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J Gen Intern Med. 2008 Jun;23(6):794-9. doi: 10.1007/s11606-008-0609-x. Epub 2008 Apr 9.

Computer-assisted provision of emergency contraception a randomized controlled trial.

Author information

  • 1Center for Research on Health Care, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA. Schwarzeb@upmc.edu

Abstract

BACKGROUND:

Emergency contraception (EC) can prevent unintended pregnancy. However, many women continue to lack information needed to use EC effectively and clinician time to counsel women about EC is limited.

OBJECTIVE:

To evaluate whether computer-assisted provision of EC can increase knowledge and use of EC among women able to access EC without a prescription.

DESIGN:

We conducted a randomized controlled trial in which the intervention group received a 15-minute computerized educational session and 1 pack of EC. The control group received education about periconception folate supplementation, but no information about EC. Participants were contacted 7 months after enrollment.

PARTICIPANTS:

Four hundred forty-six women recruited from 2 urgent care clinics in San Francisco in 2005.

MEASUREMENTS:

Knowledge of EC, use of EC, and self-reported pregnancy.

RESULTS:

At follow-up, women in the intervention group answered an average of 2 more questions about EC correctly than they had at baseline, whereas women in the control group answered only 1 more item correctly (2.0 vs 1.2, p < .001). There was a trend toward more use of EC during the study period in the intervention group (10% vs 4% of women followed, p = .06; 6% vs 3%, p = .09 of women enrolled). Fewer women in the intervention group were pregnant at the time of follow-up (0.8% vs 6.5%, p = .01 of women followed; 0.5% vs 4.0%, p = .01 of women enrolled).

CONCLUSIONS:

Computer-assisted provision of EC in urgent care waiting areas increased knowledge of EC in a state where EC had been available without a prescription for 3 years.

PMID:
18398664
[PubMed - indexed for MEDLINE]
PMCID:
PMC2517895
Free PMC Article
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