A Swedish population-based reproductive life plan intervention

ISRCTN ISRCTN11081163
DOI https://doi.org/10.1186/ISRCTN11081163
Secondary identifying numbers RFR-385381
Submission date
01/11/2016
Registration date
25/11/2016
Last edited
12/10/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
From an international perspective, Swedish midwives have a unique role in family planning counseling and testing for sexually transmitted infections. They are responsible for about 90% of all prescription of contraceptives. Traditionally, midwives focus on counseling about contraceptive methods with emphasis on their effectiveness and safety. Other aspects of reproductive health are often not discussed and consequently women lack important information about fertility and reproductive health. The aim of this study is to find out whether structured information about reproductive health given by midwifes improves women’s knowledge about the importance of lifestyle for pregnancy planning.

Who can participate?
Women aged 20-40

What does the study involve?
Participants are randomly allocated to one of two groups. One group receives ordinary care at a midwife visit. The other group receives extended oral and written information (leaflet) at a midwife visit about lifestyle factors that affect fertility and pregnancy outcomes, including the effects of smoking, snuff, obesity, alcohol use and folic acid intake. Participants’ knowledge is assessed by questionnaire before and after 2 months after the visit.

What are the possible benefits and risks of participating?
Participants may benefit from better and more extensive information when planning pregnancies in the future. There are no risks involved in this study.

Where is the study run from?
Uppsala University Hospital (Sweden)

When is the study starting and how long is it expected to run for?
March 2016 to January 2017

Who is funding the study?
1. Region Örebro County (Sweden)
2. Bayer HealthCare (Germany)

Who is the main contact?
Prof. Tanja Tyden

Contact information

Prof Tanja Tyden
Scientific

Dept of Women's and Children's Health
Akademiska sjukhuset
Uppsala
75185
Sweden

Study information

Study designRandomized trial in primary care setting
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)GP practice
Study typePrevention
Participant information sheet No participant information sheet available
Scientific titleReproductive life plan intervention - a Swedish randomized controlled trial
Study objectivesThis study evaluates the effect of structured information (reproductive life plan [RLP]) about reproductive health in maternal health care (primary care setting), on women's knowledge of reproductive health and pregnancy outcomes both long and short term.
Ethics approval(s)Regional Ethics Board Uppsala, 20/08/2014, ref: 2012/101
Health condition(s) or problem(s) studiedReproductive health
InterventionAll women booking an appointment with the midwife regarding preconception care received general information about the study and filled a baseline questionnaire and consent before the visit. Before meeting the midwife the woman took a sealed envelope (the first one) from a box, and the midwife opened this and got the information to which group the patient was randomized. Then, depending on allocation, the patient had either:

1. A traditional visit about prepregnancy care or
2. An extended visit with oral and written information (leaflet) about lifestyle and factors affecting reproduction, including smoking, snuff, obesity, alcohol use and folic acid intake.

After the intervention (or control) the patient receives a questionnaire 2 months after the visit with three reminders. Follow up will be done later on through matching the cohort with the national pregnancy register to evaluate if the intervention actually had an effect on lifestyle entering a pregnancy.
Intervention typeBehavioural
Primary outcome measureKnowledge of reproduction, assessed by questionnaire at baseline and 2 months after visit
Secondary outcome measures1. Knowledge of folic acids effect on reproduction, assessed by questionnaire at baseline and 2 months after visit
2. Knowledge of lifestyle effect on reproduction, assessed by questionnaire at baseline and 2 months after visit
Overall study start date01/03/2016
Completion date01/01/2017

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
SexFemale
Target number of participants2000, 1000 in each arm
Key inclusion criteria1. Females aged 20-40
2. Understand Swedish and able to communicate
3. Give written consent to participate in the study
Key exclusion criteriaBelow 20 years old or over 40 years old
Date of first enrolment01/03/2016
Date of final enrolment30/09/2016

Locations

Countries of recruitment

  • Sweden

Study participating centre

Örebro and Uppsala Region
Örebro
70185
Sweden

Sponsor information

Region Örebro County
Research council

Box 1613
Örebro
70116
Sweden

Website https://www.regionorebrolan.se/
ROR logo "ROR" https://ror.org/00maqj547

Funders

Funder type

Research council

Region Örebro County

No information available

Bayer HealthCare
Private sector organisation / For-profit companies (industry)
Alternative name(s)
BHC
Location
Germany

Results and Publications

Intention to publish date01/01/2018
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planThe study will generate at least two-three publications about baseline knowledge before the intervention and the results of the effect of the intervention on knowledge score. Time to be confirmed later date.
IPD sharing planBasic data from the questionnaires are kept locked and safe by the researcher according to ethics approval.

Editorial Notes

12/10/2017: internal review.