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Why Didn't You Text Me? Poststudy Trends From the DepoText Trial
Cara R Muñoz Buchanan1, Kathy Tomaszewski1, Shang-En Chung1
11 Johns Hopkins School of Medicine, Baltimore, MD, USA.
Clinical Pediatrics
|September 28, 2017
Summary
Text message interventions significantly improve long-term adherence to highly effective contraceptives, like depot medroxyprogesterone acetate (DMPA), for young women. This supports sustained use of effective family planning methods post-intervention.
Area of Science:
- Reproductive Health
- Public Health Interventions
- Contraceptive Technology
Background:
- Adolescent and young adult women face challenges with consistent contraceptive use.
- Text message interventions show promise for improving adherence to family planning methods.
Purpose of the Study:
- To assess the long-term impact of a 9-month text message intervention on contraceptive method adherence.
- To evaluate sustained use of highly effective contraceptive methods beyond the intervention period in urban young women.
Main Methods:
- Retrospective longitudinal cohort study analyzing data from the DepoText randomized control trial (RCT).
- Included 67 female participants (aged 13-21) using depot medroxyprogesterone acetate (DMPA).
- Compared contraceptive method choice 20 months post-intervention between intervention and control groups.
Main Results:
- Participants in the text message intervention group were 3.65 times more likely to continue using DMPA or a more efficacious contraceptive method.
- This increased likelihood of adherence was observed at the 20-month post-intervention evaluation (OR 3.65, 95% CI 1.26-10.08; P = .015).
Conclusions:
- The DepoText text message intervention was associated with sustained use of DMPA or more effective contraceptive methods.
- This suggests text message support can positively influence long-term contraceptive adherence in young women.
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