Abstract
Objectives
(1) To create a short motion graphic video to debias women, using evidence from cognitive
psychology, of 2 common myths about safety of intrauterine devices (IUDs) and implants
in Jamaica; and (2) to conduct a pilot study to evaluate video effectiveness.
Study design
We conducted a series of 3 focus group discussions among target users to inform the
development process of the script, story, character, and look of the intervention
video. We randomized young, female nonusers of long-acting contraception at risk of
pregnancy at a public clinic in Kingston in 2018–2019 to watch either the intervention
(n = 113) or control video (n = 112). We used logistical regression to evaluate perceptions of method safety, naturalness,
and uptake after 3 months of follow up.
Results
Almost all (n = 220; 97.8%) participants completed the 3-month interview. More women in the intervention
arm perceived IUDs to be safe (59.1%) compared to the control arm (43.6%; p = 0.02). Perceived implant safety increased from enrollment to follow up in the intervention
and control arms (10.9 and 2.7 percentage-point increases, respectively); however,
the difference between arms at follow up was not statistically significant (p = 0.57). This appeared to be due to arm imbalances at enrollment. Study arms did
not differ at follow up in perceived IUD naturalness (p = 0.36) or implant naturalness (p = 0.68).
Conclusions
Findings from a pilot study of a video intervention suggest that using debiasing strategies
from cognitive psychology has the potential to address misconceptions about contraceptive
safety. A larger trial with adequate power is warranted.
Implications
Evidence from a pilot randomized controlled trial suggested that use of debiasing
strategies from cognitive psychology could be effective in correcting women's misconceptions
about contraception safety and thus show promise for the design of future contraceptive
promotion videos to increase uptake.
Keywords
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Article info
Publication history
Published online: January 08, 2021
Accepted:
December 23,
2020
Received in revised form:
December 20,
2020
Received:
March 18,
2020
Identification
Copyright
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