Randomized Trial Comparing Initiation of Contraceptive Reminder Tool by Providers Versus Patients

Ashlyn H. Savage, MD, MSCR and Angela R. Dempsey, MD, MPH

Medical University of South Carolina

Evidence shows that adherence to short-term contraceptive methods is poor. Online reminder tools, such as the one available through Bedsider, have the potential to improve patient satisfaction with contraceptive care and method adherence. This study aimed to measure the impact of assisting 18–29 year old patients with creating contraceptive reminders while in the office as compared to educating them to self-initiate after their appointment.

All patients received an introduction to Bedsider and completed a written baseline questionnaire and 3-month phone follow-up questionnaire. Half of the patients were randomized to receive staff assistance in setting up the online contraceptive reminder tool before leaving the office.

Nearly all patients felt that Bedsider seemed helpful and easy to use, and patient intention to use Bedsider and the reminder system was high. Three month continuation and satisfaction with their chosen contraceptive methods was high among all study participants. Bedsider and reminder utilization at three months did not differ between the control and intervention groups. However, the study did find that signing women up for the reminder system was efficient and easily integrated into the clinic visit, taking only a median of 4 minutes to complete.

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