Evaluation of "Plan A"

The Policy & Research Group (PRG) is evaluating the "Plan A" video, which was designed to
educate high-risk teens about effective Long Acting Reversible Contraception (LARC). The
video is approximately 23 minutes in length and is shown immediately prior to a clinical
appointment at a reproductive health center. By teaching about LARC prior to a clinic
appointment, developers hope to reach high-risk teens at a teachable moment, when they can
ask a health care provider about what they have learned. The primary focus of the study is to
investigate the impact of the intervention on participants' self-reported sexual behaviors
and contraceptive use (use of LARC, condom use, and STD testing). Additionally, the
evaluation will include exploratory analysis on the following: (1) use of other effective
contraception methods; (2) dual methods of protection; (3) perception of risk and/or severity
for pregnancy and HIV/STD infection; (4) intention to use LARC; (5) intention to use other
effective contraception methods; (6) provider communication self-efficacy; (7) condom
negotiation self-efficacy; (8) knowledge/awareness of contraception options/LARC.

The control (counterfactual) condition consists of a 17 minute video titled "The Toxic Life
Cycle of a Cigarette". The control video, which discusses the effects of smoking, is shown in
the same manner as the treatment video: immediately prior to a clinic appointment at a
reproductive health center.

All eligible participants who provide the proper consent are randomized and enrolled into the
study by a study coordinator who is an employee of the reproductive health clinic. Outcomes
will be assessed using self-reported, participant-level data gathered (by way of a
questionnaire) at three time points: baseline (enrollment, prior to watching the video); 3
month follow-up (3 months after baseline); and 9 month follow-up (9 months after baseline).
The study is taking place at seven clinics within the Planned Parenthood Mar Monte system in
California, all of which serve the target population.

Inclusion Criteria:

- Be female

- Be 18 or 19 years old

- Self-identify as Latina and/or African-American

- Be visiting a reproductive healthcare provider at the study site

- Be deemed appropriate for the study by study staff/clinic staff with regards to
physical and mental health and capacity

- Consent to participate in the study

Exclusion Criteria:

- Knowingly pregnant

- Trying to become pregnant

- Previously enrolled in the study

- Previously enrolled in a study which is taking place in the same geographic area