Implementation science: Scaling a training intervention to include IUDs and implants in contraceptive services in primary care

Autor: Lavanya Rao, Alison B. Comfort, Suzan Goodman, Corinne H. Rocca, Cynthia C. Harper, Charles E. McCulloch, Helen Oquendo del Toro, Nishant Shah, Maya Blum
Rok vydání: 2020
Předmět:
medicine.medical_specialty
Epidemiology
Training intervention
Clinical Trials and Supportive Activities
Primary care
Contraceptive access
01 natural sciences
Article
Subdermal implant
law.invention
03 medical and health sciences
0302 clinical medicine
Contraceptive Agents
Randomized controlled trial
Clinical Research
law
Intrauterine devices
medicine
Humans
030212 general & internal medicine
Varied practice
0101 mathematics
Generalized estimating equation
Implementation Science
Primary Health Care
business.industry
Prevention
Contraception/Reproduction
010102 general mathematics
Public Health
Environmental and Occupational Health
Provider training intervention
Human Movement and Sports Sciences
Health Services
Good Health and Well Being
Family planning
Family Planning Services
Family medicine
Public Health and Health Services
Implementation science
Survey data collection
Female
Public Health
business
Intrauterine Devices
Zdroj: Prev Med
ISSN: 0091-7435
DOI: 10.1016/j.ypmed.2020.106290
Popis: Building capacity for contraceptive services in primary care settings, including for intrauterine devices (IUDs) and implants, can help to broaden contraceptive access across the US. Following a randomized trial in family planning clinics, we brought a provider training intervention to other clinical settings including primary care in all regions. This implementation science study evaluates a national scale-up of a contraceptive training intervention to varied practice settings from 2013 to 2019 among 3216 clinic staff serving an estimated 1.6 million annual contraceptive patients. We measured providers' knowledge and clinical practice changes regarding IUDs and implants using survey data. We estimated the overall intervention effect, and its relative effectiveness in primary care settings, with generalized estimating equations for clustered data. Patient-centered counseling improved, along with comfort with method provision and removal. Provider knowledge increased (p 
Databáze: OpenAIRE
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