Evidence map›Paper›PMID 34737472›Full record

Trial reportBulletin of the World Health Organization2021

Behavioural intervention for adolescent uptake of family planning: a randomized controlled trial, Uganda.

Sara Flanagan, Arielle Gorstein, Martha Nicholson, Stephanie Bradish, Diana Amanyire, Andrew Gidudu, Francis Aucur, Julius Twesigye, Faith Kyateka, Samuel Balamaga and 2 more

Registry-linked trialOpen access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Bulletin of the World Health Organization, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05516602 (Improving HIV Prevention Among Adolescent Girls and Young Women), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
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.

NCT05516602 nacompletednot on this mapstarted 2023, after this paper: background citation

Improving HIV Prevention Among Adolescent Girls and Young Women (AGYW) in Uganda

TypeinterventionalSponsorMRC/UVRI and LSHTM Uganda Research UnitRan2023 to 2024Enrolled394ConditionsHIV-1-infectionArmsPeer Support
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
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  9. Harnessing the power of behavioural science to improve health.Bulletin of the World Health Organization · 2021
    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

12 authors at 1 institution in 1 country.

Sara Flanaganideas42, 80 Broad St 30Fl, New York, NY 10004, United States of America (USA).
Arielle Gorsteinideas42, 80 Broad St 30Fl, New York, NY 10004, United States of America (USA).
Martha NicholsonMSI Reproductive Choices, London, England.
Stephanie BradishMSI Reproductive Choices, London, England.
Diana AmanyireMSI Reproductive Choices, London, England.
Andrew GiduduMarie Stopes Uganda, Kampala, Uganda.
Francis AucurMarie Stopes Uganda, Kampala, Uganda.
Julius TwesigyeMarie Stopes Uganda, Kampala, Uganda.
Faith KyatekaMarie Stopes Uganda, Kampala, Uganda.
Samuel BalamagaMarie Stopes Uganda, Kampala, Uganda.
Alison ButtenheimUniversity of Pennsylvania School of Nursing, Philadelphia, USA.
Emily Zimmermanideas42, 80 Broad St 30Fl, New York, NY 10004, United States of America (USA).
University of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of a peer-referral and clinic welcome programme for reducing barriers to adolescents' uptake of family planning services in Uganda.

methodsWe developed an intervention using behavioural design and carried out a stratified, randomized controlled evaluation of the intervention in girls aged 15-19 years. Sexual and reproductive health clinics were randomized into control (56 clinics) and intervention groups (60 clinics). All intervention clinics received the core intervention (materials to create an adolescent-friendly environment and referral cards to give to friends), while a subset of clinics additionally received training in youth-friendly service provision. We collected clinics' routine data on monthly numbers of visits by adults and adolescents over a 15-month baseline and 6-month intervention period, 2018-2020.

findingsIn multivariate regression analysis we found significant effects of the intervention on primary outcomes in the pooled intervention group compared with control. Mean monthly visits by adolescents increased by 45% (incidence rate ratio, IRR: 1.45; 95% confidence interval, CI: 1.14-1.85), or over five additional adolescent clients per clinic per month. The mean adolescent proportion of total clients improved by 5.3 percentage points (95% CI: 0.02-0.09). Within treatment arms, clinics receiving the training in youth-friendly service provision showed the strongest effects: a 62% increase (IRR: 1.62; 95% CI: 1.21-2.17) in adolescent clients, or over seven additional adolescents per clinic per month, relative to the control group.

conclusionA behavioural change intervention designed to target identified barriers can increase adolescents' uptake of family planning counselling and services.

Indexed as

Family Planning ServicesSex EducationAdolescentAdultAmbulatory Care FacilitiesFemaleHumansReferral and ConsultationUganda

Identifiers

PMID34737472
PMCPMC8542266
OpenAlexW3209523786

What OpenQuestion holds

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LicenceCC BY
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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.