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Completed

NCT Number: NCT04206514

Improving Person Centered Care for Post Abortion Patients in Kenya

The purpose of this study is to understand the effect of a phone based post-abortion intervention on the experience of post-abortion care.

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Key information

Conditions

Reproductive Health

Age range

15 year–49 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Marie Stopes International Kenya

Nairobi, Kenya

About this study

This study evaluates whether personalized text messages and phone calls to post abortion women can improve post abortion person-centered care, perceived social support, post-abortion family planning, and reduce perceptions of social stigma and stress. Women were randomized to one of three study arms: personalized communication with a peer counselor or nurse who received person-centered care (PCC) training, or a control arm where participants received the standard of care.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Women of reproductive age
  • Had an Safe Abortion (SA)/Post Abortion Care (PAC) procedure at one of six private clinics that day
  • Has her own cellphone that is WhatsApp compatible and will have access to this phone for the next four weeks
  • Willing to receive receive short message service (SMS) messages and phone calls from an Marie Stopes Kenya (MSK) or Innovation for Poverty Action (IPA) professional
  • Able to communicate in English and/or Swahili
  • Willing and able to comprehend and give informed consent
  • Willing to participate in a baseline survey immediately after providing consent
  • Willing to be followed up by phone at two weeks and four weeks post procedure for a 15-minute survey at each time-point
  • Has not already participated in this study

Exclusion criteria

  • Is not a women of reproductive age
  • Did not have an SA/PAC procedure at one of six private clinics that day
  • Does not have her own cellphone that is WhatsApp compatible and will have access to this phone for the next four weeks
  • Is not willing to SMS messages and phone calls from an MSK/IPA professional
  • Is not able to communicate in English and/or Swahili
  • Is not willing or is not able to comprehend and give informed consent
  • Is not willing to participate in a baseline survey immediately after providing consent
  • Is not willing to be followed up by phone at two weeks and four weeks post procedure for a 15-minute survey at each time-point
  • Has already participated in this study

Treatment and study plan

Person Centered Care - Post Abortion Support

Behavioral

Post abortion phone based support

Primary outcomes

  1. Person-Centered Abortion Scale Score

    Time frame: baseline

    Survey conducted with women: self-report of experiences of PCC. Possible range 0-100; higher the score, better the experience

  2. Person-Centered Abortion Scale Score

    Time frame: 2 weeks post-procedure

    Survey conducted with women: self-report of experiences of PCC. Possible range 0-100; higher the score, better the experience

  3. Person-Centered Abortion Scale Score

    Time frame: 4 weeks post-procedure

    Survey conducted with women: self-report of experiences of PCC. Possible range 0-100; higher the score, better the experience

Secondary outcomes

  1. Post abortion family planning counseling

    Time frame: baseline

    Self-report if women received counseling on family planning (Yes/No)

  2. Post-abortion family planning uptake

    Time frame: baseline

    Self-report of uptake of family planning (Yes/No/Refused to answer)

  3. Perceived social support

    Time frame: baseline

    Medical Outcomes Study-Social Support 15-item Scale (MOS-SSS): 18-90 where higher scores indicate greater social support

  4. Perceived abortion stigma

    Time frame: baseline

    The Individual Level Abortion Stigma Scale (ILAS Scale) Abbreviated 3-item Scale: 0-9 where higher scores indicate greater worry about stigma

  5. Mental Health

    Time frame: baseline

    Mental Health Inventory (MHI-5) scale; 0-100 with higher scores indicating better mental health

  6. Post-abortion family planning uptake

    Time frame: 2 weeks post-procedure

    self-report of uptake of family planning (Yes/No/Refused to answer)

  7. Mental Health

    Time frame: 2-weeks post procedure

    Mental Health Inventory (MHI-5) scale; 0-100 with higher scores indicating better mental health

  8. Post-abortion family planning uptake

    Time frame: 4 weeks post-procedure

    self-report of uptake of family planning (Yes/No/Refused to answer)

  9. Perceived social support

    Time frame: 4 weeks post-procedure

    Medical Outcomes Study-Social Support 15-item Scale (MOS-SSS): 18-90 where higher scores indicate greater social support

  10. Perceived abortion stigma

    Time frame: 4 weeks post procedure

    The Individual Level Abortion Stigma Scale (ILAS Scale) Abbreviated 3-item Scale: 0-9 where higher scores indicate greater worry about stigma

Sponsors and collaborators

Lead sponsor

University of California, San Francisco

Other

Collaborators

  • Innovations for Poverty Action
  • Marie Stopes International

Registry information

Official study title

Strengthening Patient-Centered Accessibility, Respect, and Quality of Care for Post Abortion Care Through Peer and Nurse Based Phone Support

Acronym: SPARQ_PACK

Important dates

Study start
2018
Primary completion
2018
Study completion
2018
First posted
Dec 20, 2019
Registry last updated
Jan 14, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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