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Randomized Controlled Trial
. 2015 Nov-Dec;25(6):641-8.
doi: 10.1016/j.whi.2015.06.010. Epub 2015 Aug 22.

Reducing Unintended Pregnancies Through Web-Based Reproductive Life Planning and Contraceptive Action Planning among Privately Insured Women: Study Protocol for the MyNewOptions Randomized, Controlled Trial

Cynthia H Chuang  1 , Diana L Velott  2 , Carol S Weisman  3 , Christopher N Sciamanna  4 , Richard S Legro  5 , Vernon M Chinchilli  2 , Merry-K Moos  6 , Erica B Francis  7 , Lindsay N Confer  2 , Erik B Lehman  2 , Christopher J Armitage  8
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Randomized Controlled Trial

Reducing Unintended Pregnancies Through Web-Based Reproductive Life Planning and Contraceptive Action Planning among Privately Insured Women: Study Protocol for the MyNewOptions Randomized, Controlled Trial

Cynthia H Chuang et al. Womens Health Issues. 2015 Nov-Dec.

Abstract

Background: The Affordable Care Act mandates that most women of reproductive age with private health insurance have full contraceptive coverage with no out-of-pocket costs, creating an actionable time for women to evaluate their contraceptive choices without cost considerations. The MyNewOptions study is a three-arm, randomized, controlled trial testing web-based interventions aimed at assisting privately insured women with making contraceptive choices that are consistent with their reproductive goals.

Methods: Privately insured women between the ages of 18 and 40 not intending pregnancy were randomly assigned to one of three groups: 1) a reproductive life planning (RLP) intervention, 2) a reproductive life planning enriched with contraceptive action planning (RLP+) intervention, or 3) an information only control group. Both the RLP and RLP+ guide women to identify their individualized reproductive goals and contraceptive method requirements. The RLP+ additionally includes a contraceptive action planning component, which uses if-then scenarios that allow the user to problem solve situations that make it difficult to be adherent to their contraceptive method. All three groups have access to a reproductive options library containing information about their contraceptive coverage and the attributes of alternative contraceptive methods. Women completed a baseline survey with follow-up surveys every 6 months for 2 years concurrent with intervention boosters. Study outcomes include contraceptive use and adherence. ClinicalTrials.gov identifier: NCT02100124.

Discussion: Results from the MyNewOptions study will demonstrate whether web-based reproductive life planning, with or without contraceptive action planning, helps insured women make patient-centered contraceptive choices compared with an information-only control condition.

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Figure.
MyNewOptions Enrollment and Randomization * Target sample was attained in 4 months
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