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Charisse Loder, MD ACOG Annual Clinical Meeting May 6, 2013

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Patient knowledge regarding emergency contraception: A randomized controlled trial comparing pamphlet versus web-based education. Charisse Loder, MD ACOG Annual Clinical Meeting May 6, 2013. Disclosure.

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Charisse Loder, MD ACOG Annual Clinical Meeting May 6, 2013
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  1. Patient knowledge regarding emergency contraception: A randomized controlled trial comparing pamphlet versus web-based education Charisse Loder, MD ACOG Annual Clinical Meeting May 6, 2013

  2. Disclosure • This speaker has no conflicts of interest to disclose relative to the contents of this presentation.

  3. Objectives

  4. Background • Emergency contraception (EC) in the US • Two dedicated oral medications • Copper IUD • OTC availability • EC use remains low1 • Barriers to use • Patient knowledge2 • Provider knowledge3 1.Mosher 2010 2.Fairhurst 2004 3.Ewing 1999

  5. Background • 80% of internet users look for health information4 • Limited data on web based interventions for contraceptive education • Bedsider.org • Free web-based education about contraception • Marketed to young demographic 18-29yrs 4. Fox pewinternethealth.com

  6. Study Objective To determine if a web-based educational resource increases knowledge about emergency contraception when compared to standard ACOG pamphlet materials.

  7. Methods • Randomized controlled trial, non-blinded • RSRB approval • Subjects enrolled Sept/Oct 2012 at URMC Women’s Health Practice • Inclusion criteria: Age 18-29, Female, if pregnant, >36 weeks • Exclusion criteria: history of tubal ligation, hysterectomy

  8. Interventions

  9. Methods

  10. Results • No demographic differences between groups • Both interventions increased EC knowledge • Bedsider increased knowledge that EC is available OTC • Both interventions taught • EC definitions • Time period for effectiveness • After three months, knowledge was retained in the ACOG intervention

  11. Results: Improvement in knowledge scores

  12. Results:Knowledge score change by question *p<0.001

  13. Conclusions • Educational intervention increases EC knowledge • Knowledge was retained in pamphlet intervention over three months

  14. Future Directions • Larger trial needed • Provider guided web education • Investigate strategies to improve knowledge retention

  15. Thank you • ACOG • Drs. Harrington and Betstadt • URMC research team • Dr. JC Glantz • R. Rowley • S. Greathouse • K. Edell • LL Thornburg • N. Whaley • B. Folch

  16. References Mosher WD, Jones J. Use of contraception in the United States: 1982-2008. National Center for Health Statistics. Vital Health Stat 2010: 23. Ewing G, Selassie A, Lopez C, McCutcheon E. Self-report of delivery of clinical preventive services by U.S. physicians: Comparing specialty, gender, age, setting of practice and area of practice. Am Journal Preventive Medicine 1999. 17(1): 62-72. Fairhurst K, Ziebland S, Wyke S, Seaman P, Glasier A. Emergency contraception: why can’t you give it away? Qualitative findings from an evaluation of advance provision of emergency contraception. Contraception 2004. 70(1): 25-29. Susannah Fox www.pewinternethealth.com

  17. Demographics

  18. Provider Knowledge