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A Cluster Randomized Controlled Trial of the MyFamilyPlan Online Preconception Health Education Tool.

  • Author(s): Batra, Priya
  • Mangione, Carol M
  • Cheng, Eric
  • Steers, W Neil
  • Nguyen, Tina A
  • Bell, Douglas
  • Kuo, Alice A
  • Gregory, Kimberly D
  • et al.
Abstract

PURPOSE: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. DESIGN: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. SETTING:Urban academic medical center (California). PARTICIPANTS: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. INTERVENTION: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. MEASURES: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. ANALYSIS:Multilevel multivariate logistic regression. RESULTS: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. CONCLUSION: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.

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