RT Journal Article
SR Electronic
T1 Right For Me: protocol for a cluster randomised trial of two interventions for facilitating shared decision-making about contraceptive methods
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e017830
DO 10.1136/bmjopen-2017-017830
VO 7
IS 10
A1 Rachel Thompson
A1 Ruth Manski
A1 Kyla Z Donnelly
A1 Gabrielle Stevens
A1 Daniela Agusti
A1 Michelle Banach
A1 Maureen B Boardman
A1 Pearl Brady
A1 Christina Colón Bradt
A1 Tina Foster
A1 Deborah J Johnson
A1 Zhongze Li
A1 Judy Norsigian
A1 Melissa Nothnagle
A1 Ardis L Olson
A1 Heather L Shepherd
A1 Lisa F Stern
A1 Tor D Tosteson
A1 Lyndal Trevena
A1 Krishna K Upadhya
A1 Glyn Elwyn
YR 2017
UL http://bmjopen.bmj.com/content/7/10/e017830.abstract
AB Introduction Despite the observed and theoretical advantages of shared decision-making in a range of clinical contexts, including contraceptive care, there remains a paucity of evidence on how to facilitate its adoption. This paper describes the protocol for a study to assess the comparative effectiveness of patient-targeted and provider-targeted interventions for facilitating shared decision-making about contraceptive methods.Methods and analysis We will conduct a 2×2 factorial cluster randomised controlled trial with four arms: (1) video+prompt card, (2) decision aids+training, (3) video+prompt card and decision aids+training and (4) usual care. The clusters will be clinics in USA that deliver contraceptive care. The participants will be people who have completed a healthcare visit at a participating clinic, were assigned female sex at birth, are aged 15–49 years, are able to read and write English or Spanish and have not previously participated in the study. The primary outcome will be shared decision-making about contraceptive methods. Secondary outcomes will be the occurrence of a conversation about contraception in the healthcare visit, satisfaction with the conversation about contraception, intended contraceptive method(s), intention to use a highly effective method, values concordance of the intended method(s), decision regret, contraceptive method(s) used, use of a highly effective method, use of the intended method(s), adherence, satisfaction with the method(s) used, unintended pregnancy and unwelcome pregnancy. We will collect study data via longitudinal patient surveys administered immediately after the healthcare visit, four weeks later and six months later.Ethics and dissemination We will disseminate results via presentations at scientific and professional conferences, papers published in peer-reviewed, open-access journals and scientific and lay reports. We will also make an anonymised copy of the final participant-level dataset available to others for research purposes.Trial registration number ClinicalTrials.gov Identifier: NCT02759939.