The goal of this clinical trial is to evaluate the feasibility and acceptability of "BRIDGES" (Building Reproductive Decision-Making, Empowerment, \& Support), a new patient-directed educational website (bridges4support.org). BRIDGES aims to improve family planning (FP) patients' understanding of reproductive coercion (RC) and harm-reduction strategies, as well as their ability to discuss RC-related issues with healthcare providers if they so choose. Designed to be integrated into routine FP clinical care and pre-visit materials, this brief (5-10 minute) educational website includes 1) education on reproductive coercion and (un)healthy relationships, 2) harm-reduction and safety planning strategies, and 3) patient activation messages to encourage patients to actively engage with their healthcare provider. Four study clinics were selected from Planned Parenthood of Michigan (PPMI) clinics based on patient volume and number of clinics. Two of the four chosen clinics will be randomly assigned to receive BRIDGES, with 40 participants per clinic, and the other two clinics will be randomly assigned to receive the standard of care, also with 40 participants per clinic. Control clinics will receive the standard of care, which includes the typical support and counseling provided at these centers for FP patients, and the intervention clinics will receive BRIDGES plus standard of care. Research staff will recruit FP patients ages 18-29 (N=160) through patient portal messages. Participants will complete online, self-directed Qualtrics surveys at three time points: pre-appointment, post-appointment, and 3-months. Survey data will be used to assess differences in patient knowledge, self-efficacy, and behavior between patients attending intervention clinics and patients attending control FP clinics (i.e., receiving standard-of-care FP services). Feasibility, implementation, and pilot outcome data will be used to further refine the intervention towards the goal of conducting a future larger-scale study of BRIDGES within FP clinics.
Age range
18 Years – 29 Years
Sex
FEMALE
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The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
Level of agreement that the BRIDGES website was acceptable
Timeframe: Up to five days after appointment
Level of agreement that the user liked BRIDGES
Timeframe: Up to five days after appointment
Level of agreement that BRIDGES was helpful
Timeframe: Up to five days after appointment
Level of agreement that the user was comfortable using BRIDGES
Timeframe: Up to five days after appointment
Level of agreement that the user felt safe using BRIDGES
Timeframe: Up to five days after appointment
Level of agreement that BRIDGES was easy to use
Timeframe: Up to five days after appointment
Level of agreement that the BRIDGES website helped them talk to their healthcare provider about their intimate relationships
Timeframe: Up to five days after appointment
Level of agreement that the BRIDGES website helped them talk to their healthcare provider about their preferred birth control method
Timeframe: Up to five days after appointment
Level of agreement that the BRIDGES website helped them choose a birth control method that works best for them
Timeframe: Up to five days after appointment
Level of agreement that the BRIDGES website influenced their decision about which birth control method they wanted
Timeframe: Up to five days after appointment
Level of agreement that the BRIDGES website will help them talk to their friends and family about reproductive coercion
Timeframe: Up to five days after appointment
Level of agreement that the user would share the BRIDGES website with a friend or family member who needed support
Timeframe: Up to five days after appointment
Level of agreement that the user would use the BRIDGES website if the user were not in the study
Timeframe: Up to five days after appointment