Patient-Centered Reproductive Decision Support Tool for Women Veterans
The investigators have developed a web-based decision support tool to help women Veterans get the information and care they need to achieve their reproductive goals, whether that includes optimizing their health before desired pregnancies or birth control to avoid unwanted pregnancies. The study will test the effect of sending a weblink to the decision tool to women Veterans prior to primary care visits at the VA. Half of participants will be sent a weblink before their appointment, and half will not be sent the link. The investigators hypothesize that participants who are sent the link will be more likely to report patient-centered discussions of their reproductive needs at visits, feel confident in communicating with their health care providers, have accurate knowledge about reproductive health, and choose birth control methods that best fit their preferences and needs.
Conditions:
🦠 Contraception 🦠 Contraception Behavior 🦠 Prepregnancy Health 🦠 Reproductive Health
🗓️ Study Start (Actual) 1 March 2021
🗓️ Primary Completion (Estimated) 30 August 2024
✅ Study Completion (Estimated) 30 September 2025
👥 Enrollment (Estimated) 456
🔬 Study Type INTERVENTIONAL
📊 Phase NA
Locations:
📍 San Diego, California, United States
📍 Aurora, Colorado, United States
📍 Orlando, Florida, United States
📍 Decatur, Georgia, United States
📍 Durham, North Carolina, United States
📍 Pittsburgh, Pennsylvania, United States
📍 El Paso, Texas, United States
📍 Houston, Texas, United States
📍 San Antonio, Texas, United States
📍 Temple, Texas, United States
📍 Salt Lake City, Utah, United States
📍 Seattle, Washington, United States

📋 Eligibility Criteria

Description

    Inclusion Criteria:

    • Patients:
    • * Female sex identified in medical record
    • * 18 - 44 years old
    • * Has a scheduled VA medical appointment with an enrolled study provider
    • * Has at least one valid telephone number available in medical record
    • * Interested in receiving information or talking with their provider about pregnancy and/or birth control
    • Providers:
    • * Primary Care Provider (MD, Nurse Practitioner, Physician Assistant) at a study site
    • * Designated as a Women's Health Provider \[defined in VA directive 1330.01 as primary care providers who have demonstrated proficiency (e.g. pelvic exams and pap smears) in women's health and who have at least 10% of their panel comprised of women\]
    • * Completed appointments with at least 30 unique female patients ages 18-44 in the past year at a study site

    Exclusion Criteria:

    • Patients:
    • * Currently pregnant
    • * Medical record or self-reported history of hysterectomy, bilateral oophorectomy; or self-report of not having a uterus
    • * Unable to communicate in English
    • * Impaired decision-making
    • * Used the decision tool prior to study enrollment (e.g. during pilot testing of the tool)
    • Providers:
    • * Previous involvement as a provider in MyPath pilot work (identified by the PI)
    • * Medical trainee
    • * Self-report that they have plans to leave VA, go on extended leave, retire, stop primary care practice, or change VA site in the 18 months following their enrollment
Ages Eligible for Study: 18 Years to 44 Years (ADULT)
Sexes Eligible for Study: FEMALE
Accepts Healthy Volunteers: Yes

🗓️ Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

  • First Submitted 5 October 2020
  • First Submitted that Met QC Criteria 5 October 2020
  • First Posted 12 October 2020

Study Record Updates

  • Last Update Submitted that Met QC Criteria 7 March 2024
  • Last Update Posted 8 March 2024
  • Last Verified March 2024