Document Type
Article
Date of Original Version
2008
Abstract
Objective: The objective of the study was to determine whether a transtheoretical model–tailored expert system intervention increases dual-method contraceptive use, compared with a nontailored educational intervention.
Study Design: We performed a randomized clinical trial of 542 women at high risk for sexually transmitted infections (STIs) and unintended pregnancy. The intervention group received computer-based tailored feedback using a multimedia program. The control group received general contraceptive information and nontailored advice.
Results: Participants in the intervention group were more likely to report use of dual contraceptive methods during follow-up (adjusted hazard rate ratio 1.70, 95% confidence interval 1.09, 2.66), compared with controls. However, there were no differences in the rates of incident STI or unintended pregnancy between the 2 groups.
Conclusions: The computer-based transtheoretical model–tailored intervention resulted in a 70% increase in reported dual-method contraceptive use in a group of women at high risk for STIs and unintended pregnancy. Inconsistent use of dual methods may explain the lack of effect on unintended pregnancy rates and incident STIs.
Citation/Publisher Attribution
Peipert, J. F., Redding, C. A., Blume, J. D., Allsworth, J. E., Matteson, K. A., Lozowski, F., Mayer, K. H., Morokoff, P. J., & Rossi, J. S. (2008). Tailored intervention to increase dual-contraceptive method use: a randomized trial to reduce unintended pregnancies and sexually transmitted infections. American Journal of Obstetrics and Gynecology, 198(6), 630.e1-630.e8. doi: 10.1016/j.ajog.2008.01.038
Available at: https://doi.org/10.1016/j.ajog.2008.01.038
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