Adherence to a reproductive health intervention for young adults with sickle cell.

The comparison was between two existing datasets that used different recruitment and follow-up methods, so differences in adherence could reflect those study differences rather than delivery format alone. The two studies differed in participant characteristics, including gender, race, education, and employment, which may have affected follow-up attendance. The sample was mostly non-Hispanic Black or African American women, so the results may not apply equally to men or other racial and ethnic groups. The online study required internet and social media access, so it excluded people without that access. The outcome was attendance at study visits, not knowledge gained, reproductive decisions, or health outcomes. The online study had a final attrition rate of 16% and the face-to-face study 15%, so some participants were lost before the end.

Do not conclude that online reproductive health education is ineffective or that in-person education improves patient outcomes. The study measured attendance at follow-up visits, not the effect of the CHOICES education, and the CHOICES group did not attend more visits than the control e-book group.