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A Cluster Randomized Controlled Trial of the MyFamilyPlan Online Preconception Health Education Tool.
- Source :
-
American Journal of Health Promotion . May2018, Vol. 32 Issue 4, p897-905. 9p. - Publication Year :
- 2018
-
Abstract
- <bold>Purpose: </bold>To evaluate whether exposure to MyFamilyPlan-a web-based preconception health education module-changes the proportion of women discussing reproductive health with providers at well-woman visits.<bold>Design: </bold>Cluster randomized controlled trial. One hundred thirty participants per arm distributed among 34 clusters (physicians) required to detect a 20% change in the primary outcome.<bold>Setting: </bold>Urban academic medical center (California).<bold>Participants: </bold>Eligible women were 18 to 45 years old, were English speaking, were nonpregnant, were able to access the Internet, and had an upcoming well-woman visit. E-mail and phone recruitment between September 2015 and May 2016; 292 enrollees randomized.<bold>Intervention: </bold>Intervention participants completed the MyFamilyPlan module online 7 to 10 days before a scheduled well-woman visit; control participants reviewed standard online preconception health education materials.<bold>Measures: </bold>The primary outcome was self-reported discussion of reproductive health with the physician at the well-woman visit. Self-reported secondary outcomes were folic acid use, contraceptive method initiation/change, and self-efficacy score.<bold>Analysis: </bold>Multilevel multivariate logistic regression.<bold>Results: </bold>After adjusting for covariates and cluster, exposure to MyFamilyPlan was the only variable significantly associated with an increase in the proportion of women discussing reproductive health with providers (odds ratio: 1.97, 95% confidence interval: 1.22-3.19). Prespecified secondary outcomes were unaffected.<bold>Conclusion: </bold>MyFamilyPlan exposure was associated with a significant increase in the proportion of women who reported discussing reproductive health with providers and may promote preconception health awareness; more work is needed to affect associated behaviors. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HEALTH education
*PRECONCEPTION care
*RANDOMIZED controlled trials
*REPRODUCTIVE health
*LOGISTIC regression analysis
*THERAPEUTIC use of folic acid
*COMPARATIVE studies
*CONTRACEPTION
*HEALTH promotion
*RESEARCH methodology
*MEDICAL cooperation
*RESEARCH
*STATISTICAL sampling
*SELF-efficacy
*EVALUATION research
Subjects
Details
- Language :
- English
- ISSN :
- 08901171
- Volume :
- 32
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- American Journal of Health Promotion
- Publication Type :
- Academic Journal
- Accession number :
- 129172848
- Full Text :
- https://doi.org/10.1177/0890117117700585