Planning Together: A Couple-based, Multi-level Prenatal Contraceptive Education Program for Economically Marginalized Families
University of Tennessee Graduate School of Medicine
60 participants
Nov 25, 2025
INTERVENTIONAL
Conditions
Summary
The goal of this pilot trial is to examine the feasibility and acceptability of the Planning Together protocol The hypothesis of this study are 1. The study will achieve feasibility, demonstrated by ≥80% study accrual (30 couples in 8 months), ≥75% protocol adherence, and ≥75% (e.g., education workbook completion) 2. The intervention will be acceptable, with \>80% of participants reporting satisfaction with Planning Together. 3. Patterns of primary outcomes (contraceptive knowledge, communication quality, community referral utilization) and secondary outcomes (agreed contraceptive plan, consistent contraceptive usage and satisfaction, psychological distress, and Short Interpregnancy Intervals \[SII\]) will suggest benefits of the intervention.
Eligibility
Inclusion Criteria9
- > 20 weeks pregnant, age 18+
- The pregnant person has an available romantic partner, and the couple was able to get pregnant on their own or will be able to after the delivery
- separately, the pregnant person reports being in a sexually, psychologically and physically safe relationship
- English-speaking
- 18 years of age and older
- Cohabiting with the patient; in a romantic relationship with patient
- Capable of getting the patient pregnant after delivery
- Does not need to be the biological father of the current pregnancy
- English-speaking (in order to take part in the interview as the interviewer does not speak Spanish)
Exclusion Criteria7
- Participant is under the age of 18
- Documented cognitive impairment or psychiatric condition in pregnant person's medical record (e.g., severe learning disability, dementia, current psychotic disorder, suicidality)
- Participation in a concurrent contraceptive education intervention
- The pregnant person has a high-risk medical condition
- Less than 18 years of age
- Are not cohabiting with the patient; not in a romantic relationship with patient
- Not capable of getting the patient pregnant after delivery
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Interventions
Joint Comprehensive Contraceptive Education a. Visual and written description of all currently available contraceptives with explanation of pros and cons Couple constructive communication education 1. Specific couple contraceptive conversation examples. 2. Interactive worksheet to help with joint desired contraceptive decision-making and making a consistent use plan
1. Couples will bring their completed workbook to reference during the meeting and assess fidelity 2. Reinforce couple contraceptive communication skills. Address any challenges couple has with skill implementation 3. Review desired contraceptive method \& consistent use plan 4. Use motivational interviewing techniques to help couple agree on contraceptive plan
1. Review progress toward couple contraceptive communication skills and use of agreed contraceptive method 2. Assess factors promoting successful contraceptive use and communication skills 3. Address barriers to consistent contraceptive use and communication skill implementation via shared problem-solving
1. Review progress toward couple contraceptive communication skills and use of agreed contraceptive method 2. Assess factors promoting successful contraceptive use and communication skills 3. Address barriers to consistent contraceptive use and communication skill implementation via shared problem-solving
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT07214012