Computer-Assisted Provision of Reproductive Health Care

• self-reported use of hormonal or more effective contraception [ Time Frame: 3 months ] [ Designated as safety issue: No ]
• receipt of screening for sexually transmitted infection [ Time Frame: 3 months ] [ Designated as safety issue: No ]

This project seeks to demonstrate that computer kiosks in a clinic waiting room can improve access to hormonal contraception and screening for sexually transmitted infections. The study will be a randomized controlled trial which will evaluate the use of a computer kiosk module to compare the proportion of women of reproductive age who receive a prescription for hormonal contraception when computer-assisted provision of hormonal contraception is offered (intervention) to encounters when the study clinic provides standard contraceptive care (control). Subjects will be contacted approximately 3 months (range 2-4 months) after the clinic visit to complete a follow-up phone interview. The study population will include English and Spanish-speaking women ages 18-45 who seek care at this clinic. Our hypothesis is that computer-assisted provision of hormonal contraception (intervention)will increase the proportion of women of reproductive age who receive a prescription for hormonal contraception versus standard contraceptive care(control).

Data collection has been completed

• Contraception
• Sexually Transmitted Diseases

• Other: computer-assisted provision of hormonal contraception
  a computer program available at a kiosk will offer women information about and a prescription for hormonal contraception that they can ask their clinician to sign.
  Other Name: Family planning kiosk
• Other: STI module
  computer module available at a kiosk that will encourage women to be screened for chlamydia
  Other Name: Chlamydia kiosk

• Active Comparator: STI kiosk
  computer-assisted provision of screening for chlamydia
  Intervention: Other: STI module
• Experimental: contraceptive kiosk
  computer-assisted provision of hormonal contraception
  Intervention: Other: computer-assisted provision of hormonal contraception

Inclusion Criteria:

• women who speak English or Spanish who visit a study clinic

Exclusion Criteria:

• women who do not speak English or Spanish