Social Media and contraception

Interventions using social networking sites to promote contraception in women of reproductive age

Aalaa Jawad, Issrah Jawad  & Nisreen A Alwan

O B J E C T I V E S
To evaluate the effectiveness of interventions using social networking sites to promote the uptake and adherence of contraception in women of reproductive age.
M E T H O D S
Criteria for considering studies for this review Types of studies Wewill consider interventional studies including randomised controlled trials (RCTs) and non-randomised studies (NRS) to include non-RCTs. We expect limited evidence from RCTs that utilise a social networking site (SNS) as an intervention; hence the inclusion
of NRS will broaden the evidence base to enable us to review the topic more thoroughly.
Types of participants
We will include women of reproductive age in this review without any geographical restrictions. Participants may be initiating contraceptive use, switching to a different method, or continuing use of the same method. Participants may also include women who are postpartum or post-abortal.
Types of interventions
We will include studies where the intervention was delivered either solely via named SNS, or in adjunct with another method. The purpose of the intervention must be to improve use of, or adherence to, contraception compared to standard delivery of care
or another intervention.
The included interventions should seek to fulfil one of the following aims:
• To improve uptake of contraception.
• To promote use of specific contraceptive method.
• To improve adherence to contraception.
Interventions may be targeted at both current and potential contraception  users. Interventions must be delivered through named SNSs where the participant has a personal account that allows them to accesses the intervention. Although it is not an exclusion criteria, we would expect selected SNSs to have a way for participants to interact with each other as well as the intervention. We will exclude any intervention delivered by an app or website where a personal account is not required, where the intervention can only be utilised when downloaded, or if participants cannot interact
with the intervention directly.We will include SNSs available in a downloadable form only if they also have an open-access website.
Types of outcome measures
Primary outcomes
Contraception use (for three months after the intervention was initiated), to include the following.
• Initiation of a new method.
• Improved adherence to a method.
• Increased uptake of long-acting reversible methods.
Contraception use can be assessed in various ways and we will accept the method used by the trial investigator. The time frame for assessmentwill be threemonths ormore for the initiation of a newmethod, improved adherence and continuation
of an existing method.
Secondary outcomes
We will include outcomes regarding a change in attitude or knowledge about contraception. Also we will include outcomes regarding attitudes towards  the use of SNSs as an intervention, the format of the intervention and how trustworthy participants felt it was.

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