Feasibility study of the use of a daily electronic mail reminder to improve oral contraceptive compliance

Michelle C. Fox, Mitchell D. Creinin, Amitasrigowri S. Murthy, Bryna Harwood, Lynn M. Reid

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Women who ingest their oral contraceptive pill (OCP) as part of a daily routine are more likely use their OCPs correctly. This trial examines the feasibility of an electronic-mail (e-mail) reminder system to improve OCP compliance. An e-mail reminder was sent to 50 new OCP users daily for 3 months. Subjects sent an e-mail reply to confirm receipt. OCP compliance was recorded on diaries. Four subjects were discontinued for not checking their e-mail. Active participants missed a median of 18% of the e-mail reminders (range: 0-65%). A follow-up visit was scheduled after completion of three OCP cycles. Of the 40 subjects returning completed diaries, 50% missed no active pills at all and 20% missed at least one in each cycle. Most found the daily e-mail somewhat (65%) or very helpful (19%) for OCP compliance. Of those continuing OCPs, 64% wanted to continue receiving e-mail reminders at the completion of the study. Because inconsistent OCP use is a significant cause of unplanned conception, the use of e-mail to improve OCP compliance has the potential to decrease unintended pregnancies.

Original languageEnglish (US)
Pages (from-to)365-371
Number of pages7
Issue number5
StatePublished - Nov 2003


  • Compliance
  • Contraceptives
  • Electronic-mail
  • Oral

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology


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