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Evaluating the effectiveness of a tailored online educational video on the contraceptive knowledge and decision making of young women from culturally and linguistically diverse backgrounds: findings from the EXTEND-PREFER study
  1. Danielle Mazza1,2,
  2. Jessica R Botfield1,2,
  3. Jessie Zeng1,2,
  4. Claudia Morando-Stokoe1,2,
  5. Noushin Arefadib1,2
    1. 1Department of General Practice, Monash University, Clayton, Victoria, Australia
    2. 2SPHERE, NHMRC Centre of Research Excellence, Department of General Practice, Monash University, Melbourne, Victoria, Australia
    1. Correspondence to Dr Noushin Arefadib, Department of General Practice, Monash University, Melbourne, VIC 3004, Australia; noushin.arefadib{at}


    Background Young Australian women from culturally and linguistically diverse (CALD) backgrounds are vulnerable to unwanted pregnancy. We aimed to assess whether an online educational video, co-designed with young CALD women, can increase their contraceptive knowledge, preference for and uptake of long-acting reversible contraception (LARC).

    Methods Online advertising was used to recruit young CALD women aged 16–25 years. Participants completed the pre-video survey (S1), watched the 13-min co-designed video, then completed a survey immediately afterwards (S2) and 6 months later (S3). Outcomes were analysed using McNemar tests and multivariate logistic regression.

    Results A total of 160 participants watched the video, completed S1 and S2, and 57% of those completed S3. At S1 only 14% rated their knowledge about every contraceptive method as high. Knowledge improved at S2 for all methods (aOR 3.2, 95% CI 2.0 to 5.0) and LARC (aOR 4.7, 95% CI 2.9 to 7.5). Overall method preference for LARC increased from 2.5% (n=4) at S1 to 51% (n=82) at S2. Likelihood of using a LARC increased at S2 (aOR 3.8, 95% CI 2.6 to 5.6). The overall proportion of participants using a LARC increased from 8% at S1 to 11% at S3; however, this increase was not significant (p=0.7).

    Conclusions The significant increase in knowledge, likelihood of use, and preference for LARC underscores the potential of online video-based contraceptive education to address contraceptive knowledge gaps and challenge misconceptions about LARC held by young women. Combining contraceptive education with supports to LARC access is crucial for empowering young CALD women to make informed contraceptive decisions.

    • long-acting reversible contraception
    • adolescent
    • Contraceptive Agents, Female
    • health education
    • Patient Education as Topic
    • Patient Preference

    Data availability statement

    All data relevant to the study are included in the article or uploaded as supplementary information.

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    Data availability statement

    All data relevant to the study are included in the article or uploaded as supplementary information.

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    • Contributors DM formulated the research question and methodology, as well as leading the sourcing of funding for the study. NA, JZ, JRB and CMS were responsible for data collection. JZ and NA were responsible for data analysis. NA drafted the manuscript and DM, JRB contributed to the editing and revision of the manuscript for intellectual content. DM obtained funding for the study and is responsible for the overall content as the guarantor. All authors reviewed and approved the final manuscript.

    • Funding This research was supported by the Department of Health (Grant ID: 4-ECPEF7J).

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were involved in the design, or conduct, or reporting, or dissemination plans of this research. Refer to the Methods section for further details.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.