Preserving long-acting contraception through counseling
Official title: Effect of Structured Counseling on Continuation Rates of Long Acting Reversible Contraception Among Clients Requesting Early Removal: A Multicenter Randomized Controlled Trial (PLACE Trial)
Run by Pakistan Institute of Medical Sciences · NCT07271836 · Data updated 2026-11-12
This trial will test whether structured, culturally sensitive counseling helps women in Islamabad who come for early removal of an IUD or Jadelle implant continue using their long-acting contraception.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 49 Years |
| Sex | Women only |
| Enrollment | 900 (estimated) |
| Sponsor | Pakistan Institute of Medical Sciences Government |
| Locations | 3 sites (Islamabad, Islamabad and 2 other locations) |
| Status | Recruiting |
| Started | December 15, 2025 |
| Main results expected | August 2026 |
| Study ends | August 2026 |
| Registry record updated | December 16, 2025 |
| Trial ID | NCT07271836 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Women attending the three participating Islamabad family planning clinics who request removal of a copper-T IUD or Jadelle implant within two years of placement and who can give informed consent are eligible.
✕Probably not a fit
Women who decline counseling, who require removal for medical indications, or who are unable to provide informed consent are unlikely to benefit from the intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This multicenter randomized trial will enroll women at three federal family planning clinics in Islamabad who present for early removal of a copper-T IUD or a Jadelle implant. Participants will be randomly assigned to receive standardized, culturally sensitive counseling aimed at addressing concerns and encouraging continuation, or to receive standard care where the device is removed on request without counseling. The primary outcome is continuation of the LARC method after the counseling encounter, compared between the two groups. Recruitment begins December 15, 2025, and providers at intervention sites receive specific training in the structured counseling protocol.
Why it matters
Potential benefit: If successful, the counseling approach could increase continued use of effective LARC methods and reduce unintended pregnancies among participants.
How similar studies have gone: Previous contraception counseling interventions have shown mixed but generally positive effects on method continuation and satisfaction, so this approach builds on some prior evidence.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Women presenting at the clinics exclusively for removal of a copper-T IUD or Jadelle subdermal implant within 2 years of use and within the first 2 months of the study. Exclusion Criteria: * Women not wishing to participate or unable to provide informed consent.
Where it's running
-
Rhs 'A' Center Federal Government Poly Clinic (Fgpc)
Islamabad, Islamabad, Pakistan Recruiting -
RHS 'A' CENTER Mother and Child Health Centre Aabpara
Islamabad, Islamabad, Pakistan Recruiting -
RHS-A centre, Pakistan Institute of Medical Sciences
Islamabad, Islamabad, Pakistan Recruiting
Study contacts
- Study coordinator: Dr. Muhammad I Khan, MBBS
- Email: ibrahim.k2000@gmail.com
- Phone: +923325467034
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.