TY - JOUR
T1 - Text messaging support for urban adolescents and young adults using injectable contraception
T2 - Outcomes of the DepoText pilot trial
AU - Trent, Maria
AU - Thompson, Carol
AU - Tomaszewski, Kathy
N1 - Funding Information:
The Thomas Wilson Sanitarium Foundation for the Children of Baltimore City (PI: M.T.) funded this study. Dr. Trent's time for manuscript development is also currently supported in part by the National Institute of Nursing Research R01NR013507.
Funding Information:
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.
Publisher Copyright:
© 2015 Society for Adolescent Health and Medicine. All rights reserved.
PY - 2015/7/1
Y1 - 2015/7/1
N2 - 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.
AB - 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.
KW - Adolescent
KW - Contraception
KW - Depo-Provera
KW - Meaningful use
KW - Texting
KW - Urban
UR - http://www.scopus.com/inward/record.url?scp=84937523988&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84937523988&partnerID=8YFLogxK
U2 - 10.1016/j.jadohealth.2015.03.008
DO - 10.1016/j.jadohealth.2015.03.008
M3 - Article
C2 - 26002432
AN - SCOPUS:84937523988
SN - 1054-139X
VL - 57
SP - 100
EP - 106
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 1
ER -