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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Telemedicine for contraceptive counseling (TECC)
Other interventionWhatsApp 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 interventionIn-personcontraceptive counseling with a nurese according to clinical standard of care
Treatment groups
Trial outcomes
Primary outcomes
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
Secondary outcomes
Choice of LARC on day of consultation
Proportion of participants in each arm chosing LARC on day of first visit (recruitment)
Use of LARC at 6 months
Proportion of participants in each arm using LARC at 6 months follow-up
Use of LARC at 12 months
Proportion of participants in each arm using LARC at 12 months follow-up
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
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Karolinska Institutet
Lead sponsor
University of Cape Town
Collaborator