Tailored Health Messaging Improves Contraceptive Adherance

In Tailored Health Messaging Improves Contraceptive Continuation and Adherence: Results from a Randomized Controlled Trial, published in Contraception, authors Samantha Garbers, et al, conducted interventions to improve contraceptive method continuation and adherence, given that discontinuation and incorrect use of contraceptive methods may contribute to as many as 1 million unintended pregnancies annually in the United States.

The authors conducted a randomized controlled trial of 224 patients at two family planning sites which tested the efficacy of a computer-based contraceptive assessment module in increasing the proportion of patients who continued use of their chosen contraceptive method 4 months after the family planning visit.

Results indicated that family planning patients who used the module and received individually tailored health materials were significantly more likely to continue use of their chosen contraceptive method [95% compared to 77%; odds ratio (OR)=5.48; 95% confidence interval (CI): 1.72–17.42] and to adhere to this method (86% compared to 69%; OR=2.74; 95% CI: 1.21–6.21). No significant differences in these outcomes were found for participants who used the module but did not receive tailored materials when compared to the control group.

The authors concluded that tailored health materials significantly improved contraceptive method continuation and adherence, but noted that additional research on the impact of the intervention on continuation and adherence in a larger sample and over a longer follow-up period is merited.

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