Original articleText Messaging Support for Urban Adolescents and Young Adults Using Injectable Contraception: Outcomes of the DepoText Pilot Trial
Section snippets
Setting and participants
This research study was conducted in a large urban academic General Pediatric and Adolescent Medicine Practice in Baltimore, Maryland, between October 2011 and February 2012 that primarily serves low-income African-American families from the neighboring East Baltimore community. Adolescents and young adults in Baltimore have high rates of unplanned pregnancy and sexually transmitted infections (STIs). This clinical program provides confidential, adolescent-centered sexual and reproductive
Participants
Most participants were African-American (96%) resided in low-income (75%), single-parent, mother-headed households (66%). Participants had high rates of parental knowledge and support for contraceptive use as 92% of parents knew that they were using Depo-Provera and 87% of parents had spoken to them about sex. Access to technology and added burden for study texts was not an issue as 92% of girls had unlimited text message, and the other 8% thought the service was sufficiently valuable and
Discussion
This pilot study demonstrates that the DepoText intervention is both a feasible and an acceptable clinical support tool for adolescents and young adult women choosing MARCs for family planning. Access to technology and added burden for study texts was not an issue as 92% of girls had unlimited text messages and the other 8% thought the service was sufficiently valuable and manageable at the time of consent that they enrolled in the study. The CFL system had on-time delivery of text messages and
Acknowledgments
The authors acknowledge support for the statistical analysis from the National Center for Research Resources and the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health through grant number UL1T000424. Finally, the authors are grateful to our patients who trusted and participated in this project and the Harriet Lane clinical staff and Adolescent Medicine Team who supported this work.
References (21)
- et al.
The contraceptive CHOICE project: Reducing barriers to long-acting reversible contraception
Am J Obstet Gynecol
(2010) - et al.
Results of a randomized controlled trial of a brief behavioral intervention for pelvic inflammatory disease in adolescents
J Pediatr Adolesc Gynecol
(2010) - et al.
How adolescents use SMS (short message service) to micro-coordinate contact with youth mental health outreach services
J Adolesc Health
(2011) - Maryland Department of Health and Mental Hygiene. Maryland State Health Improvement Process. Available at:...
- United States Census Bureau. Model-based Small Area Income & Poverty Estimates (SAIPE) for school districts, counties,...
- et al.
Early motherhood and subsequent life outcomes
J Child Psychol Psychiatry
(2008) - et al.
The role of family support in determining developmental outcomes in children of teen mothers
Child Psychiatry Hum Dev
(1991) - et al.
Explaining recent declines in adolescent pregnancy in the United States: The contribution of abstinence and improved contraceptive use
Am J Public Health
(2007) - Baltimore Healthy Babies. Teen Pregnancy Prevention Initiative. Available at:...
- et al.
Politics and practice: Introducing Norplant into a school-based health center in Baltimore
Am J Public Health
(1995)
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