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Evaluating the MyPath web-based reproductive decision support tool in VA primary care: Protocol for a pragmatic
Lisa S Callegari1, Samantha K Benson2, Siobhan S Mahorter2
1Health Services Research and Development, Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle, USA; Department of Obstetrics & Gynecology, University of Washington School of Medicine, Seattle, USA; Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, USA.
This study is testing a web-based tool, MyPath, to improve reproductive health discussions between Veterans and primary care providers. The trial is ongoing, aiming to enhance person-centered care and shared decision-making.
Area of Science:
- Reproductive Health
- Digital Health Interventions
- Primary Care
Background:
- Reproductive health counseling is often missing in primary care.
- Veterans Health Administration (VA) primary care settings lack support for family formation desires.
- A novel, web-based, person-centered intervention is being evaluated.
Purpose of the Study:
- To increase the frequency and quality of communication about reproductive goals and healthcare needs.
- To evaluate a digital decision support tool (MyPath) in VA primary care.
- To improve person-centered reproductive healthcare delivery.
Main Methods:
- Hybrid type 1 effectiveness-implementation cluster randomized controlled trial.
- Seven VA healthcare systems testing the MyPath tool.
- Veterans receive text invitations to use MyPath before appointments; providers are randomized to intervention or usual care.
Main Results:
- The trial is currently recruiting.
- 36 primary care providers enrolled across 7 VA healthcare systems.
- Veteran recruitment is ongoing.
Conclusions:
- Findings will guide efforts to enhance reproductive healthcare quality and person-centeredness.
- Results will inform the operationalization and scaling of digital decision support tools.
- The study aims to improve shared decision-making in reproductive health.
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