Immediate Postpartum LARC Implementation: Pilot Study at Michigan Medicine
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 592
- 试验地点
- 1
- 主要终点
- Patient experience of care
研究概览
简要总结
The objective of this study is to test and disseminate tools that drive successful immediate postpartum Long-Acting Reversible Contraception (LARC) implementation. The long-term goal is to reduce unintended pregnancy soon after childbirth by increasing access to immediate postpartum LARC for women who desire it.
详细描述
Based on previous work, the investigators have generated a toolkit to guide the integration of immediate postpartum LARC services into widespread clinical practice. In the proposed work, this toolkit will be used to initiate immediate postpartum LARC services in a single site with low baseline immediate postpartum LARC uptake (Michigan Medicine). The investigators will conduct a feasibility study using mixed methods to assess acceptability and appropriateness of toolkit items; patient experience of care; immediate postpartum LARC utilization rate; and prenatal contraceptive counseling rate.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Female (patients)
- •Pregnant (patients)
- •Receiving obstetrical care at Michigan Medicine (patients)
- •L&D provider at Michigan Medicine (providers)
排除标准
- •non-English speaking
- •unable to provide informed consent
结局指标
主要结局
Patient experience of care
时间窗: Surveys will be collected from pregnant or postpartum women, during the 6-12 months after implementation of a new protocol for peripartum contraceptive care
Patient online surveys about their experience of care during prenatal visits, hospital stay, or postpartum office visit
Acceptability of implementation process - study site maternity care providers
时间窗: Surveys will be collected during the 6-12 months after implementation of a new protocol for peripartum contraceptive care
Online survey assessing overall experience of care delivery, acceptability and appropriateness of implementation tools
Appropriateness of implementation process - study site maternity care providers
时间窗: Surveys will be collected during the 6-12 months after implementation of a new protocol for peripartum contraceptive care
Online survey assessing overall experience of care delivery, acceptability and appropriateness of implementation tools
Appropriateness of care process - patients
时间窗: Surveys will be collected from pregnant or postpartum women, during the 6-12 months after implementation of a new protocol for peripartum contraceptive care
Online survey assessing experience of care, acceptability and appropriateness of implementation tools
Acceptability of care process - patients
时间窗: Surveys will be collected from pregnant or postpartum women, during the 6-12 months after implementation of a new protocol for peripartum contraceptive care
Online survey assessing experience of care, acceptability and appropriateness of implementation tools
次要结局
- Appropriateness of implementation toolkit items - patients(Interviews will take place after the survey is completed, during the 6-18 months after implementation of a new protocol for peripartum contraceptive care)
- Acceptability of implementation toolkit items - providers(Interviews will take place after the survey is completed, during the 6-18 months after implementation of a new protocol for peripartum contraceptive care)
- Acceptability of implementation toolkit items - patients(Interviews will take place after the survey is completed, during the 6-18 months after implementation of a new protocol for peripartum contraceptive care)
- Appropriateness of implementation toolkit items - providers(Interviews will take place after the survey is completed, during the 6-18 months after implementation of a new protocol for peripartum contraceptive care)
- Perinatal contraceptive counseling rate(Measured monthly, up to 24 months after toolkit implementation)
- Immediate postpartum LARC provision rate(Measured monthly, up to 24 months after toolkit implementation)
研究者
Michelle H. Moniz
Assistant Professor
University of Michigan