Correction to: A randomized controlled trial of an intervention delivered by mobile phone app instant messaging to increase the acceptability of effective contraception among young people in Tajikistan

McCarthy, Ona; Ahamed, Irrfan; Kulaeva, Firuza; Tokhirov, Ravshan; Saibov, Salokhiddin; Vandewiele, Marieka; Standaert, Sarah; Leurent, Baptiste; Edwards, Phil; Palmer, Melissa; Free, Caroline

doi:10.1186/s12978-018-0496-5

Cited by 8 publications

(7 citation statements)

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“…Trials evaluating contraceptive behavioral interventions delivered by mobile phone have had mixed results [ 25 - 35 ], with some showing an improvement in contraceptive use [ 25 - 27 ] and knowledge [ 25 , 28 - 30 ]. The results of this trial are not inconsistent with our trials of similar interventions among young people in Tajikistan [ 50 ] and Palestine [ 51 ]. In the Palestine trial, participants who received the intervention were more than twice as likely to find at least one method of contraception acceptable (OR 2.34, 95% CI 1.48-3.68; P <.001).…”

Section: Discussionsupporting

confidence: 54%

An Intervention Delivered by Mobile Phone Instant Messaging to Increase Acceptability and Use of Effective Contraception Among Young Women in Bolivia: Randomized Controlled Trial

McCarthy

Aliaga²,

Palacios³

et al. 2020

J Med Internet Res

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Background Although the most effective methods of contraception are available in Bolivia, unmet need for contraception among women aged 15 to 19 years is estimated to be 38% (2008), and the adolescent fertility rate is 71 per 1000 women (2016). Mobile phones are a popular mode to deliver health behavior support. We developed a contraceptive behavioral intervention for young Bolivian women delivered by mobile phone and guided by behavioral science. The intervention consists of short instant messages sent through an app over 4 months. Objective This trial aimed to evaluate the effect of the intervention on young Bolivian women’s use of and attitudes toward the effective contraceptive methods available in Bolivia. Methods This was a parallel group, individually randomized superiority trial with a 1:1 allocation ratio. Women were eligible if they were aged 16 to 24 years, owned a personal Android mobile phone, lived in La Paz or El Alto, reported an unmet need for contraception, and could read Spanish. The target sample size was 1310 participants. Participants allocated to the intervention had access to an app with standard family planning information and intervention messages. Participants allocated to the control group had access to the same app and control messages. Coprimary outcomes were use of effective contraception and acceptability of at least one method of effective contraception at 4 months. Secondary outcomes were use of effective contraception during the study, acceptability of the individual methods, service uptake, unintended pregnancy, and abortion. Process outcomes included knowledge, perceived norms, personal agency, and intention. Outcomes were analyzed using logistic and linear regression. We also asked participants about physical violence. Results A total of 640 participants were enrolled, and 67.0% (429) of them contributed follow-up data for the coprimary outcome, the use of effective contraception. There was no evidence that use differed between the groups (33% control vs 37% intervention; adjusted odds ratio [OR] 1.19, 95% CI 0.80 to 1.77; P=.40). There was a borderline significant effect regarding acceptability (63% control vs 72% intervention; adjusted OR 1.49, 95% CI 0.98 to 2.28; P=.06). There were no statistically significant differences in any of the secondary or process outcomes. The intervention dose received was low. In the control group, 2.8% (6/207) reported experiencing physical violence compared with 1.9% (4/202) in the intervention group (Fisher exact test P=.75). Conclusions This trial was unable to provide definitive conclusions regarding the effect of the intervention on use and acceptability of effective contraception because of under recruitment. Although we cannot strongly recommend implementation, the results suggest that it would be safe and may increase the acceptability of effective contraception if the intervention messages were offered alongside the download of the app. Trial Registration ClinicalTrials.gov NCT02905526; https://clinicaltrials.gov/ct2/show/NCT02905526

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Section: Discussionsupporting

confidence: 54%

An Intervention Delivered by Mobile Phone Instant Messaging to Increase Acceptability and Use of Effective Contraception Among Young Women in Bolivia: Randomized Controlled Trial

McCarthy

Aliaga²,

Palacios³

et al. 2020

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…Trials evaluating contraceptive behavioral interventions delivered by mobile phone have had mixed results [25][26][27][28][29][30][31][32][33][34][35], with some showing an improvement in contraceptive use [25][26][27] and knowledge [25,[28][29][30]. The results of this trial are not inconsistent with our trials of similar interventions among young people in Tajikistan [50] and Palestine [51]. In the Palestine trial, participants who received the intervention were more than twice as likely to find at least one method of contraception acceptable (OR 2.34, 95% CI 1.48-3.68; P<.001).…”

Section: Comparisons With Existing Researchmentioning

confidence: 78%

An Intervention Delivered by Mobile Phone Instant Messaging to Increase Acceptability and Use of Effective Contraception Among Young Women in Bolivia: Randomized Controlled Trial (Preprint)

McCarthy¹,

Aliaga²,

Palacios³

et al. 2019

Preprint

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BACKGROUND Although the most effective methods of contraception are available in Bolivia, unmet need for contraception among women aged 15 to 19 years is estimated to be 38% (2008), and the adolescent fertility rate is 71 per 1000 women (2016). Mobile phones are a popular mode to deliver health behavior support. We developed a contraceptive behavioral intervention for young Bolivian women delivered by mobile phone and guided by behavioral science. The intervention consists of short instant messages sent through an app over 4 months. OBJECTIVE This trial aimed to evaluate the effect of the intervention on young Bolivian women’s use of and attitudes toward the effective contraceptive methods available in Bolivia. METHODS This was a parallel group, individually randomized superiority trial with a 1:1 allocation ratio. Women were eligible if they were aged 16 to 24 years, owned a personal Android mobile phone, lived in La Paz or El Alto, reported an unmet need for contraception, and could read Spanish. The target sample size was 1310 participants. Participants allocated to the intervention had access to an app with standard family planning information and intervention messages. Participants allocated to the control group had access to the same app and control messages. Coprimary outcomes were use of effective contraception and acceptability of at least one method of effective contraception at 4 months. Secondary outcomes were use of effective contraception during the study, acceptability of the individual methods, service uptake, unintended pregnancy, and abortion. Process outcomes included knowledge, perceived norms, personal agency, and intention. Outcomes were analyzed using logistic and linear regression. We also asked participants about physical violence. RESULTS A total of 640 participants were enrolled, and 67.0% (429) of them contributed follow-up data for the coprimary outcome, the use of effective contraception. There was no evidence that use differed between the groups (33% control vs 37% intervention; adjusted odds ratio [OR] 1.19, 95% CI 0.80 to 1.77; P=.40). There was a borderline significant effect regarding acceptability (63% control vs 72% intervention; adjusted OR 1.49, 95% CI 0.98 to 2.28; P=.06). There were no statistically significant differences in any of the secondary or process outcomes. The intervention dose received was low. In the control group, 2.8% (6/207) reported experiencing physical violence compared with 1.9% (4/202) in the intervention group (Fisher exact test P=.75). CONCLUSIONS This trial was unable to provide definitive conclusions regarding the effect of the intervention on use and acceptability of effective contraception because of under recruitment. Although we cannot strongly recommend implementation, the results suggest that it would be safe and may increase the acceptability of effective contraception if the intervention messages were offered alongside the download of the app. CLINICALTRIAL ClinicalTrials.gov NCT02905526; https://clinicaltrials.gov/ct2/show/NCT02905526

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“…Given their ability to extend services beyond voice and text messaging, DHIs that are internet-based, such as MPAs, have the potential to further increase access to SRH services. Although some studies have shown moderate to high acceptability of MPAs and MPA-driven SRH interventions [ 21 – 23 ], we found none that were conducted in low-income settings. Additionally, on reviewing the literature, we found multiple studies on the utilization of MPAs for access to contraception information [ 24 , 25 ], but none that were goods and services focused.…”

Section: Introductionmentioning

confidence: 84%

“…The utilization was frequent, suggesting ongoing engagement by app users and uniform across the information, goods, and services dimensions. Further still, there was lower utilization of the app once downloaded (81%) compared to acceptance of the app for download (86%), suggesting a difference in app acceptance and downstream acceptance of services [ 23 ]. The utilization was hampered by technical issues and glitches.…”

Section: Discussionmentioning

confidence: 99%

Utilization of a mobile phone application to increase access to sexual and reproductive health information, goods, and services among university students in Uganda

Nalwanga¹,

Nuwamanya

Babigumira³

et al. 2021

Reprod Health

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Background Innovations to increase access to sexual and reproductive health (SRH) information, goods, and services are needed, particularly in low-income settings. This study assessed the utilization of a mobile phone application (MPA) to increase access to SRH information, goods, and services among university students in Uganda. Methods We conducted a cross-sectional analysis of data from: (1) an endline survey performed as a consequence of a randomized controlled trial (RCT) of the effectiveness of the MPA, and (2) data from use of the MPA for accessing information, goods, and services over the 6-month time period of the RCT, obtained from in-MPA data collection service providers. We performed descriptive analysis of participant characteristics and their association with the utilization of the MPA using logistic regression; analyses of MPA use for accessing different types of information, goods, and services by gender; and analyses of functionality attributes of the MPA and related services. Results In the study population of young (median 22 years) predominantly female (61%) students, the utilization of the MPA by those who downloaded it was high (81% overall, 82% female, and 82% male). The most popular information portal was the frequently asked questions (71% utilization); the most popular goods were condoms for males (77% utilization) and sanitary pads for females (94% utilization); and the most popular service was HIV testing and counseling (60% utilization). The MPA demonstrated predominantly positive (responsiveness, non-distracting in-app advertisements, and ease of use) attributes. Conclusion A mobile phone app to increase access to SRH information, goods, and services among university students in Uganda demonstrated high utilization. The results of this study support ongoing and future technical improvement efforts and research on effectiveness, economic efficiency, and scalability, along the continuum of activities to scale this intervention in order to improve SRH in low-income settings. Trial Registration MUREC1/7 No. 07/05-18. Registered; June 29, 2018.

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Correction to: A randomized controlled trial of an intervention delivered by mobile phone app instant messaging to increase the acceptability of effective contraception among young people in Tajikistan

Cited by 8 publications

References 1 publication

An Intervention Delivered by Mobile Phone Instant Messaging to Increase Acceptability and Use of Effective Contraception Among Young Women in Bolivia: Randomized Controlled Trial

An Intervention Delivered by Mobile Phone Instant Messaging to Increase Acceptability and Use of Effective Contraception Among Young Women in Bolivia: Randomized Controlled Trial

An Intervention Delivered by Mobile Phone Instant Messaging to Increase Acceptability and Use of Effective Contraception Among Young Women in Bolivia: Randomized Controlled Trial (Preprint)

Utilization of a mobile phone application to increase access to sexual and reproductive health information, goods, and services among university students in Uganda

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