Berenson 2012.
Methods | Design: individually randomized Location: southeast Texas (USA) Time frame: enrollment from July 2006 to January 2010 Sample size calculation (and outcome of focus): N = 190 in each group (570 total) for 90% power to detect OR of 2.0 for oral contraceptive (OC) continuation after 12 months |
|
Participants | General with N: 1155 women; 16 to 24 years of age Source: 5 public reproductive health clinics in southeast Texas serving low income women Inclusion criteria: sexually active; non‐pregnant; 16 to 24 years old; requesting OC initiation Exclusion criteria: desire to become pregnant in next year; medical contraindication to OC; current or prior (> 1 month) OC use |
|
Interventions | Study focus: increasing contraceptive adherence as well as dual‐method use to prevent STI and pregnancy. Theory or model: health belief model
Duration: 6‐month intervention |
|
Outcomes | Primary: OC adherence (consistent OC use); dual‐method use (consistent OC use and consistent condom use); condom use at last sex (if inconsistent condom user); pregnancy Secondary: NA Follow‐up: by telephone at 3, 6 12 months |
|
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐generated randomization scheme (PLAN procedure, SAS Institute) |
Allocation concealment (selection bias) | High risk | When asked about concealment before assignment, investigator communicated that they did not conceal from researchers but did conceal from participants |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Presume no blinding of participants; not feasible due to type of intervention |
Blinding of outcome assessment (detection bias) | Low risk | Staff who made assessment phone calls were blinded to intervention group |
Outcome measures | Unclear risk | Pregnancy by self‐report and medical record review (low risk); contraceptive use by self‐report (high risk) |
Incomplete outcome data (attrition bias) All outcomes | High risk | Loss to follow‐up by 12 months: 44% counseling, 43% counseling + phone, and 45% standard care. |
Other bias | Unclear risk | Analysis for cluster randomized trial: NA |