UROP Fellowship: WAGSFP
Research Mentor(s): Justine Wu, MD, MPH
Research Mentor Institution/Department: Michigan Medicine, Department of Family Medicine
Presentation Date: Wednesday, August 4th
Session: Session 2 (4pm-4:50pm EDT)
Breakout Room: Room 2
Background: Finding the right birth control can be difficult. It can be especially challenging for people with chronic conditions who may have contraindications to hormonal methods and disease-specific concerns related to reproductive health and contraception. Aims: 1) To assess the feasibility and acceptability of a novel mobile contraceptive decision tool (My Health, My Choice); 2) to explore associations between use of My Health My Choice and contraceptive use, contraceptive satisfaction, person-centered contraceptive counseling, and contraceptive self-efficacy. Methods: This is a non-randomized, single-arm pilot study in six primary care clinics in Chicago, Seattle, and southeast Michigan. Eligible patients include fertile people aged 18-45 with intact uteri/ovaries who desire birth control. We will use a mixed methods study design that collects and analyzes both qualitative and quantitative data. We aim to enroll 80 patient participants who will complete quantitative online surveys. To analyze the quantitative data we will conduct descriptive statistics to summarize patient data. Continuous outcomes will be summarized as means with corresponding standard deviations. Categorical outcomes will be summarized as frequencies with associated percentages. We will conduct a Mantel-Haenszel test, stratified by practice, to test significant differences in rates of contraceptive use pre-post intervention. A subsample of participants will be purposefully selected for a virtual 30-minute qualitative interview, audio-recording of their clinic appointment, or both. To analyze qualitative data we will conduct iterative thematic qualitative analysis for key codes and themes to probe for nuances regarding the tool’s feasibility and acceptability and to inform future revisions of the tool. Expected Results: We will have data regarding the feasibility of evaluating My Health, My Choice in a large-scale cluster RCT, including rates of recruitment, enrollment, and retention as well as preliminary data regarding contraceptive outcomes.