Callegari and Pleasure Co-Author Study on Text Message Delivery of a Digital Tool (MyPath) for Reproductive Health Discussions in Primary Care
Posted: 2026-11-06 12:50:35 (CSDE Research)
Dr. Lisa Callegari (UW OBGYN and VA Puget Sound), former CSDE Trainee Zoe Pleasure (Postdoctoral Fellow, San Francisco VA/UCSF), along with co-authors from VA Puget Sound and other institutions, recently published a research article in JAMA Network Open titled, “Text Message Delivery of a Digital Tool for Reproductive Health Discussions in Primary Care: A Cluster Randomized Clinical Trial.” Discussions about reproductive desires and service needs, such as prepregnancy care and contraception, are critical but often lacking in primary care. The trial, conducted from 2021 to 2025 at 12 Veterans Health Administration health care systems, tested whether a one-way text message inviting female Veterans aged 18 to 44 to use MyPath, a digital reproductive decision support tool, before their primary care visit would increase reproductive health discussions. Only about half of veterans in the intervention group (49.7%) used the tool, and intent-to-treat analyses found no significant differences between groups in discussions with optimal shared decision-making or in any reproductive health discussion. Among those who did use the tool, however, the odds of any reproductive health discussion were substantially higher. The authors conclude that a text message invitation to use the tool is low cost and scalable but additional strategies are needed to increase engagement with such tools before visits. The full article can be found here. Congratulations Dr. Callegari, Dr. Pleasure, and team!
Date: 11/04/2026