TY - JOUR
T1 - Reproductive Life Planning and Contraceptive Action Planning for Privately Insured Women
T2 - The MyNewOptions Study
AU - Chuang, Cynthia H.
AU - Weisman, Carol S.
AU - Velott, Diana L.
AU - Lehman, Erik
AU - Chinchilli, Vernon M.
AU - Francis, Erica B.
AU - Moos, Merry K.
AU - Sciamanna, Christopher N.
AU - Armitage, Christopher J.
AU - Legro, Richard S.
N1 - Funding Information:
The authors thank Suzanne Stoner, Vanessa Adjei, Lindsay Confer, Kayla Confer and Highmark Health for their assistance with participant recruitment; John Webster and Robert Stouffer of The John Webster Company for website design; and the members of the MyNewOptions Patient Advisory Group and clinician advisory group for their contributions to study design and data interpretation. This work was supported through Patient‐Centered Outcomes Research Institute (PCORI) program award 1304–6117. Study data were collected and managed using REDCap electronic data capture tools hosted at the Penn State Milton S. Hershey Medical Center and College of Medicine; REDCap is supported by the Penn State Clinical & Translational Science Institute through grant UL1 TR000127 from the National Center for Advancing Translational Sciences (NCATS). The contents of this article, including its findings and conclusions, are solely those of the authors and do not necessarily represent the views of Highmark Health, PCORI or NCATS. * Women who identified as Hispanic were categorized as Hispanic regardless of their racial background.
Funding Information:
The authors thank Suzanne Stoner, Vanessa Adjei, Lindsay Confer, Kayla Confer and Highmark Health for their assistance with participant recruitment; John Webster and Robert Stouffer of The John Webster Company for website design; and the members of the MyNewOptions Patient Advisory Group and clinician advisory group for their contributions to study design and data interpretation. This work was supported through Patient-Centered Outcomes Research Institute (PCORI) program award 1304?6117. Study data were collected and managed using REDCap electronic data capture tools hosted at the Penn State Milton S. Hershey Medical Center and College of Medicine; REDCap is supported by the Penn State Clinical & Translational Science Institute through grant UL1 TR000127 from the National Center for Advancing Translational Sciences (NCATS). The contents of this article, including its findings and conclusions, are solely those of the authors and do not necessarily represent the views of Highmark Health, PCORI or NCATS.
Publisher Copyright:
Copyright © 2019 by the Guttmacher Institute
PY - 2019/12/1
Y1 - 2019/12/1
N2 - CONTEXT: Although reproductive life planning (RLP) is recommended in federal and clinical guidelines and may help insured women make personalized contraceptive choices, it has not been systematically evaluated for effectiveness. METHODS: In 2014, some 984 privately insured women aged 18–40 who were not intending to become pregnant in the next year were randomly assigned to receive RLP, RLP with contraceptive action planning (RLP+) or information only (the control group). Women's contraceptive use, prescription contraceptive use, method adherence, switching to a more effective method, method satisfaction and contraceptive self-efficacy were assessed at six-month intervals during the two-year follow-up period. Differences between groups were identified using binomial logistic regression, linear regression and generalized estimating equation models. RESULTS: During the follow-up period, the proportion of women using any contraceptive method increased from 89% to 96%, and the proportion using a long-acting reversible contraceptive or sterilization increased from 8% to 19%. Contraceptive adherence was high (72–76%) in all three groups. In regression models, the sole significant finding was that women in the RLP+ group were more likely than those in the RLP group to use a prescription method (odds ratio, 1.3). No differences were evident between the intervention groups and the control group in overall contraceptive use, contraceptive adherence, switching to a more effective method, method satisfaction or contraceptive self-efficacy. CONCLUSIONS: The study does not provide evidence that web-based RLP influences contraceptive behaviors in insured women outside of the clinical setting. Further research is needed to identify strategies to help women of reproductive age identify contraceptive methods that meet their needs and preferences.
AB - CONTEXT: Although reproductive life planning (RLP) is recommended in federal and clinical guidelines and may help insured women make personalized contraceptive choices, it has not been systematically evaluated for effectiveness. METHODS: In 2014, some 984 privately insured women aged 18–40 who were not intending to become pregnant in the next year were randomly assigned to receive RLP, RLP with contraceptive action planning (RLP+) or information only (the control group). Women's contraceptive use, prescription contraceptive use, method adherence, switching to a more effective method, method satisfaction and contraceptive self-efficacy were assessed at six-month intervals during the two-year follow-up period. Differences between groups were identified using binomial logistic regression, linear regression and generalized estimating equation models. RESULTS: During the follow-up period, the proportion of women using any contraceptive method increased from 89% to 96%, and the proportion using a long-acting reversible contraceptive or sterilization increased from 8% to 19%. Contraceptive adherence was high (72–76%) in all three groups. In regression models, the sole significant finding was that women in the RLP+ group were more likely than those in the RLP group to use a prescription method (odds ratio, 1.3). No differences were evident between the intervention groups and the control group in overall contraceptive use, contraceptive adherence, switching to a more effective method, method satisfaction or contraceptive self-efficacy. CONCLUSIONS: The study does not provide evidence that web-based RLP influences contraceptive behaviors in insured women outside of the clinical setting. Further research is needed to identify strategies to help women of reproductive age identify contraceptive methods that meet their needs and preferences.
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U2 - 10.1363/psrh.12123
DO - 10.1363/psrh.12123
M3 - Article
C2 - 31820551
AN - SCOPUS:85076227173
SN - 1538-6341
VL - 51
SP - 219
EP - 227
JO - Perspectives on Sexual and Reproductive Health
JF - Perspectives on Sexual and Reproductive Health
IS - 4
ER -
