NCT04120376

Reducing Adolescent Pregnancy

An Emergency Department-Based Study to Reduce Adolescent Pregnancy

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 144 (actual)
• Sponsor: Children's Hospital of Philadelphia · Academic / Other
• Sex: Female
• Age: 15 Years – 18 Years
• Healthy volunteers: Accepted

Summary

This multi-site study is employing a brief contraception counseling intervention in the Emergency Department (ED) to shed light on factors that affect decision making as well as barriers and facilitators to conception initiation in the Emergency Department (ED) setting. The overarching goal of the study is to reduce unintended pregnancy among females ages 15 to 18 who present to the Emergency Department (ED).

Detailed description

This study is a prospective cohort study involving females who present to one of two emergency departments (ED) between the ages of 16 and 18, who are at risk of unintended pregnancy. Our primary objective is to assess intention to initiate contraception ("high"=very/somewhat likely vs "low"=unsure/not likely/definitely not on Likert scale survey) among females aged 15 to 18 years who receive emergency department-based contraceptive counseling. Our secondary objectives are as follows: 1. Among the same population, assess completion of a referral for any contraceptive care, defined as attendance at a referral site within 4 weeks after the index ED visit. 2. Assess the proportion who ultimately initiate contraception through electronic medical record documentation (i.e., visit note, procedure note, medication review) and participant report (follow-up calls). 3. Use qualitative interview methodology to explore attitudes, barriers, and facilitators that affect decisions to A) express intention to initiate contraception, B) complete a referral for contraceptive care, and C) ultimately initiate contraception among this unique group of high-risk adolescents.

Conditions

• Pregnancy in Adolescence
• Counseling
• Contraception Behavior

Interventions

Type	Name	Description
BEHAVIORAL	Contraception Counseling	Each participant will receive a 10 minute confidential contraception counseling session with an APP in the Emergency Department

Timeline

• Start date: 2019-11-13
• Primary completion: 2021-02-17
• Completion: 2021-04-30
• First posted: 2019-10-09
• Last updated: 2023-02-03
• Results posted: 2023-02-03

Locations

2 sites across 1 country: United States