A Pilot Study Using Text Messaging to Communicate With Adolescent Females in the Pediatric Emergency Department (T2I)
The objective of this study is to develop and test an emergency department (ED)-based intervention which uses text messages to facilitate contraception initiation.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Prevention
|Official Title:||Texting 2 Initiate: A Pilot Study Using Text Messaging to Communicate With Adolescent Females in the Pediatric Emergency Department (T2I)|
- Initiation of highly effective contraception, as defined by the World Health Organization. [ Time Frame: 3 months after initial enrollment ] [ Designated as safety issue: No ]We will be assessing contraception initiation rates based on electronic medical record review and telephone call follow up.
- Patient visits to Family Planning Clinic [ Time Frame: 3 months after initial enrollment ] [ Designated as safety issue: No ]We assess Family Planning Clinic visits using our electronic medical records.
- Follow up for contraceptive counseling to a doctor or nurse [ Time Frame: 3 months after initial enrollment ] [ Designated as safety issue: No ]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.
- Change in pregnancy intentions [ Time Frame: 3 months after initial enrollment ] [ Designated as safety issue: No ]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.
- Text messaging intervention safety [ Time Frame: 3 months after initial enrollment ] [ Designated as safety issue: Yes ]Safety will be assessed during the telephone follow up.
|Study Start Date:||January 2014|
|Estimated Study Completion Date:||December 2015|
|Primary Completion Date:||November 2014 (Final data collection date for primary outcome measure)|
Experimental: Text Messaging Intervention
Patients in the text messaging group will receive educational and motivational text messages.
|Other: Text Messaging Intervention|
Active Comparator: Standard Referral
Patients in the standard referral arm will receive paper based information about the Family Planning Clinic.
|Other: Standard Referral|
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT02093884
|United States, New York|
|Morgan Stanley Children's Hospital Emergency Department|
|Manhattan, New York, United States, 10032|
|Principal Investigator:||Lauren Chernick, MD||Columbia University|