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Poster Session 3

Category: Digital Health Technologies (DHT)

Poster Session 3

(757) What's My Method? A Randomized Controlled Trial for Contraceptive Self-Efficacy using a Contraceptive Education Game

Thursday, February 12, 2026

10:30 AM - 12:00 PM

Submitting Author and Presenting Author(s)

CB

Clara Bertozzi-Villa, MD

MFM Fellow
Montefiore-Einstein
Bronx, New York, United States

Coauthor(s)

TJ

Tiffany Jordan, MBBS

Barbados Family Planning Association
Bridgetown, Saint Michael, Barbados
SW

Sonia Watson-Miller, RN

Barbados Community College
Bridgetown, Saint Michael, Barbados
AL

Anderson Langdon

Barbados Family Planning Association
Bridgetown, Saint Michael, Barbados
ES

Erin Sabato, MA

Quinnipiac University
Hamden, Connecticut, United States
EB

Elena Bertozzi, PhD

Quinnipiac University
Hamden, Connecticut, United States
GD

Georgios Doulaveris, MD

Maternal Fetal Medicine Attending
Montefiore Medical Center/Albert Einstein College of Medicine
Montefiore Medical Center/Albert Einstein College of Medicine, New York, United States

Objective:
To evaluate whether a birth control education game called What’s My Method? (WMM) would impact user scores on a metric of contraceptive self-efficacy (CSE) as a reflection of reproductive empowerment.

Study Design:
This study is a randomized controlled trial (RCT) conducted at the Barbados Family Planning Association clinic in Bridgetown using a modified version of the CSE sub-Saharan Africa (CSESSA) scale developed by Whiting-Collins et al. We hypothesized that those who play WMM before their contraceptive counseling session would score higher on the CSE survey than those who received standard counseling only. The primary outcome for our study is the difference in CSE score between those who did and did not play WMM. Our secondary outcomes are a comparison of method adoption between groups and a subjective assessment of the intervention. We conducted baseline population testing of the modified CSE score prior to the intervention. WMM was created by a team of game developers, experts in games for health, illustrators, and reproductive health specialists.

Results:
The baseline testing for the modified CSE demonstrated universally high scores. For the RCT, 73 participants were enrolled. Three were excluded, and 70 records were analyzed; 34 (48.6%) in the control and 36 (51.4%) in the WMM group. Baseline characteristics were similar. There was not a difference in primary outcome of CSE score between groups (Table 1) or in the secondary outcome of method adoption. In the secondary outcome of subjective assessment, 94% of participants reported that WMM had a positive impact on their session, 89% said they'd play again if they could, and 72% were interested in sharing WMM with friends and family (Table 2).

Conclusion:
Although there was not a difference in primary outcome, participants were overwhelmingly positive in their response to the game, and felt that it contributed to their counseling about contraception. Strengths of this study include its RCT design and deployment a population with high health literacy.

(757) What's My Method? ​A Randomized Controlled Trial for Contraceptive Self-Efficacy using a Contraceptive Education Game

Submitting Author and Presenting Author(s)

Coauthor(s)

(757) What's My Method? A Randomized Controlled Trial for Contraceptive Self-Efficacy using a Contraceptive Education Game