@article{5f75e1a09d2a4fcb8d39b46fa5f0dba2,
title = "Video compared to conversational contraceptive counseling during labor and maternity hospitalization in Colombia: A randomized trial",
abstract = "Objective: Assess if video-based contraceptive education could be an efficient adjunct to contraceptive counseling and attain the same contraceptive knowledge acquisition as conversation-based counseling. Study design: This was a multicenter randomized, controlled trial examining contraceptive counseling during labor and maternity hospitalization regarding the options of immediate postpartum contraception. At two urban public hospitals, we randomized participants to a structured conversation with a trained counselor or a 14-min video providing the same information. Both groups received written materials and were invited to ask the counselor questions. Our primary outcome was to compare mean time for video-based education and conversational counseling; secondary outcomes included intended postpartum contraceptive method, pre- and postintervention contraceptive knowledge, and perceived competence in choosing a method of contraception. Results: We enrolled 240 participants (conversation group=119, video group=121). The average time to complete either type of counseling was similar [conversational: 16.3 min, standard deviation (SD) ±3.8 min; video: 16.8 min, SD ±4.6 min, p=.32]. Of women intending to use nonpermanent contraception, more participants intended to use a long-acting reversible contraceptive (LARC) method after conversational counseling (72/103, 70% versus 59/105, 56%, p=.041). Following counseling, mean knowledge assessment scores increased by 2 points in both groups (3/7 points to 5/7 correct). All but two participants in the video group agreed they felt equipped to choose a contraceptive method after counseling. Conclusions: Compared to in-person contraceptive counseling alone, video-based intrapartum contraceptive education took a similar amount of time and resulted in similar contraceptive knowledge acquisition, though with fewer patients choosing LARC. Implications: Video-based contraceptive education may be useful in settings with limited personnel to deliver unbiased hospital-based, contraceptive counseling for women during the antepartum period.",
keywords = "Colombia, Contraception, Counseling, Family planning, LARC, Public health",
author = "Hersh, {Alyssa R.} and Mu{\~n}oz, {Luisa F.} and M{\'o}nica Rinc{\'o}n and Carolina Alvarez and Tolosa, {Jorge E.} and Moreno, {Diva J.} and Martha Rubio and Vargas, {Juan C.} and Francisco Edna and Nelson Taborda and Baldwin, {Maureen K.}",
note = "Funding Information: We would like to thank our project coordinators, Laura Rivera and Laura Zuluaga. In addition, we would like to thank the staff at Unidad Hospitalaria de Manrique (Metrosalud), Medellin, Dr. Carolina Parra, the nurses in the postpartum unit, and site coordinator Deisy Pereira, and also the staff at the E.S.E. Cl{\'i}nica Maternidad Rafael Calvo, Erica Martinez, Doris Vasquez, Leoncia Henry, and site coordinators, Ana Lucia Alvarez and Alcira Cardona. This work would not have been possible without the support of Blanca Cecilia Leal from Profamilia, Bogot{\'a}, Dr. Gladis Adriana V{\'e}lez, Dr. Joaqu{\'i}n G{\'o}mez and Alonso Escobar from Nacer Salud Sexual y Reproductiva, Universidad de Antioquia and Dr. Andr{\'e}s Mac{\'i}as, FUNDARED-MATERNA in Bogot{\'a}. Research reported in this article was supported by National Center for Advancing Translational Sciences of the National Institutes of Health under award number UL1TR0002369. Funding Information: We would like to thank our project coordinators, Laura Rivera and Laura Zuluaga. In addition, we would like to thank the staff at Unidad Hospitalaria de Manrique (Metrosalud), Medellin, Dr. Carolina Parra, the nurses in the postpartum unit, and site coordinator Deisy Pereira, and also the staff at the E.S.E. Cl{\'i}nica Maternidad Rafael Calvo, Erica Martinez, Doris Vasquez, Leoncia Henry, and site coordinators, Ana Lucia Alvarez and Alcira Cardona. This work would not have been possible without the support of Blanca Cecilia Leal from Profamilia, Bogot{\'a}, Dr. Gladis Adriana V{\'e}lez, Dr. Joaqu{\'i}n G{\'o}mez and Alonso Escobar from Nacer Salud Sexual y Reproductiva, Universidad de Antioquia and Dr. Andr{\'e}s Mac{\'i}as, FUNDARED-MATERNA in Bogot{\'a}. Research reported in this article was supported by National Center for Advancing Translational Sciences of the National Institutes of Health under award number UL1TR0002369 . Funding Information: We would like to thank our project coordinators, Laura Rivera and Laura Zuluaga. In addition, we would like to thank the staff at Unidad Hospitalaria de Manrique (Metrosalud), Medellin, Dr. Carolina Parra, the nurses in the postpartum unit, and site coordinator Deisy Pereira, and also the staff at the E.S.E. Cl?nica Maternidad Rafael Calvo, Erica Martinez, Doris Vasquez, Leoncia Henry, and site coordinators, Ana Lucia Alvarez and Alcira Cardona. This work would not have been possible without the support of Blanca Cecilia Leal from Profamilia, Bogot?, Dr. Gladis Adriana V?lez, Dr. Joaqu?n G?mez and Alonso Escobar from Nacer Salud Sexual y Reproductiva, Universidad de Antioquia and Dr. Andr?s Mac?as, FUNDARED-MATERNA in Bogot?. Research reported in this article was supported by National Center for Advancing Translational Sciences of the National Institutes of Health under award number UL1TR0002369. Publisher Copyright: {\textcopyright} 2018 Elsevier Inc.",
year = "2018",
month = sep,
doi = "10.1016/j.contraception.2018.05.004",
language = "English (US)",
volume = "98",
pages = "210--214",
journal = "Contraception",
issn = "0010-7824",
publisher = "Elsevier USA",
number = "3",
}