{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T11:32:52Z","timestamp":1761391972994,"version":"3.44.0"},"reference-count":18,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T00:00:00Z","timestamp":1630022400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000380","name":"Guy's and St Thomas' Charity","doi-asserted-by":"publisher","award":["MAJ120505"],"award-info":[{"award-number":["MAJ120505"]}],"id":[{"id":"10.13039\/501100000380","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2021,7,22]]},"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Online contraception services increasingly provide information, clinical assessment and home-delivered oral contraceptives (OCs). Evidence is lacking on the effects of online contraceptive service use on short-term contraceptive continuation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Cohort study comparing contraceptive continuation between new users of a free-to-access online OC service in South East London with those from other, face-to-face services in the same area. Online questionnaires collected data on participants\u2019 sociodemographic characteristics, motivations for OC access, service ratings, OC knowledge and contraceptive use. Contraceptive use in the 4-month study period was measured using health service records. Unadjusted and multivariable logistic regression models compared outcomes between the online service group and those using other services.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Online service-users (n=138) were more likely to experience short-term continuation of OCs compared with participants using other services (n=98) after adjusting for sociodemographic and other characteristics (adjusted OR 2.94, 95% CI 1.52 to 5.70). Online service-users rated their service more highly (mean 25.22, SD 3.77) than the other services group (mean 22.70, SD 4.35; p&lt;0.001), valuing convenience and speed of access. Among progestogen-only pill users, knowledge scores were higher for the online group (mean 4.83, SD 1.90) than the other services group (mean 3.87, SD 1.73; p=0.007). Among combined oral contraceptive users, knowledge scores were similar between groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Free-to-access, online contraception has the potential to improve short-term continuation of OCs. Further research using a larger study population and analysis of longer-term outcomes are required to understand the impact of online services on unintended pregnancy.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsrh-2021-201168","type":"journal-article","created":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T13:21:56Z","timestamp":1630070516000},"page":"93-102","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Contraception in Person-Contraception Online (CiP-CO) cohort study"],"prefix":"10.1136","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2986-792X","authenticated-orcid":false,"given":"Emma","family":"Rezel-Potts","sequence":"first","affiliation":[{"name":"School of Population Health & Environmental Sciences, King's College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa J","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline J","family":"Free","sequence":"additional","affiliation":[{"name":"Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"McCulloch","sequence":"additional","affiliation":[{"name":"School of Population Health & Environmental Sciences, King's College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3354-6494","authenticated-orcid":false,"given":"Paula","family":"Baraitser","sequence":"additional","affiliation":[{"name":"School of Population Health & Environmental Sciences, King's College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,8,27]]},"reference":[{"key":"2025090510470112000_48.2.93.1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocv022"},{"key":"2025090510470112000_48.2.93.2","unstructured":"World Health Organization . Recommendations on digital interventions for health system strengthening, 2019. Available: https:\/\/www.who.int\/reproductivehealth\/publications\/digital-interventions-health-system-strengthening\/en\/ [Accessed 19 Mar 2021]."},{"key":"2025090510470112000_48.2.93.3","unstructured":"NHS Digital Personalised Health and Care 2020 . National Information Board and Department of Health and Social Care, 2014. Available: https:\/\/www.gov.uk\/government\/publications\/personalised-health-and-care-2020 [Accessed 23 Jan 2020]."},{"key":"2025090510470112000_48.2.93.4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l688"},{"key":"2025090510470112000_48.2.93.5","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1111\/hex.12895","article-title":"\"Putting people in charge of their own health and care?\" Using meta-narrative review and the example of online sexual health services to re-think relationships between e-health and agency","volume":"22","author":"Baraitser","year":"2019","journal-title":"Health Expect"},{"key":"2025090510470112000_48.2.93.6","doi-asserted-by":"crossref","unstructured":"Wilson W , Morris T , Syred J . e-STI testing and results service: a single blind randomised controlled trial. PLoS Med;14:e1002479.","DOI":"10.1371\/journal.pmed.1002479"},{"key":"2025090510470112000_48.2.93.7","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1097\/OLQ.0000000000001061","article-title":"An analysis of user survey data for an Internet program for testing for sexually transmitted infections, I want the kit, in Maryland and Washington, DC","volume":"46","author":"Hogenson","year":"2019","journal-title":"Sex Transm Dis"},{"key":"2025090510470112000_48.2.93.8","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0212420","article-title":"Online testing for sexually transmitted infections: a whole systems approach to predicting value","volume":"14","author":"Turner","year":"2019","journal-title":"PLoS One"},{"key":"2025090510470112000_48.2.93.9","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2017-101728"},{"key":"2025090510470112000_48.2.93.10","doi-asserted-by":"crossref","unstructured":"Faculty of Sexual & Reproductive Healthcare . UK medical eligibility criteria for contraceptive use, 2016. Available: https:\/\/www.fsrh.org\/standards-and-guidance\/uk-medical-eligibility-criteria-for-contraceptive-use-ukmec\/ [Accessed 27 Nov 2019].","DOI":"10.12968\/indn.2016.13.16"},{"key":"2025090510470112000_48.2.93.11","unstructured":"General Medical Council . Good practice in prescribing and managing medicines and devices, 2013. Available: https:\/\/www.gmc-uk.org\/Prescribing_guidance.pdf_59055247.pdf [Accessed 20 Jan 2021]."},{"key":"2025090510470112000_48.2.93.12","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2019-200474"},{"key":"2025090510470112000_48.2.93.13","unstructured":"Royal College of Obstetricians & Gynaecologists . Better for women: improving the health and wellbeing of girls and women, 2019. 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