دورية أكاديمية
Mobile solutions to Empower reproductive life planning for women living with HIV in Kenya (MWACh EMPOWER): Protocol for a cluster randomized controlled trial.
العنوان: | Mobile solutions to Empower reproductive life planning for women living with HIV in Kenya (MWACh EMPOWER): Protocol for a cluster randomized controlled trial. |
---|---|
المؤلفون: | Nancy Ngumbau, Jennifer A Unger, Brenda Wandika, Celestine Atieno, Kristin Beima-Sofie, Julia Dettinger, Emmaculate Nzove, Elizabeth K Harrington, Agnes K Karume, Lusi Osborn, Monisha Sharma, Barbra A Richardson, Aparna Seth, Jenna Udren, Noor Zanial, John Kinuthia, Alison L Drake |
المصدر: | PLoS ONE, Vol 19, Iss 4, p e0300642 (2024) |
بيانات النشر: | Public Library of Science (PLoS), 2024. |
سنة النشر: | 2024 |
المجموعة: | LCC:Medicine LCC:Science |
مصطلحات موضوعية: | Medicine, Science |
الوصف: | BackgroundWomen living with HIV (WLWH) face unique reproductive health (RH) barriers which increase their risks of unmet need for contraception, contraceptive failure, unintended pregnancy, and pregnancy-related morbidity and mortality and may prevent them from achieving their reproductive goals. Patient-centered counseling interventions that support health care workers (HCWs) in providing high-quality RH counseling, tailored to the needs of WLWH, may improve reproductive health outcomes.Methods and designWe are conducting a non-blinded cluster randomized controlled trial (cRCT) of a digital health intervention for WLWH (clinicaltrials.gov #NCT05285670). We will enroll 3,300 WLWH seeking care in 10 HIV care and treatment centers in Nairobi and Western Kenya. WLWH at intervention sites receive the Mobile WACh Empower intervention, a tablet-based RH decision-support counseling tool administered at baseline and SMS support during two years of follow-up. WLWH at control sites receive the standard of care FP counseling. The decision-support tool is a logic-based tool for family planning (FP) counseling that uses branching logic to guide RH questions based on participants' reproductive life plans, tailoring counseling based on the responses. Follow-up SMSs are based in the Information-Motivation-Behavioral (IMB) Skills model of behavioral change and are tailored to participant characteristics and reproductive needs through separate SMS "tracks". Follow-up visits are scheduled quarterly for 2 years to assess plans for pregnancy, pregnancy prevention, and contraceptive use. The primary outcome, FP discontinuation, will be compared using an intent-to-treat analysis. We will also assess the unmet need for FP, dual method use, viral load suppression at conception and unintended pregnancy.DiscussionThe Mobile WACh Empower intervention is innovative as it combines a patient-centered counseling tool to support initial reproductive life decisions with longitudinal SMS for continued RH support and may help provide RH care within the context of provision of HIV care. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1932-6203 |
Relation: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0300642&type=printable; https://doaj.org/toc/1932-6203 |
DOI: | 10.1371/journal.pone.0300642&type=printable |
DOI: | 10.1371/journal.pone.0300642 |
URL الوصول: | https://doaj.org/article/f69a99b8a9544f6d9789880fb66d14c1 |
رقم الأكسشن: | edsdoj.f69a99b8a9544f6d9789880fb66d14c1 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 19326203 |
---|---|
DOI: | 10.1371/journal.pone.0300642&type=printable |