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• W2783292278 abstract "<h3>Introduction</h3> Teen pregnancy rates in the USA remain higher than any other industrialised nation, and pregnancies among Hispanic adolescents are disproportionately high. Computer-based interventions represent a promising approach to address sexual health and contraceptive use disparities. Preliminary findings have demonstrated that the <i>Health-E You/Salud iTu,</i> computer application (app) is feasible to implement, acceptable to Latina adolescents and improves sexual health knowledge and interest in selecting an effective contraceptive method when used in conjunction with a healthcare visit. The app is now ready for efficacy testing. The purpose of this manuscript is to describe patient-centred approaches used both in developing and testing the <i>Health-E You</i> app and to present the research methods used to evaluate its effectiveness in improving intentions to use an effective method of contraception as well as actual contraceptive use. <h3>Methods and analysis</h3> This study is designed to assess the effectiveness of a patient-centred computer-based clinic intervention, <i>Health-E You/Salud</i> iTu, on its ability to reduce health disparities in unintended pregnancies among Latina adolescent girls. This study uses a cluster randomised control trial design in which 18 school-based health centers from the Los Angeles Unified School District were randomly assigned, at equal chance, to either the intervention (<i>Health-E You</i> app) or control group. Analyses will examine differences between the control and intervention group’s knowledge of and attitudes towards contraceptive use, receipt of contraception at the clinic visit and self-reported use of contraception at 3-month and 6-month follow-ups. The study began enrolling participants in August 2016, and a total of 1400 participants (700 per treatment group) are expected to be enrolled by March 2018. <h3>Ethics and dissemination</h3> Ethics approval was obtained through the University of California, San Francisco Institutional Review Board. Results of this trial will be submitted for publication in peer-reviewed journals. This study is registered with the US National Institutes of Health. <h3>Trial registration number</h3> NCT02847858." @default.
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• W2783292278 date "2018-01-01" @default.
• W2783292278 modified "2023-09-26" @default.
• W2783292278 title "Assessing the effectiveness of a patient-centred computer-based clinic intervention,<i>Health-E You/Salud iTu,</i>to reduce health disparities in unintended pregnancies among Hispanic adolescents: study protocol for a cluster randomised control trial" @default.
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• W2783292278 doi "https://doi.org/10.1136/bmjopen-2017-018201" @default.
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