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Randomized Controlled Trial
. 2015 Jul;57(1):100-6.
doi: 10.1016/j.jadohealth.2015.03.008. Epub 2015 May 19.

Text Messaging Support for Urban Adolescents and Young Adults Using Injectable Contraception: Outcomes of the DepoText Pilot Trial

Maria Trent  1 , Carol Thompson  2 , Kathy Tomaszewski  3
Affiliations
Randomized Controlled Trial

Text Messaging Support for Urban Adolescents and Young Adults Using Injectable Contraception: Outcomes of the DepoText Pilot Trial

Maria Trent et al. J Adolesc Health. 2015 Jul.

Abstract

Purpose: To evaluate the feasibility, acceptability, and preliminary effectiveness of DepoText, a text messaging reminder system designed to improve moderately long-acting reversible contraception appointment attendance among young urban adolescent girls and young adult women using Depo-Provera.

Methods: Female patients aged 13-21 years willing to be randomized, using Depo-Provera, and owning a cell phone with text messaging were recruited from an urban academic practice in a community with high rates of unplanned pregnancy for this institutional review board-approved randomized controlled pilot trial. Participants completed a baseline Web-based survey and were followed for three injection cycles. Intervention participants received welcome, appointment, and healthy self-management messages using the Compliance for Life short messaging system platform over each injection cycle. Compliance for Life recorded outgoing and incoming communications, and patients were tracked for clinical behaviors. The log-transformed number of days between scheduled appointment and injection was analyzed using linear regression.

Results: Recruitment data show 95% eligibility and 91% enrollment rates with maximum enrollment completion in 3 months. Most were African-American and resided in low-income, single-parent, and mother-headed households. Most participants had cell phone plans that included unlimited text messaging and Internet access and completed all three Depo-Provera cycles. Intervention participants returned closer to their scheduled appointments than their control peers for the first visit (Β = -.75; 95% confidence interval, -1.4 to .06; p = .03) but not for the second and third visits.

Conclusions: The DepoText intervention is acceptable, feasible, and shows short-term preliminary efficacy for improving clinic attendance for moderately long-acting reversible contraception appointments. Additional research exploring the cost and longitudinal prevention effectiveness is warranted.

Keywords: Adolescent; Contraception; Depo-Provera; Meaningful use; Texting; Urban.

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Figures

Figure 1
Figure 1
Overview of DepoText Study Design and Recruitment Outcomes
Figure 2
Figure 2
Figure 3
Figure 3
Boxplot of days from scheduled appointment to Depo-Provera injection by intervention and control status per study visit.
See this image and copyright information in PMC

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