Limitations
In this quasi-experimental design, participants were not randomized to conditions. The similarities in both groups on demographic factors proximally associated with contraception use, and the fact that all were recruited from the same sites, however, minimizes the possibility that differences observed between intervention/EUC conditions could be attributed to baseline participant characteristics. The EUC and intervention periods also occurred at different time points, thus there may have been inherent benefits to the intervention period occurring later (e.g., more exposure at each site to sexual health information/activities related to the study). We do not believe that the trajectory of the COVID-19 pandemic had a significant impact on results, as we did not initiate enrollment in the EUC period until in-person activities at recovery centers and referral health centers had resumed. In reporting barriers to contraception, just one participant in the EUC period named a COVID-19 related factor. We also note limitations in diversity in our sample as the majority of our sample identified as white and non-Hispanic.
