Evidence map›Paper›PMID 37174856›Full record

ArticleHealthcare (Basel, Switzerland)2023

The Impact of Behavioral Economics-Based Counseling and Mobile Phone Text Educational and Reminder Messages on the Use of Modern Family Planning in Jordan: A Cluster Randomized Controlled Trial.

Heath Prince, Yousef S Khader, Yara A Halasa-Rappel, Sara Abu Khudair, Mohammad Alyahya, Nihaya Al-Sheyab, Khulood K Shattnawi, Rana AlHamawi, Kelley Ready

Open access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 14% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

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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

9 authors at 4 institutions in 2 countries.

Heath PrinceRay Marshall Center for the Study of Human Resources, Lyndon B. Johnson School of Public Affairs, The University of Texas at Austin, Lake Austin Blvd., Austin, TX 78712, USA.ORCID 0000-0001-9847-1828
Yousef S KhaderDepartment of Community Medicine, Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.ORCID 0000-0002-7830-6857
Yara A Halasa-RappelForHealth Consulting, UMass Chan Medical School, Shrewsbury, MA 01545, USA.
Sara Abu KhudairEastern Mediterranean Public Health Network, Amman 11196, Jordan.ORCID 0000-0002-6172-6898
Mohammad AlyahyaDepartment of Health Management and Policy, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.ORCID 0000-0003-2345-4892
Nihaya Al-SheyabAllied Medical Sciences Department, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid 22110, Jordan.
Khulood K ShattnawiMaternal & Child Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid 22110, Jordan.ORCID 0000-0002-8601-5427
Rana AlHamawiEastern Mediterranean Public Health Network, Amman 11196, Jordan.ORCID 0000-0001-5891-4815
Kelley ReadyRay Marshall Center for the Study of Human Resources, Lyndon B. Johnson School of Public Affairs, The University of Texas at Austin, Lake Austin Blvd., Austin, TX 78712, USA.
Jordan University of Science and Technology · JOEastern Mediterranean Public Health Network · JOThe University of Texas at Austin · USUniversity of Massachusetts Chan Medical School · US

Funding

Dutch Research Council W 08.560.013
6 · The paper itself

Abstract

backgroundFavorable attitudes toward modern family planning methods (MFPMs) among Jordanian and Syrian women do not always translate into behavioral changes, and the availability and cost of MFPMs do not appear to be related to either prior stalls in fertility rates in Jordan or to the current and likely temporary decline in fertility rates. This study aimed to determine whether behavioral economics (BE)-based family planning interventions influence the use of any family planning method, MFPMs use, continuation of MFPMs use, and pregnancy rates among women in Jordan. The BE-based family planning interventions included personalized text messaging and augmented counseling based on framing and identity-priming BE principles, with their effects tested over a 9-month period in the postpartum period following the birth of a child.

methodsA parallel-group cluster randomized controlled trial was conducted to compare two interventions, augmented counseling based on framing and identity-priming BE principles and personalized mobile phone text messages reminders, aiming to improve the utilization of MFPMs among postpartum women over status quo family planning services in comprehensive health centers in the north of Jordan.

resultsIn total, 1032 participated in the study: 295 women in the control group; 326 women in Intervention Group 1, which received only augmented counseling; and 411 women in intervention Group 2, which received augmented counseling and monthly text messages. The rates of using MFPMs in the counseling group and the counseling and messages group 3 months (54.7% and 57.1%, respectively), 6 months (50.0% and 51.7%, respectively), and 9 months (49.5% and 52.0%, respectively) were significantly higher than the rates among women in the control group (40.6% at 3 months, 37.6% at 6 months, and 34.3% at 9 months). Overall, 26.8% of women in the control group, 42.1% of women in the counseling-only group, and 45.2% of women in the counseling and messages group used MFPMs continuously for all 9 months. At 9 months, the pregnancy rate was significantly much higher in the control group (13.7%) compared to women in the counseling-only group (7.0%) and to women in the counseling and messages group (7.4%).

conclusionsSimple BE-based interventions can be effective methods for enhancing the use of MFPMs and maintaining the anticipated decline in Jordan's total fertility rate.

Indexed as

behavioral economicsfamily planningmodern family planning methodstext-based intervention

Identifiers

PMID37174856
PMCPMC10178716
OpenAlexW4376630791

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.