraceptives (social network participants) | Proportion of participants who use a modern contraceptive, abstracted from medical chart | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mean level of engagement in family planning advocacy (index participants) | Mean item score on self-report scale measuring engagement in family planning advocacy | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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contraception