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ContraceptionNCT03500952

Family Planning Ahead

A study of Contraception and Pregnancy Related, run by Dartmouth-Hitchcock Medical Center at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Family Planning Ahead is a study that aims to improve decision-making about postpartum contraception. Family Planning Ahead will test two different strategies: a patient decision aid and a patient information leaflet. Read more about this study

Who is it for?
Ages 15 years and older, women onlyHealthy volunteers can take part
Conditions the study is for
Contraception, Pregnancy Related
Could I receive a placebo?
No, everyone receives an active treatment
How many people
41 participants
Where
1 siteUnited States
Study dates
22 Mar 2018to 23 Aug 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 15 years and older
  • Women only
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Currently pregnant
  • Between 28 and 38 weeks' gestation at the time of enrollment
  • Estimated due date in March, April, May, or June 2018
  • 15 years or older
  • Can read and write English
  • Live in the United States
  • Share a valid email address for study purposes

Who cannot join

  • Not currently pregnant
  • Less than 28 weeks' or more than 38 weeks' gestation at the time of enrollment
  • Estimated due date earlier than March 2018 or later than June 2018
  • Under 15 years
  • Can not read and write English
  • Do not live in the United States
  • Do not share a valid email address for study purposes

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Internet (Dartmouth College)

    Lebanon, New Hampshire, 03756

Other trials in United States

About this study

Family Planning Ahead is a study that aims to improve decision-making about postpartum contraception. Family Planning Ahead will test two different strategies: a patient decision aid and a patient information leaflet.

Being tested
Birth Control After Pregnancy, Postpartum Birth Control

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Birth Control After PregnancyOther

    A 27-page patient decision aid in portable document format (and an accompanying 3-page supporting document in portable document format) hosted online.

  • Postpartum Birth ControlOther

    A 4-page patient information leaflet in portable document format and text format hosted online.

Study groups in NCT03500952
Study groupRoleWhat they receive
Patient Decision AidExperimentalBirth Control After Pregnancy patient decision aid and supporting document
Receives: Other: Birth Control After Pregnancy
Patient Information LeafletActive comparatorPostpartum Birth Control patient information leaflet
Receives: Other: Postpartum Birth Control

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Perceived support in decision-making

    The extent to which the person feels they received adequate support and advice without pressure to make a decision about postpartum contraceptive methods, measured using adapted versions of the Support subscale of the Decisional Conflict Scale (O'Connor, 1993).

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

Secondary outcomes (30)
  1. Perceptions of being informed

    The extent to which the person feels informed of available postpartum contraceptive methods and the benefits, risks, and side effects of each, measured using an adapted version of the Informed subscale of the Decisional Conflict Scale (O'Connor, 1993).

    Measured: T0 (immediately following study enrollment); T1 (one week following study enrollment)

  2. Values clarity

    The extent to which the person feels clear about personal values related to postpartum contraceptive method benefits, risks, and side effects, measured using an adapted version of the Values Clarity subscale of the Decisional Conflict Scale (O'Connor, 1993).

    Measured: T0 (immediately following study enrollment); T1 (one week following study enrollment)

  3. Decisional uncertainty

    The extent to which the person feels certain about which postpartum contraceptive method to choose, measured using an adapted version of the Uncertainty subscale of the Decisional Conflict Scale (O'Connor, 1993).

    Measured: T0 (immediately following study enrollment); T1 (one week following study enrollment)

  4. Decision self-efficacy

    The extent to which the person has self-confidence or belief in their ability to make decisions about postpartum contraceptive methods, measured using an adapted version of the Decision Self-Efficacy Scale (O'Connor, 1995).

    Measured: T0 (immediately following study enrollment); T1 (one week following study enrollment)

  5. Intended contraceptive method(s): LARC vs. other

    The proportion of people who intend to use a long-acting reversible contraceptive (LARC) method (i.e., hormonal intrauterine device, copper intrauterine device, or implant) 'in the first few months after giving birth', measured using a self-developed item.

    Measured: T0 (immediately following study enrollment); T1 (one week following study enrollment)

  6. Intended contraceptive method(s): Most or moderately effective vs. other

    The proportion of people who intend to use a most or moderately effective contraceptive method (i.e., female sterilization, hormonal intrauterine device, copper intrauterine device, implant, injection, combined pill, progestin-only pill, patch, ring, diaphragm) 'in the first few months after giving birth', measured using a self-developed item.

    Measured: T0 (immediately following study enrollment); T1 (one week following study enrollment)

  7. Intended contraceptive method(s): Method vs. no method or unsure

    The proportion of people who intend to use one or more contraceptive methods (i.e., female sterilization, hormonal intrauterine device, copper intrauterine device, implant, injection, combined pill, progestin-only pill, patch, ring, diaphragm, male condom, internal (female) condom, spermicide, sponge, cervical cap, lactational amenorrhea method, withdrawal, fertility awareness, male sterilization, and/or emergency contraceptive pill) 'in the first few months after giving birth', measured using a self-developed item.

    Measured: T0 (immediately following study enrollment); T1 (one week following study enrollment)

  8. Intended timing of contraceptive method(s) initiation: Not unsure vs. unsure

    The proportion of people who are not unsure about how soon after giving birth they will (first) start using a contraceptive method (i.e., intend to start using a contraceptive method 'in the first 10 minutes', 'in the first few days', 'in the first few weeks', 'around 6 weeks', 'in the first few months' or 'other'), measured using a self-developed item.

    Measured: T0 (immediately following study enrollment); T1 (one week following study enrollment)

  9. Values concordance of intended contraceptive method(s)

    The proportion of people who perceive optimal values concordance of their intended postpartum contraceptive method(s) (or intention to use no contraceptive methods), measured using the Measure of Alignment of Choices (Thompson et al., 2017).

    Measured: T0 (immediately following study enrollment); T1 (one week following study enrollment)

  10. Trust in health professional(s)

    The extent to which the person feels trust in the health professional(s) they talk to about postpartum contraception during and/or after pregnancy, measured using an adapted version of the Patient Trust in a Physician Scale (Dugan et al., 2005).

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  11. Interpersonal quality of family planning care

    The proportion of people who report high interpersonal quality of family planning care during and/or after pregnancy, measured using an adapted version of the four-item Interpersonal Quality of Family Planning Care (IQFP-R) scale (Dehlendorf et al. 2016).

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  12. Shared decision-making

    The extent to which which the person feels they experienced shared decision-making about postpartum contraceptive methods during and/or after pregnancy, measured using the CollaboRATE measure (Barr et al., 2014).

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  13. Concordance between preferred and actual decision-making involvement (self): Concordant vs. discordant

    The proportion of people who report concordance between their actual and preferred involvement in the decision to use their postpartum contraceptive method(s), measured using two self-developed items.

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  14. Concordance between preferred and actual decision-making involvement (partner): Concordant vs. discordant

    The proportion of people who report concordance between the actual involvement of their partner and their preferences pertaining to partner involvement in the decision to use their postpartum contraceptive method(s), measured using two self-developed items.

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  15. Concordance between preferred and actual decision-making involvement (health professional(s)): Concordant vs. discordant

    The proportion of people who report concordance between the actual involvement of their health professional(s) and their preferences pertaining to health professional involvement in the decision to use their postpartum contraceptive method(s), measured using two self-developed items.

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  16. Time pressure in decision-making

    The extent to which the person feels they had (or have) enough time to make a decision about postpartum contraceptive methods, measured using a self-developed item.

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  17. Pressure to use a certain contraceptive method

    The extent to which the person felt (or feels) pushed to use a certain postpartum contraceptive method, measured using a self-developed item.

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  18. Values concordance of contraceptive method(s) used

    The proportion of people who perceive optimal values concordance of the postpartum contraceptive method(s) they have used, measured using the Measure of Alignment of Choices (Thompson et al., 2017).

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  19. Effective decision

    The extent to which the person feels they made an effective decision about postpartum contraceptive methods, measured using an adapted version of the Effective Decision subscale of the Decisional Conflict Scale (O'Connor, 1993).

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  20. Contraceptive method(s) prescribed in first 60 days: LARC vs. other

    The proportion of people who report being given or prescribed a long-acting reversible contraceptive (LARC) method (i.e., hormonal intrauterine device, copper intrauterine device, or implant) in the first 60 days after giving birth, measured using a self-developed item.

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  21. Contraceptive method(s) prescribed in first 60 days: Most or moderately effective vs. other

    The proportion of people who report being given or prescribed a most or moderately effective contraceptive method (i.e., female sterilization, hormonal intrauterine device, copper intrauterine device, implant, injection, combined pill, progestin-only pill, patch, ring, diaphragm) in the first 60 days after giving birth, measured using a self-developed item.

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  22. Contraceptive method(s) prescribed in first 3 days: LARC vs. other

    The proportion of people who report being given or prescribed a long-acting reversible contraceptive (LARC) method (i.e., hormonal intrauterine device, copper intrauterine device, or implant) in the first 3 days after giving birth, measured using a self-developed item.

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  23. Contraceptive method(s) prescribed in first 3 days: Most or moderately effective vs. other

    The proportion of people who report being given or prescribed a most or moderately effective contraceptive method (i.e., female sterilization, hormonal intrauterine device, copper intrauterine device, implant, injection, combined pill, progestin-only pill, patch, ring, diaphragm) in the first 3 days after giving birth, measured using a self-developed item.

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  24. Contraceptive method(s) used: LARC vs. other

    The proportion of people who, at the time of survey completion, report having used a long-acting reversible contraceptive (LARC) method (i.e., hormonal intrauterine device, copper intrauterine device, or implant) since giving birth, measured using a self-developed item.

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  25. Contraceptive method(s) used: Most or moderately effective vs. other

    The proportion of people who, at the time of survey completion, report having used a most or moderately effective contraceptive method (i.e., female sterilization, hormonal intrauterine device, copper intrauterine device, implant, injection, combined pill, progestin-only pill, patch, ring, diaphragm) since giving birth, measured using a self-developed item.

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  26. Contraceptive method(s) used: Method vs. no method

    The proportion of people who, at the time of survey completion, report having used one or more contraceptive methods (i.e., female sterilization, hormonal intrauterine device, copper intrauterine device, implant, injection, combined pill, progestin-only pill, patch, ring, diaphragm, male condom, internal (female) condom, spermicide, sponge, cervical cap, lactational amenorrhea method, withdrawal, fertility awareness, male sterilization, and/or emergency contraceptive pill) since giving birth, measured using a self-developed item.

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  27. Timing of decision about contraceptive method(s): During pregnancy vs. since giving birth

    The proportion of people who report deciding to use their postpartum contraceptive method(s) during pregnancy, measured using a self-developed item.

    Measured: T2 (Approximately 7-11 weeks after self-reported estimated due date)

  28. Likelihood of recommending the intervention to a friend

    The proportion of people who report that they are extremely likely to recommend the intervention to a friend, measured using a self-developed item.

    Measured: T1 (one week following study enrollment)

  29. Likelihood of reviewing the intervention in the future

    The proportion of people who report that they are extremely likely to review the intervention in the future, measured using a self-developed item.

    Measured: T1 (one week following study enrollment)

  30. Perceived utility of the intervention

    The extent to which the person perceives that the intervention was useful in preparing them to communicate with their health professional and make a decision, measured using an adapted version of the Preparation for Decision Making Scale (Graham \& O'Connor, 2010).

    Measured: T1 (one week following study enrollment)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Apr 2018
  2. Study start22 Mar 2018
  3. Primary completion23 Aug 2018
  4. Study completion23 Aug 2018

Why it stopped: High incidence of fraudulent enrollment.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
41 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03500952
Sponsor's protocol ID
00030871
Status last verified
Jan 2019
First submitted
10 Apr 2018
Last updated
9 Jan 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The investigators will make an anonymized copy of the final participant-level data set available to others for research purposes, either via data sharing on request or digital repository deposit.

Publications

  • Dehlendorf C, Henderson JT, Vittinghoff E, Grumbach K, Levy K, Schmittdiel J, Lee J, Schillinger D, Steinauer J. Association of the quality of interpersonal care during family planning counseling with contraceptive use. Am J Obstet Gynecol. 2016 Jul;215(1):78.e1-9. doi: 10.1016/j.ajog.2016.01.173. Epub 2016 Jan 28.

    PubMed 26827879
  • Thompson R, Manski R, Donnelly KZ, Stevens G, Agusti D, Banach M, Boardman MB, Brady P, Colon Bradt C, Foster T, Johnson DJ, Li Z, Norsigian J, Nothnagle M, Olson AL, Shepherd HL, Stern LF, Tosteson TD, Trevena L, Upadhya KK, Elwyn G. Right For Me: protocol for a cluster randomised trial of two interventions for facilitating shared decision-making about contraceptive methods. BMJ Open. 2017 Oct 22;7(10):e017830. doi: 10.1136/bmjopen-2017-017830.

    PubMed 29061624
  • Dugan E, Trachtenberg F, Hall MA. Development of abbreviated measures to assess patient trust in a physician, a health insurer, and the medical profession. BMC Health Serv Res. 2005 Oct 3;5:64. doi: 10.1186/1472-6963-5-64.

    PubMed 16202125
  • Barr PJ, Thompson R, Walsh T, Grande SW, Ozanne EM, Elwyn G. The psychometric properties of CollaboRATE: a fast and frugal patient-reported measure of the shared decision-making process. J Med Internet Res. 2014 Jan 3;16(1):e2. doi: 10.2196/jmir.3085.

    PubMed 24389354
  • Graham, I., & O'Connor, A. (1995). User Manual: Preparation for Decision Making Scale. Retrieved from https://decisionaid.ohri.ca/docs/develop/User_Manuals/UM_PrepDM.pdf

  • O'Connor, A. M. (1995). Decision Self Efficacy Scale: User manual. Retrieved from https://decisionaid.ohri.ca/docs/develop/User_Manuals/UM_Decision_SelfEfficacy.pdf

  • O'Connor, A. (2010). Decisional Conflict Scale: User manual. Retrieved from https://decisionaid.ohri.ca/docs/develop/User_Manuals/UM_Decisional_Conflict.pdf

Questions about this trial

What is this clinical trial studying?

A study of Contraception and Pregnancy Related, run by Dartmouth-Hitchcock Medical Center at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 9 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: High incidence of fraudulent enrollment.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Perceived support in decision-making (time frame: T2 (Approximately 7-11 weeks after self-reported estimated due date)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03500952, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jan 2019; AzTrials last refreshed its copy on 29 Oct 2026.

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