title: A Cluster Randomized Controlled Trial of the MyFamilyPlan Online Preconception Health Education Tool.
abstract: To evaluate whether exposure to MyFamilyPlan-a web-based preconception health education module-changes the proportion of women discussing reproductive health with providers at well-woman visits.
  
  
  
  Cluster randomized controlled trial. One hundred thirty participants per arm distributed among 34 clusters (physicians) required to detect a 20% change in the primary outcome.
  
  
  
  Urban academic medical center (California).
  
  
  
  Eligible women were 18 to 45 years old, were English speaking, were nonpregnant, were able to access the Internet, and had an upcoming well-woman visit. E-mail and phone recruitment between September 2015 and May 2016; 292 enrollees randomized.
  
  
  
  Intervention participants completed the MyFamilyPlan module online 7 to 10 days before a scheduled well-woman visit; control participants reviewed standard online preconception health education materials.
  
  
  
  The primary outcome was self-reported discussion of reproductive health with the physician at the well-woman visit. Self-reported secondary outcomes were folic acid use, contraceptive method initiation/change, and self-efficacy score.
  
  
  
  Multilevel multivariate logistic regression.
  
  
  
  After adjusting for covariates and cluster, exposure to MyFamilyPlan was the only variable significantly associated with an increase in the proportion of women discussing reproductive health with providers (odds ratio: 1.97, 95% confidence interval: 1.22-3.19). Prespecified secondary outcomes were unaffected.
  
  
  
  MyFamilyPlan exposure was associated with a significant increase in the proportion of women who reported discussing reproductive health with providers and may promote preconception health awareness; more work is needed to affect associated behaviors.
authors.affiliation: 1 Center for Healthy Communities, School of Medicine, University of California, Riverside, CA, USA.
authors.forename: Priya
authors.initials: P
authors.lastname: Batra
authors.affiliation: 2 Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, CA, USA.|3 David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
authors.forename: Carol M
authors.initials: CM
authors.lastname: Mangione
authors.affiliation: 3 David Geffen School of Medicine, University of California, Los Angeles, CA, USA.|4 Department of Neurology, University of California, Los Angeles, CA, USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Cheng
authors.affiliation: 2 Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, CA, USA.
authors.forename: W Neil
authors.initials: WN
authors.lastname: Steers
authors.affiliation: 3 David Geffen School of Medicine, University of California, Los Angeles, CA, USA.|5 Department of Obstetrics and Gynecology, University of California, Los Angeles, CA, USA.
authors.forename: Tina A
authors.initials: TA
authors.lastname: Nguyen
authors.affiliation: 2 Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, CA, USA.|3 David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
authors.forename: Douglas
authors.initials: D
authors.lastname: Bell
authors.affiliation: 3 David Geffen School of Medicine, University of California, Los Angeles, CA, USA.|6 Department of Internal Medicine, University of California, Los Angeles, CA, USA.|7 Department of Pediatrics, University of California, Los Angeles, CA, USA.
authors.forename: Alice A
authors.initials: AA
authors.lastname: Kuo
authors.affiliation: 8 Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
authors.forename: Kimberly D
authors.initials: KD
authors.lastname: Gregory
mesh_terms: D000293:Adolescent; D000328:Adult; D003267:Contraception; D005260:Female; D005492:Folic Acid / Q000627:therapeutic use; D006293:Health Promotion; D006801:Humans; D008875:Middle Aged; D016742:Preconception Care / Q000379:methods*; D060728:Reproductive Health / Q000193:education*; D020377:Self Efficacy; D055815:Young Adult
chemical_list: D005492:Folic Acid
keywords: health education; internet; preconception health; pregnancy; randomized controlled trial; reproductive health