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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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