Mobile phone-based interventions for improving contraception use

Smith, Chris; Gold, Judy; Ngô, Thoại D.; Sumpter, Colin; Free, Caroline

doi:10.1002/14651858.cd011159.pub2

Cited by 113 publications

(120 citation statements)

References 51 publications

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“…7 We excluded studies that investigated the use of TM for a limited component of abortion care such as pre-abortion counselling or post-abortion follow up, or the use of unidirectional information during the abortion process, as the effectiveness of these interventions has been shown. [17][18][19][20][21][22][23] Our primary outcomes were success rate and safety for women, and acceptability for women or providers. We thereby adhered to the core outcome sets for medical abortion that are being formulated.…”

Section: Study Selectionmentioning

confidence: 99%

Telemedicine for medical abortion: a systematic review

Endler

Lavelanet

Cleeve

et al. 2019

BJOG

179

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Background Telemedicine is increasingly being used to access abortion services. Objective To assess the success rate, safety, and acceptability for women and providers of medical abortion using telemedicine. Search strategy We searched PubMed, EMBASE, ClinicalTrials.gov, and Web of Science up until 10 November 2017. Study criteria We selected studies where telemedicine was used for comprehensive medical abortion services, i.e. assessment/counselling, treatment, and follow up, reporting on success rate (continuing pregnancy, complete abortion, and surgical evacuation), safety (rate of blood transfusion and hospitalisation) or acceptability (satisfaction, dissatisfaction, and recommendation of the service). Data collection and analysis Quantitative outcomes were summarised as a range of median rates. Qualitative data were summarised in a narrative synthesis. Main results Rates relevant to success rate, safety, and acceptability outcomes for women ≤10+0 weeks’ gestation (GW) ranged from 0 to 1.9% for continuing pregnancy, 93.8 to 96.4% for complete abortion, 0.9 to 19.3% for surgical evacuation, 0 to 0.7% for blood transfusion, 0.07 to 2.8% for hospitalisation, 64 to 100% for satisfaction, 0.2 to 2.3% for dissatisfaction, and 90 to 98% for recommendation of the service. Rates in studies also including women >10+0 GW ranged from 1.3 to 2.3% for continuing pregnancy, 8.5 to 20.9% for surgical evacuation, and 90 to 100% for satisfaction. Qualitative studies on acceptability showed no negative impacts for women or providers. Conclusion Based on a synthesis of mainly self‐reported data, medical abortion through telemedicine seems to be highly acceptable to women and providers, success rate and safety outcomes are similar to those reported in literature for in‐person abortion care, and surgical evacuation rates are higher. Tweetable abstract A systematic review of medical abortion through telemedicine shows outcome rates similar to in‐person care.

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Section: Study Selectionmentioning

confidence: 99%

Telemedicine for medical abortion: a systematic review

Endler

Lavelanet

Cleeve

et al. 2019

BJOG

179

View full text Add to dashboard Cite

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“…Telemedicine or telehealth are broadly defined as technologies, tools and services that facilitate "virtual" communications between healthcare practitioners and between healthcare practitioners and patients/ clients/service users. They have been enthusiastically embraced as an adjunct to care (Smith, Gold, Ngo, Sumpter, & Free, 2015) and have emerged as integral to international healthcare in the 21st century (Tuckson, Edmunds, & Hodgkins, 2017). More specifically, the use of mHealth (mobile health) has increased dramatically and can be defined as health promotion, disease management and behavioural change messages made available via text message, social media and/or "apps" (applications) for users of mobile devices such as phones and tablets (Bull & Ezeanochie, 2016).…”

Section: Telemedicine and Mhealthmentioning

confidence: 99%

mHealth resources for asthma and pregnancy care: Methodological issues and social media recruitment. A discussion paper

Williamson

O’Connor

Chamberlain

et al. 2018

Journal of Advanced Nursing

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We could not recruit to this study despite believing that social media recruitment would be effective and we recommend that social media recruitment be used cautiously. Apparently, we did not sufficiently address the theoretical aspects of communications theory and were not clear enough about our key messages. Publication bias may exist about the non-publication of other failed telemedicine studies using social media; this goes largely unreported in some systematic reviews and may influence researchers' decision-making about social media recruitment.

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“…[79][80][81] Text messages or voice messages via mobile phone can be used to support contraceptive choice, uptake and adherence. [82][83][84] Shared online clinical records and online medical consultation or therapy have not so far been widely available within the NHS, partly because of concerns about confidentiality, data security and medical indemnity for services provided outside routine NHS pathways of care. In contrast, the private sector offers many paid-for services online, including medical advice by e-mail and diagnosis, although these services may disclaim responsibility for the accuracy of information or diagnoses.…”

Section: Digital Interventions For Sexual Health Promotionmentioning

confidence: 99%

“…For interventions delivered by text or voice message, participants wanted a friendly, knowledgeable and non-judgemental tone. 84 They asked for no more than three text messages per day. They also wanted short messages that gave practical advice and support.…”

Section: Box 6 Self-access or Kiosk-based Intervention Deliverymentioning

confidence: 99%

Sexual health promotion for young people delivered via digital media: a scoping review

et al. 2015

Self Cite

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BackgroundYoung people are at risk of poor sexual health and are, therefore, in need of comprehensive, effective sexual health education. Young people are confident and constant users of digital technology, such as the internet and mobile phones, and there are many innovative possibilities for sexual health education involving these technologies.ObjectivesTo summarise evidence on effectiveness, cost-effectiveness and mechanism of action of interactive digital interventions (IDIs) for sexual health; optimal practice for intervention development; contexts for successful implementation; research methods for digital intervention evaluation; and the future potential of sexual health promotion via digital media.DesignLiterature review of evidence on digital interventions for sexual health for young people, integrating the findings with the views of young people, parents and experts in digital media/sexual health. IDIs are defined as digital media programmes that provide health information and tailored decision support, behaviour-change support and/or emotional support. We focus on sexual well-being for young people aged 13–24 years in the UK.ResultsThere are many imaginative IDIs for sexual health promotion, but few interventions address issues that are important to young people, such as sexual pleasure and relationships. It is vital to collaborate with young people and to use Behaviour-Change Theory in designing interventions. We located 19 randomised controlled trials of IDIs for sexual health promotion for young people, finding a moderate effect on sexual health knowledge [standardised mean difference (SMD) 0.54, 95% confidence interval (CI) 0.17 to 0.92], a small effect on confidence (self-efficacy) (SMD 0.11, 95% CI 0.02 to 0.20) and a positive effect on sexual behaviour (odds ratio 1.28, 95% CI 1.01 to 1.61), but no significant effects on safer sex intention or biological outcomes. One study suggests that IDIs may be as good as face-to-face interventions for sexual health knowledge and safer sex intention. There are no existing data on the cost-effectiveness of IDIs for sexual health promotion. The impact of an IDI will be determined by the proportion of the target population reached, intervention efficacy, adoption in a setting, how well it is delivered and maintenance/sustainability. All of these elements must be addressed for IDIs to be successful. More collaboration is needed to capitalise on the knowledge of users and stakeholders, the design and software skills of the commercial sector and the theoretical expertise and evaluation skills of academia.ConclusionsIDIs are effective for knowledge acquisition and sexual behaviour, and could usefully contribute to sexual health education in schools, in clinic settings and online; however, there are obstacles to overcome, such as access to information technology and ensuring the quality and safety of interventions.Future workMore evidence is needed on the best designs for interventions (e.g. choice of behaviour-change mechanisms and interactive features) and the best models of delivery (e.g. setting, modes of delivery, methods of facilitation and support for engagement) to improve sexual behaviour, biological outcomes and sexual well-being in a cost-effective way.FundingThe National Institute for Health Research Public Health Research programme.

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Mobile phone-based interventions for improving contraception use

Cited by 113 publications

References 51 publications

Telemedicine for medical abortion: a systematic review

Telemedicine for medical abortion: a systematic review

mHealth resources for asthma and pregnancy care: Methodological issues and social media recruitment. A discussion paper

Sexual health promotion for young people delivered via digital media: a scoping review

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