This trial has been completed.

Condition pregnancy
Treatments text messaging intervention, standard referral
Sponsor Columbia University
Collaborator Society of Family Planning
Start date January 2014
End date March 2015
Trial size 100 participants
Trial identifier NCT02093884, AAAM3457


The objective of this study is to develop and test an emergency department (ED)-based intervention which uses text messages to facilitate contraception initiation.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Intervention model parallel assignment
Primary purpose prevention
Masking participant
Patients in the text messaging group will receive educational and motivational text messages.
text messaging intervention
(Active Comparator)
Patients in the standard referral arm will receive paper based information about the Family Planning Clinic.
standard referral

Primary Outcomes

Initiation of highly effective contraception, as defined by the World Health Organization.
time frame: 3 months after initial enrollment

Secondary Outcomes

Patient visits to Family Planning Clinic
time frame: 3 months after initial enrollment
Follow up for contraceptive counseling to a doctor or nurse
time frame: 3 months after initial enrollment
Change in pregnancy intentions
time frame: 3 months after initial enrollment

Eligibility Criteria

Female participants from 14 years up to 19 years old.

Inclusion Criteria: - Aged 14-19 years - Sexually active with males in the past three months - Presenting to the ED for a reproductive health complaint. Exclusion Criteria: - Presently pregnant - Too ill for participation per the attending physician - Cognitively impaired - In foster care or a ward of the state - Does not speak English or Spanish - Does not own a cellular or mobile phone with text messaging capabilities - Used contraception at last intercourse and/or is currently using any "highly effective" or "effective" form of contraception (as defined by the World Health Organization) - Does not live in Manhattan or the Bronx

Additional Information

Official title Texting 2 Initiate: A Pilot Study Using Text Messaging to Communicate With Adolescent Females in the Pediatric Emergency Department (T2I)
Principal investigator Lauren Chernick, MD
Description Our hypothesis is that adolescent females at high pregnancy risk who receive text message reminders and motivational messages that promote contraception and referral to the Family Planning Clinic are more likely to start effective contraception than those who receive standard paper-based referral to the Family Planning Clinic alone.
Trial information was received from ClinicalTrials.gov and was last updated in January 2017.
Information provided to ClinicalTrials.gov by Columbia University.