Innovative Model of Patient-Centered ConTraception
| Status: | Completed |
|---|---|
| Conditions: | Contraception, Contraception |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 14 - 45 |
| Updated: | 10/5/2018 |
| Start Date: | August 2013 |
| End Date: | October 31, 2017 |
Implementation of Patient-Centered Contraception Provision in Community Settings
This study is testing models of contraceptive care that were developed as part of the
Contraceptive CHOICE Project. CHOICE is a prospective cohort study of 9,256 women designed
to: 1) promote the use of long-acting reversible contraceptive (LARC) methods which include
interuterine devices (IUD) and subdermal implants; 2) remove financial barriers to
contraception; 3) evaluate continuation of and satisfaction with reversible methods; and 4)
reduce unintended pregnancies in the St. Louis region. CHOICE demonstrated that interventions
such as comprehensive contraceptive counseling, increased access, and removal of financial
barriers increase the uptake of LARC methods and reduce unintended pregnancy. The
investigators objective is to determine whether the CHOICE model of contraceptive care can be
equally successful in the real world of community clinics.
Contraceptive CHOICE Project. CHOICE is a prospective cohort study of 9,256 women designed
to: 1) promote the use of long-acting reversible contraceptive (LARC) methods which include
interuterine devices (IUD) and subdermal implants; 2) remove financial barriers to
contraception; 3) evaluate continuation of and satisfaction with reversible methods; and 4)
reduce unintended pregnancies in the St. Louis region. CHOICE demonstrated that interventions
such as comprehensive contraceptive counseling, increased access, and removal of financial
barriers increase the uptake of LARC methods and reduce unintended pregnancy. The
investigators objective is to determine whether the CHOICE model of contraceptive care can be
equally successful in the real world of community clinics.
This project involves comparing two models of contraceptive care; 'enhanced care' which is
usual care plus the CHOICE structured contraceptive counseling, and the 'complete CHOICE'
group which includes the structured contraceptive counseling as well as provider training and
cost support for IUDs and implants. Participants will be enrolled at three partner community
clinics by a staff member (site coordinator) dedicated to the research study. All
participants will undergo contraceptive counseling as well as a baseline survey with the
coordinator. Participants will complete telephone surveys at 3, 6, and 12 months
post-enrollment and will be asked about contraceptive method chosen, satisfaction and
continuation of the method, and any pregnancies experienced since enrollment.
usual care plus the CHOICE structured contraceptive counseling, and the 'complete CHOICE'
group which includes the structured contraceptive counseling as well as provider training and
cost support for IUDs and implants. Participants will be enrolled at three partner community
clinics by a staff member (site coordinator) dedicated to the research study. All
participants will undergo contraceptive counseling as well as a baseline survey with the
coordinator. Participants will complete telephone surveys at 3, 6, and 12 months
post-enrollment and will be asked about contraceptive method chosen, satisfaction and
continuation of the method, and any pregnancies experienced since enrollment.
Inclusion Criteria:
1. 14-45 years of age
2. Does not desire pregnancy during the next 12 months
3. Desires reversible contraception
4. Sexually active with a man within the past 6 months or intend to have sex with a man
in the next 3 months
5. Willing and able to undergo informed consent
6. Willing to comply with study protocol and 1-year follow-up schedule
7. Not currently pregnant
8. Current patient at Family Care Carondelet, Family Care Forest Park Southeast, Memphis
Health Center
Exclusion Criteria:
1. Has undergone a female sterilization procedure such as tubal ligation or hysterectomy
2. Has one sexual partner who has undergone a vasectomy procedure
3. Speaks language other than English or Spanish
4. Currently using an IUD or implant as her contraceptive method
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3
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