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The Influence of Trust in the Health Care System on Postpartum Contraceptive Choice

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ClinicalTrials.gov Identifier: NCT02213874
Recruitment Status : Completed
First Posted : August 12, 2014
Last Update Posted : May 11, 2018
Sponsor:
Collaborator:
Society of Family Planning
Information provided by (Responsible Party):
Dempsey, Medical University of South Carolina

Brief Summary:

The purpose of this research is to understand the relationship between trust in the health care system and choice of contraception during the postpartum period among pregnant women receiving prenatal care.

Research subjects will complete a questionnaire at enrollment and between delivery and within 5 days of hospital discharge.

A chart review will also be completed to gather use of a birth control method at the six week postpartum visit as well as pertinent medical diagnoses and recorded data such as height, weight, body mass index, and contraceptive plan as documented in the postpartum medical chart.


Condition or disease Intervention/treatment Phase
Contraception Behavior Contraception Other: Questionnaire Not Applicable

Detailed Description:

The aims of the proposed research are three-fold:

  1. To identify whether trust in the health care system is associated with choice of the highest efficacy contraception (intrauterine contraception, implantable contraception, and sterilization) in the immediate postpartum period among pregnant women receiving prenatal care.
  2. To explore which patient-level factors (sociodemographic, reproductive history, future pregnancy intentions) and provider-level factors (antenatal contraceptive counseling) are associated with choice of the highest efficacy contraception in the immediate postpartum period among pregnant women receiving prenatal care.
  3. To determine whether trust in the health care system is altered during the receipt of prenatal care or delivery.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 208 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Other
Official Title: The Influence of Trust in the Health Care System on Postpartum Contraceptive Choice
Study Start Date : January 2012
Actual Primary Completion Date : January 2015
Actual Study Completion Date : January 2015

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Questionnaire
A questionnaire will be administered during the early stages of prenatal care & again during the postpartum period. The initial questionnaire will assess trust in the health care system, locus of control, religiosity, health literacy & collect information about demographics, contraceptive & reproductive history, future pregnancy intentions, & baseline knowledge about contraception. The postpartum questionnaire will repeat questions about future pregnancy & contraception intentions, trust in the health care system, knowledge of contraception and collect new information about characteristics of antenatal contraceptive counseling received including whether a provider recommended a specific method of contraception, the amount of counseling received, & the type of counseling received.
Other: Questionnaire
A questionnaire will be administered during the early stages of prenatal care & again during the postpartum period. The initial questionnaire will assess trust in the health care system, locus of control, religiosity, health literacy & collect information about demographics, contraceptive & reproductive history, future pregnancy intentions, & baseline knowledge about contraception. The postpartum questionnaire will repeat questions about future pregnancy & contraception intentions, trust in the health care system, knowledge of contraception and collect new information about characteristics of antenatal contraceptive counseling received including whether a provider recommended a specific method of contraception, the amount of counseling received, & the type of counseling received.




Primary Outcome Measures :
  1. Choice of long acting contraception (IUD or implant) for postpartum contraception [ Time Frame: immediately postpartum ]
    Using a questionnaire adminstered immediately postpartum, we will ascertain whether participants indicate plan to use either an IUD or implant for contraception. We will also measure use of IUD or implant through chart abstraction of their 6 week postpartum visit.


Secondary Outcome Measures :
  1. Trust in the health care system [ Time Frame: immediately postpartum ]
    We will also evaluate trust as an outcome and evaluate whether certain patient-level or antepartum care characteristics predict higher levels of trust. Trust is measured through a validated scale containing 17 questions measured using a likert scale.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Pregnant Women receiving prenatal care at Medical University of South Carolina (MUSC)
  • Age 18 or older

Exclusion Criteria:

  • Greater than 20 weeks gestation

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02213874


Locations
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United States, South Carolina
MUSC Women's Health
Charleston, South Carolina, United States, 29425
Sponsors and Collaborators
Medical University of South Carolina
Society of Family Planning
Investigators
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Principal Investigator: Angela Angela Dempsey, MD Medical University of South Carolina

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Responsible Party: Dempsey, Associate Professor, Medical University of South Carolina
ClinicalTrials.gov Identifier: NCT02213874    
Other Study ID Numbers: Dempsey-Trust Pro 12660
First Posted: August 12, 2014    Key Record Dates
Last Update Posted: May 11, 2018
Last Verified: May 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by Dempsey, Medical University of South Carolina:
Pregnant Women
Women's Health
Contraception
Trust in Health Care
Additional relevant MeSH terms:
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Contraceptive Agents
Reproductive Control Agents
Physiological Effects of Drugs