Mobile contraceptive application use in a clinical setting in addition to standard contraceptive counseling: A randomized controlled trial

Luciana E. Hebert*, Brandon J. Hill, Michael Quinn, Jane L. Holl, Amy K. Whitaker, Melissa L. Gilliam

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Objective: To evaluate the effect of miPlan, a waiting-room contraceptive counseling mobile application (app), on interest in discussing long-acting reversible contraception (LARC) during the clinical encounter and LARC uptake. Study design: This randomized controlled trial evaluated the miPlan contraceptive counseling app. African American and Latina young women ages 15–29 years attending four family planning clinics in a large Midwestern city were randomized to either: (1) use miPlan (intervention) prior to the contraceptive clinic visit or (2) contraceptive clinic visit alone (control). Groups were compared on knowledge of contraceptive effectiveness, interest in discussing LARC, behavioral intentions to use LARC, and LARC uptake. Results: From February 2015 to January 2016, 207 young women were randomized to intervention (n=104) or control (n=103) group. Immediately following app use, the intervention group had an increase in knowledge and interest in learning about the implant. Immediate post visit, there was no significant difference in uptake of LARC between the two groups (p>.05). At three months post intervention, app users reported more knowledge of IUD effectiveness (52.3% vs 30.8%, p=.001) compared to controls. There was no significant difference in LARC use. Conclusion: App use was not associated with an increase in using LARC methods. It was associated with increased knowledge of contraceptive effectiveness, an interest in learning about the implant, and behavioral intentions to use LARC methods. Implications: The miPlan app is a feasible clinic adjunct for increasing contraceptive knowledge and intentions, however, it is not associated with increased LARC use. Mobile applications can offer an accessible complement to the contraceptive counseling visit.

Original languageEnglish (US)
Pages (from-to)281-287
Number of pages7
JournalContraception
Volume98
Issue number4
DOIs
StatePublished - Oct 2018

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Keywords

  • Contraception
  • Contraceptive counseling
  • Education
  • LARC
  • Mobile app

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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