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Dual Protection

Dual protection is the use of more than one method of contraception concurrently, providing protection from both STDs and pregnancy.

In 2012, the Jane Fonda Center was awarded a $3.2 million grant to partner with Rollins School of Public Health and Grady Health System’s Teen Services Clinic to design, implement and evaluate a clinic-based intervention to improve the use of "dual protection" in young African American females. The five-year grant is funded by the Centers for Disease Control and Prevention.

First, a formative assessment was completed to ascertain perceptions of both provider and client views on current practices and influences that affect dual method protection use. Methods included focus group discussions, in-depth provider interviews, and a mixed methods assessment conducted at the Grady Teen Services Clinic.

Using findings from the assessment, the team developed a new clinic-based intervention to increase dual protection. More than 700 sexually active young women, ages 15 to 19, will be enrolled in a controlled trial to evaluate the effectiveness of the intervention against the current standard of care.

The findings from this trial could change the way reproductive health services are provided, to increase the use of dual protection among young adolescents who are at high risk for unintended pregnancy and sexually transmitted infections.

Expected outcomes:

First publication from this study:
Ewing AC, Kottke MJ, Kraft JM, Sales JM, Brown JL, Goedken P, Wiener J, Kourtis AP. 2GETHER – The Dual Protection Project: Design and rationale of a randomized controlled trial to increase dual protection strategy selection and adherence among African American adolescent females. Contemp Clin Trials. 2016 Dec 19. pii: S1551-7144(16)30099-4. doi: 10.1016/j.cct.2016.12.014. [Epub ahead of print] PMID: 28007634