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A Web-Based Contraception Decision Tool for Individuals With Health Conditions in US Outpatient Clinics: Protocol for
Beatrice Palazzolo1, James E Aikens2, Ananda Sen2
1Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, United States.
JMIR Research Protocols
|December 29, 2025
Summary
This study evaluates "My Health My Choice," a web tool aiding individuals with health conditions in choosing contraception. The research aims to assess its effectiveness in improving contraceptive decisions and outcomes.
Area of Science:
- Contraceptive research
- Health decision support tools
- Patient-centered care
Background:
- Contraception choice is complex for individuals with health conditions, requiring consideration of health impacts and medication interactions.
- A web-based decision support tool, "My Health My Choice" (MHMC), was developed to assist patients in understanding contraceptive options tailored to their health status.
Purpose of the Study:
- To evaluate the efficacy of the "My Health My Choice" (MHMC) tool in supporting contraceptive decision-making for individuals with various health conditions in US outpatient settings.
Main Methods:
- A mixed-methods cluster randomized controlled trial comparing MHMC plus usual care to usual care alone.
- 726 patients (18-49 years) with eligible health conditions will be enrolled across 14 clinics.
- Primary outcome: patient-reported contraceptive nonuse at 3 months; secondary outcomes include method type, safety categories, decisional conflict, and provider interaction quality.
Main Results:
- The study is funded and 14 clinics are enrolled, undergoing preparation for trial launch.
- Patient enrollment is anticipated between October 2025 and September 2028.
Conclusions:
- This trial represents the first mixed-methods cluster randomized controlled trial for MHMC.
- The study will provide valuable insights into the effectiveness of web-based decision support for contraceptive choices among individuals with health complexities.
Keywords:
chronic disease randomized controlled trialcluster analysiscontraceptiondecision makingmultiple chronic conditionsMore Related Videos
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