Stage Matched Intervention to Increase Dual Method Use (PROTECT)
Recruitment status was Active, not recruiting
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Purpose
The primary purpose of Project PROTECT was to evaluate two different intervention approaches that encourage young women to use dual methods of contraception. The individualized intervention is a computer assisted, fully-tailored, interactive intervention based on the transtheoretical model of behavior change. This intervention was compared to an enhanced standard care intervention that provided computer-based, non-tailored information and advice regarding the use of contraceptive methods. The two primary outcomes of this trial include: 1) a behavioral outcome: the reported use of dual methods of contraception; and 2) a biological outcome: an incident or recurrent STI or unintended pregnancy. The hypotheses of this trial were: 1) the individualized intervention will result in a greater increase in dual contraceptive use than the standard care approach; and 2) the individualized intervention would result in greater protection against incident or recurrent cases of sexually transmitted infections and unplanned pregnancies.
| Condition | Intervention |
|---|---|
|
Contraception Sexually Transmitted Diseases Pregnancy |
Behavioral: Individualized Intervention |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Stage Matched Intervention to Increase Dual Method Use |
- Behavioral: reported use of dual methods of contraception
- Biological: incident sexually transmitted infection or unintended pregnancy
- Secondary outcomes will include intermediate outcomes variables such as
- changes in stage of change, processes of change, decisional balance, and self-efficacy.
| Estimated Enrollment: | 550 |
| Study Start Date: | October 1999 |
| Estimated Study Completion Date: | December 2005 |
Protection from both sexually transmitted infections (STIs), human immunodeficiency virus (HIV), and unintended pregnancy can be achieved with the use of dual methods of contraception. This proposal was designed to develop, implement, and evaluate the impact of an innovative, computer-assisted stage-based individualized interactive intervention (Individualized Intervention) based on the transtheoretical compared to enhanced standard care counseling on the use of dual methods of contraception. Primary outcomes, including behavioral and biological outcomes, were assessed in this randomized clinical trial of 550 high-risk women. Participants were followed at 6 month intervals for 24 months with follow-up interviews to determine reported use of dual methods of contraception (behavioral outcome). Clinical examinations at 12 and 24 months and with new onset of symptoms assessed biological outcomes including incident or recurrent cases of STI and unintended pregnancy. Secondary outcomes included intermediate outcome variables such as changes in stage of change, processes of change, decisional balance, and self-efficacy. The primary hypotheses of this study were: 1. the Individualized Intervention will result in increased dual contraceptive use; 2. the Individualized Intervention will result in protection against new cases of STIs, re-infection with sexually transmitted organisms, and unplanned pregnancies; and 3. the Individualized Intervention will lead to the greatest changes in secondary outcome measures. If found to be effective, the stage-matched intervention has potential for widespread dissemination in schools, clinics, offices, and community centers to prevent STIs/HIV and unintended pregnancy.
Eligibility| Ages Eligible for Study: | 13 Years to 35 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- English-speaking
- Sexually active with a male partner in the past 6 months
- Desire to avoid conception for 24 months or more
High risk for unintended pregnancy or STI:
- Age less than 25
Age 25 and older with:
- History of unplanned pregnancy
- History of a sexually transmitted infection
- Inconsistent use of contraception
- Other factors felt to place a patient at above average risk for unplanned pregnancy or STI
Exclusion Criteria:
- currently using dual methods of contraception consistently and correctly.
- incompetent or unable to give consent;
- currently pregnant or desires pregnancy in the next 24 months.
Contacts and Locations| United States, Rhode Island | |
| Women & Infants Hospital | |
| Providence, Rhode Island, United States, 02905 | |
| Principal Investigator: | Jeffrey F Peipert, MD, MPH | Washington University in St. Louis |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00436306 History of Changes |
| Other Study ID Numbers: | R01HD036663 |
| Study First Received: | February 15, 2007 |
| Last Updated: | February 16, 2007 |
| Health Authority: | United States: Federal Government United States: Institutional Review Board |
Keywords provided by Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD):
|
prevention behavior risk reduction behavior |
Additional relevant MeSH terms:
|
Sexually Transmitted Diseases Infection Virus Diseases Genital Diseases, Male Genital Diseases, Female |
ClinicalTrials.gov processed this record on May 23, 2013