Telemedicine Contraceptive Counselling (TECC) Versus Standard Care

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorKarolinska Institutet

About this trial

Overall purpose of the PILOT and RCT:

This research project aims to increase access and uptake of contraception after abortion through the systematic development and testing of a new telemedicine service for contraceptive counselling (TECC). The investigators will perform a pilot study in South Africa, and multicenter randomized controlled trial in South Africa and Kenya with the following specific aims:

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Seeking either surgical or medical abortion

≥ 18 years of age

Able to communicate and understand spoken and written English

With private access to a smart phone

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Telemedicine for contraceptive counseling (TECC)

    Other intervention

    WhatsApp algorithmic chatbot that screens preferences and medical eligibility to recommend two methods, informs about all methods, allows choice out of all methods, produce summary to substitute for clinical record

  • Standard Care

    Other intervention

    In-personcontraceptive counseling with a nurese according to clinical standard of care

Treatment groups

510 Participants
are divided into 2 treatment groups
Group A: TelemedicineExperimental treatment 1 intervention
Group B: Standard CareActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Use of LARC (IUD or progestin implant) at 12 week follow-up

Proportion of participants in each arm with using LARC (IUD or progestin implant) at 12 week follow-up

Time frame
12 weeks

Secondary outcomes

1

Choice of LARC on day of consultation

Proportion of participants in each arm chosing LARC on day of first visit (recruitment)

Time frame
Baseline
2

Use of LARC at 6 months

Proportion of participants in each arm using LARC at 6 months follow-up

Time frame
6 months
3

Use of LARC at 12 months

Proportion of participants in each arm using LARC at 12 months follow-up

Time frame
12 months
4

Unplanned pregnancy within 6 months

Proportion of participants in each arm with unplanned pregnancy recorded at 6 month follow-up and having occurred since previous abortion

Time frame
6 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Karolinska Institutet

Lead sponsor

University of Cape Town

Collaborator