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Reducing Unintended Pregnancies Through Web-Based Reproductive Life Planning and Contraceptive Action Planning among Privately Insured Women: Study Protocol for the MyNewOptions Randomized, Controlled Trial.
Womens Health Issues. 2015 Nov-Dec; 25(6):641-8.WH

Abstract

BACKGROUND

The Affordable Care Act mandates that most women of reproductive age with private health insurance have full contraceptive coverage with no out-of-pocket costs, creating an actionable time for women to evaluate their contraceptive choices without cost considerations. The MyNewOptions study is a three-arm, randomized, controlled trial testing web-based interventions aimed at assisting privately insured women with making contraceptive choices that are consistent with their reproductive goals.

METHODS

Privately insured women between the ages of 18 and 40 not intending pregnancy were randomly assigned to one of three groups: 1) a reproductive life planning (RLP) intervention, 2) a reproductive life planning enriched with contraceptive action planning (RLP+) intervention, or 3) an information only control group. Both the RLP and RLP+ guide women to identify their individualized reproductive goals and contraceptive method requirements. The RLP+ additionally includes a contraceptive action planning component, which uses if-then scenarios that allow the user to problem solve situations that make it difficult to be adherent to their contraceptive method. All three groups have access to a reproductive options library containing information about their contraceptive coverage and the attributes of alternative contraceptive methods. Women completed a baseline survey with follow-up surveys every 6 months for 2 years concurrent with intervention boosters. Study outcomes include contraceptive use and adherence. ClinicalTrials.gov identifier: NCT02100124.

DISCUSSION

Results from the MyNewOptions study will demonstrate whether web-based reproductive life planning, with or without contraceptive action planning, helps insured women make patient-centered contraceptive choices compared with an information-only control condition.

Links

  • PMC Free PDF
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    ncbi.nlm.nih.gov
    linkinghub.elsevier.com
    Aggregator Full Text

    Authors+Show Affiliations

    Chuang CH
    Division of General Internal Medicine, Penn State College of Medicine, Hershey, Pennsylvania; Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania. Electronic address: cchuang@hmc.psu.edu.
    Velott DL
    Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania.
    Weisman CS
    Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania; Department of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, Pennsylvania.
    Sciamanna CN
    Division of General Internal Medicine, Penn State College of Medicine, Hershey, Pennsylvania; Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania.
    Legro RS
    Department of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, Pennsylvania.
    Chinchilli VM
    Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania.
    Moos MK
    Center for Maternal & Infant Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
    Francis EB
    Division of General Internal Medicine, Penn State College of Medicine, Hershey, Pennsylvania.
    Confer LN
    Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania.
    Lehman EB
    Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania.
    Armitage CJ
    Manchester Centre for Health Psychology, School of Psychological Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.

    MeSH

    AdultContraceptionContraception BehaviorFemaleFollow-Up StudiesHealth BehaviorHealth Knowledge, Attitudes, PracticeHealth PromotionHumansInternetPatient CompliancePatient Education as TopicPatient Protection and Affordable Care ActPregnancyPregnancy, UnplannedPregnancy, UnwantedProcess Assessment, Health CareReproductive HealthSurveys and Questionnaires

    Pub Type(s)

    Journal Article
    Randomized Controlled Trial
    Research Support, N.I.H., Extramural
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    26307564

    Clinical Trial Links

    Clinical trial which this article describes

    Citation

    Chuang, Cynthia H., et al. "Reducing Unintended Pregnancies Through Web-Based Reproductive Life Planning and Contraceptive Action Planning Among Privately Insured Women: Study Protocol for the MyNewOptions Randomized, Controlled Trial." Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, vol. 25, no. 6, 2015, pp. 641-8.
    Chuang CH, Velott DL, Weisman CS, et al. Reducing Unintended Pregnancies Through Web-Based Reproductive Life Planning and Contraceptive Action Planning among Privately Insured Women: Study Protocol for the MyNewOptions Randomized, Controlled Trial. Womens Health Issues. 2015;25(6):641-8.
    Chuang, C. H., Velott, D. L., Weisman, C. S., Sciamanna, C. N., Legro, R. S., Chinchilli, V. M., Moos, M. K., Francis, E. B., Confer, L. N., Lehman, E. B., & Armitage, C. J. (2015). Reducing Unintended Pregnancies Through Web-Based Reproductive Life Planning and Contraceptive Action Planning among Privately Insured Women: Study Protocol for the MyNewOptions Randomized, Controlled Trial. Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, 25(6), 641-8. https://doi.org/10.1016/j.whi.2015.06.010
    Chuang CH, et al. Reducing Unintended Pregnancies Through Web-Based Reproductive Life Planning and Contraceptive Action Planning Among Privately Insured Women: Study Protocol for the MyNewOptions Randomized, Controlled Trial. Womens Health Issues. 2015 Nov-Dec;25(6):641-8. PubMed PMID: 26307564.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Reducing Unintended Pregnancies Through Web-Based Reproductive Life Planning and Contraceptive Action Planning among Privately Insured Women: Study Protocol for the MyNewOptions Randomized, Controlled Trial. AU - Chuang,Cynthia H, AU - Velott,Diana L, AU - Weisman,Carol S, AU - Sciamanna,Christopher N, AU - Legro,Richard S, AU - Chinchilli,Vernon M, AU - Moos,Merry-K, AU - Francis,Erica B, AU - Confer,Lindsay N, AU - Lehman,Erik B, AU - Armitage,Christopher J, Y1 - 2015/08/22/ PY - 2015/03/17/received PY - 2015/06/18/revised PY - 2015/06/29/accepted PY - 2015/8/27/entrez PY - 2015/8/27/pubmed PY - 2016/5/24/medline SP - 641 EP - 8 JF - Women's health issues : official publication of the Jacobs Institute of Women's Health JO - Womens Health Issues VL - 25 IS - 6 N2 - BACKGROUND: The Affordable Care Act mandates that most women of reproductive age with private health insurance have full contraceptive coverage with no out-of-pocket costs, creating an actionable time for women to evaluate their contraceptive choices without cost considerations. The MyNewOptions study is a three-arm, randomized, controlled trial testing web-based interventions aimed at assisting privately insured women with making contraceptive choices that are consistent with their reproductive goals. METHODS: Privately insured women between the ages of 18 and 40 not intending pregnancy were randomly assigned to one of three groups: 1) a reproductive life planning (RLP) intervention, 2) a reproductive life planning enriched with contraceptive action planning (RLP+) intervention, or 3) an information only control group. Both the RLP and RLP+ guide women to identify their individualized reproductive goals and contraceptive method requirements. The RLP+ additionally includes a contraceptive action planning component, which uses if-then scenarios that allow the user to problem solve situations that make it difficult to be adherent to their contraceptive method. All three groups have access to a reproductive options library containing information about their contraceptive coverage and the attributes of alternative contraceptive methods. Women completed a baseline survey with follow-up surveys every 6 months for 2 years concurrent with intervention boosters. Study outcomes include contraceptive use and adherence. ClinicalTrials.gov identifier: NCT02100124. DISCUSSION: Results from the MyNewOptions study will demonstrate whether web-based reproductive life planning, with or without contraceptive action planning, helps insured women make patient-centered contraceptive choices compared with an information-only control condition. SN - 1878-4321 UR - https://www.unboundmedicine.com/medline/citation/26307564/Reducing_Unintended_Pregnancies_Through_Web_Based_Reproductive_Life_Planning_and_Contraceptive_Action_Planning_among_Privately_Insured_Women:_Study_Protocol_for_the_MyNewOptions_Randomized_Controlled_Trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1049-3867(15)00098-5 DB - PRIME DP - Unbound Medicine ER -