N/A
N=391
Patient-Centered Reproductive Decision Support Tool for Women Veterans
Contraception · Contraception Behavior · Prepregnancy Health · Reproductive Health
Bottom Line
View on ClinicalTrials.gov: NCT04584294 ↗Enrolled (actual)
391
Serious AEs
0.0%
Results posted
Nov 2025
Primary outcome: Primary: Occurrence of Reproductive Needs Discussion With Shared Decision Making (SDM) — 29; 20; 139; 119 Participants — p=0.31
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- MyPath Web-Based Informational and Decision Support Tool (Behavioral)
- Age
- Adult · 18+ yrs
- Sex
- Female
- Sponsor
- VA Office of Research and Development
- Primary completion
- Aug 2024
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Occurrence of Reproductive Needs Discussion With Shared Decision Making (SDM) |
29; 20; 139; 119; 21; 17 | 0.31 |
| SECONDARY Occurrence of Reproductive Needs Discussion |
119; 93; 49; 49; 21; 17 | 0.26 |
| SECONDARY Perceived Self-efficacy in Communicating With Providers |
19.8; 20.6 | 0.27 |
| SECONDARY Reproductive Health Knowledge |
7.94; 7.89 | 0.45 |
| SECONDARY Contraceptive Decision Conflict |
16.94; 20.04 | 0.56 |
| SECONDARY Confidence That Contraceptive Method is "Right for me." |
4.29; 4.29 | 0.84 |
| SECONDARY Choice of Prescription or Procedural Contraceptive Method |
52; 35; 25; 17; 7; 10 | — |
| SECONDARY Choice of Procedural Contraceptive Method |
28; 20; 49; 32; 7; 10 | — |
| SECONDARY Use of Prescription or Procedural Contraceptive Method |
41; 28; 23; 14; 22; 21 | — |
| SECONDARY Use of Procedural Contraceptive Method |
22; 17; 42; 25; 22; 21 | — |
| SECONDARY Continuous Use of Any Contraception |
62; 46; 13; 6; 11; 11 | — |
| SECONDARY Continuous Use of Prescription or Procedural Contraception |
45; 31; 30; 21; 11; 11 | — |
| SECONDARY Continuous Use of Procedural Contraception |
27; 19; 48; 33; 11; 11 | — |
| SECONDARY Contraceptive Method Satisfaction |
4.28; 4.35 | — |
| SECONDARY Incidence of Unplanned Pregnancy |
0; 1; 64; 42; 22; 21 | — |
| SECONDARY Confidence That Current Contraceptive Method is "Right for me." |
4.26; 4.21 | — |
Summary
The investigators have developed a web-based decision support tool to help women Veterans get the information and care they need to achieve their reproductive goals, whether that includes optimizing their health before desired pregnancies or birth control to avoid unwanted pregnancies. The study will test the effect of sending a weblink to the decision tool to women Veterans prior to primary care visits at the VA. Half of participants will be sent a weblink before their appointment, and half will not be sent the link. The investigators hypothesize that participants who are sent the link will be more likely to report patient-centered discussions of their reproductive needs at visits, feel confident in communicating with their health care providers, have accurate knowledge about reproductive health, and choose birth control methods that best fit their preferences and needs.
Eligibility Criteria
Inclusion Criteria
Patients:
- Female sex identified in medical record
- 18 - 44 years old
- Has a scheduled VA medical appointment with an enrolled study provider
- Has at least one valid telephone number available in medical record
- Interested in receiving information or talking with their provider about pregnancy and/or birth control
Providers:
- Primary Care Provider (MD, Nurse Practitioner, Physician Assistant) at a study site
- Designated as a Women's Health Provider [defined in VA directive 1330.01 as primary care providers who have demonstrated proficiency (e.g. pelvic exams and pap smears) in women's health and who have at least 10% of their panel comprised of women]
- Completed appointments with at least 30 unique female patients ages 18-44 in the past year at a study site
Exclusion Criteria
Patients:
- Currently pregnant
- Medical record or self-reported history of hysterectomy, bilateral oophorectomy; or self-report of not having a uterus
- Unable to communicate in English
- Impaired decision-making
- Used the decision tool prior to study enrollment (e.g. during pilot testing of the tool)
Providers:
- Previous involvement as a provider in MyPath pilot work (identified by the PI)
- Medical trainee
- Self-report that they have plans to leave VA, go on extended leave, retire, stop primary care practice, or change VA site in the 18 months following their enrollment
Data sourced from ClinicalTrials.gov (NCT04584294). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.