Video Instruction for Medication Adherence
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests whether a video tutorial can help young people learn to self-administer a specific birth control shot at home. A peer in the video explains how to give a subcutaneous depot medroxyprogesterone shot, typically administered by a doctor. The trial aims to determine if this method is effective and well-received compared to the traditional approach. Teens assigned female at birth, who have already received at least one of these shots from a doctor, are suitable candidates for this study. As an unphased trial, it offers a unique opportunity to contribute to innovative healthcare delivery methods.
Do I need to stop my current medications to join the trial?
The trial information does not specify whether you need to stop taking your current medications. However, since the study focuses on teaching self-administration of a specific medication, it seems unlikely that you would need to stop other medications.
What prior data suggests that this method is safe for self-administration?
Research shows that subcutaneous depot medroxyprogesterone (DMPA-SC) is generally safe to use. The FDA has approved this injectable birth control for use in the United States. In studies, users reported that this method is easy to tolerate, and many teenagers can successfully administer it themselves without visiting a clinic.
Additional safety information indicates that the medication does not irritate the eyes or skin and is not harmful in short-term use, based on animal studies. This suggests it is safe for humans when used as directed. Some studies have also examined self-administration, revealing that many find it a convenient and acceptable way to prevent pregnancy. Overall, the evidence supports the safety of using DMPA-SC for self-injection.12345Why are researchers excited about this trial?
Researchers are excited about the self-administration of subcutaneous depot medroxyprogesterone because it offers a new, patient-empowered way to manage contraception. Unlike traditional methods that require a healthcare provider for administration, this approach allows individuals to self-inject the medication after watching a teaching video. This not only enhances convenience and privacy but also has the potential to improve medication adherence by making the process more accessible and flexible for users.
What evidence suggests that this video instruction is effective for medication adherence?
Research shows that self-administering depot medroxyprogesterone, a type of birth control, under the skin can be very effective. Studies have found that women who self-inject this medication tend to use it more regularly than those who receive the shot from a healthcare provider. This suggests that individuals might adhere better to their birth control plan when they can administer it at home. Additionally, injections under the skin usually pose fewer risks than intramuscular ones. Many teenage girls express interest in using this method outside of a clinic and are capable of doing so. Overall, self-administration of this medication offers a promising option for those seeking an effective and convenient form of birth control.45678
Are You a Good Fit for This Trial?
This trial is for young individuals assigned female at birth, aged 19 or younger, who have had at least one injection of depot medroxyprogesterone. They must not be wards of the state or prisoners and should have a guardian to consent if under 18. They can't join if they've self-injected before, never had this medication, are pregnant, don't understand English, can't watch the video or have cognitive issues.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Initial Visit and Training
Participants watch a peer-to-peer instructional video and perform a supervised self-injection of subcutaneous depot-medroxyprogesterone
Follow-up
Participants complete a follow-up survey and self-report on sustained self-injection practices
What Are the Treatments Tested in This Trial?
Interventions
- Self-administration of subcutaneous depot medroxyprogesterone
Find a Clinic Near You
Who Is Running the Clinical Trial?
Tufts Medical Center
Lead Sponsor