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. 2016 Nov 23;2016(11):CD007249. doi: 10.1002/14651858.CD007249.pub5

Davidson 2015.

Methods Design: individually randomized
Location: Chicago, IL (USA)
 Time frame: June to September 2013
Sample size calculation (and outcome of focus): assumed LARC initiation immediately after abortion at 6% control and 21% intervention. To detect 15% increase in LARC initiation (from 6% to 21%) using 2‐sided alpha P = 0.05 and 80% power, 188 subjects needed (94 each arm). Due to protocol violations by interim analysis, recruited 5 additional participants
Participants General with N: 191 participants (96 intervention; 95 control)
 Inclusion criteria: English‐speaking women 18 to 29 years old; presenting for surgical abortion; not desiring pregnancy in next 12 months
Exclusion criteria: nonviable or anomalous pregnancy; pregnancy as result of sexual assault; not English‐speaking
Interventions Study focus: pregnancy prevention; initiate LARC after abortion
Theory or model: Transtheoretical model (assumed most women seeking abortion in precontemplation or contemplation for LARC)
  1. Intervention: 3‐segment video delivered on a tablet computer, featuring messages delivered by health care provider (segment 1) and peers (segment 2 and 3); facilitate LARC uptake by increasing awareness, helping women weigh pros and cons and gain self‐efficacy for using LARC postabortion; usual care after video as below

  2. Comparison: video of physician discussing stress management; usual care after video, including contraception and abortion counseling (all contraceptive methods discussed)

Outcomes Primary: initiation of LARC
Secondary: NA
Follow‐up: NA; immediately after abortion
Notes Not included in this review: satisfaction (and perceived autonomy) survey regarding usual care counseling for both groups (5 items); groups did not differ significantly
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated randomization (random.org); 1:1 allocation and blocks of 10
Allocation concealment (selection bias) Low risk Sequence entered into software (RedCap), which automatically randomized following baseline survey
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Counselors and clinicians blinded to study arm allocation
Presume no blinding of participants; not feasible due to type of intervention
Blinding of outcome assessment (detection bias) Low risk No mention; initiation of LARC from medical records
Outcome measures Low risk Contraceptive method selection from chart review
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Loss to follow‐up: NA; method initiation assessed on same day as procedure
Excluded after randomization: 1 did not have abortion and 1 ineligible due to age
Other bias Unclear risk Analysis for cluster randomized trial: NA