Evidence map›Paper›PMID 21843690›Full record

Trial reportContraception2011

Adherence to dual-method contraceptive use.

Jeffrey F Peipert, Qiuhong Zhao, Laura Meints, Benjamin J Peipert, Colleen A Redding, Jenifer E Allsworth

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Contraception, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00436306 (Stage Matched Intervention to Increase Dual Method Use), which is not on this map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00436306 phase4completednot on this map

Stage Matched Intervention to Increase Dual Method Use

TypeinterventionalSponsorEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)Ran1999 to 2005Enrolled550ConditionsContraception, Sexually Transmitted Diseases, PregnancyArmsIndividualized Intervention, Computer-based contraceptive information
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Theory-based interventions for contraception.The Cochrane database of systematic reviews · 2016
    Pooled it
  2. Interventions for preventing unintended pregnancies among adolescents.The Cochrane database of systematic reviews · 2016
    Pooled it
  3. Behavioral interventions for improving dual-method contraceptive use.The Cochrane database of systematic reviews · 2014
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. With pills, patches, rings, and shots: who still uses condoms? A longitudinal cohort study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2013
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jeffrey F PeipertDivision of Clinical Research, Department of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA.
Qiuhong Zhao
Laura Meints
Benjamin J Peipert
Colleen A Redding
Jenifer E Allsworth

Funding

Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University Institute of Clinical and Translational Sciences (KL2)KL2RR024994 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$8.6M
MIDCAREER INVESTIGATOR AWARD IN WOMEN'S HEALTH RESEARCHK24HD001298 · NICHD · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI PEIPERT, JEFFREY FRANK · 2000 to 2009
$1.1M
STAGE MATCHED INTERVENTION TO INCREASE DUAL METHOD USER01HD036663 · NICHD · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI PEIPERT, JEFFREY F · 1998 to 2002
$1.1M
NCATS NIH HHS UL1 TR000448NCRR NIH HHS KL2 RR024994NCRR NIH HHS UL1 RR024992NICHD NIH HHS K24 HD001298
6 · The paper itself

Abstract

backgroundPatient characteristics associated with adherence to dual-method contraceptive use are not known. STUDY

designProject PROTECT was a 24-month-long randomized trial designed to promote the use of dual methods of contraception using an individualized computer-based intervention or enhanced standard care counseling intervention. We analyzed 463 women with follow-up data and examined sustained dual-method use (reported at 2+ interviews).

resultsWhile 32% initiated dual-method contraceptive use, only 9% reported sustained use. Education increased (RR(adj)=4.42; 95% confidence interval [CI] 1.19-16.42), substance abuse decreased (adjusted relative risk [RR(adj)]=0.49; 95% CI 0.24-0.97), no contraceptive use at baseline decreased (RR(adj)=0.32; 95% CI 0.11-0.92) and contraceptive stage of change increased (RR(adj)=5.04; 95% CI 1.09-23.4) adherence to dual-method use.

conclusionTo effectively prevent sexually transmitted diseases and unplanned pregnancies, dual-method use must be consistent and sustained. Future interventions to promote dual-method use should focus on high-risk groups and additional dual-method combinations (e.g., barrier plus intrauterine devices or implants).

Indexed as

Patient ComplianceAdolescentAdultContraceptionFemaleFollow-Up StudiesHumansInterviews as TopicLogistic ModelsPregnancyPregnancy, UnplannedSexually Transmitted DiseasesSocioeconomic FactorsYoung Adult

Identifiers

PMID21843690
PMCPMC3622205

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.