Cluster, Randomized Trial on Provider LARC Education and Training
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,500
- 试验地点
- 1
- 主要终点
- Proportion of contraceptive patients choosing a LARC method
研究概览
简要总结
The purpose of the study is to measure whether an education and training intervention for clinicians and contraceptive counselors on long-acting reversible contraception (LARC) will result in greater use of the methods among contraceptive patients.
详细描述
Unintended pregnancy is extremely high in the United States among young women, and use of contraceptives with top-tier effectiveness, intrauterine contraception and implants, is low. Contraceptive providers in the US have low knowledge of current scientific evidence on LARC methods, and do not routinely include these methods in counseling patients at highest risk of unintended pregnancy. This intervention provides evidence-based education and hands-on training to clinicians and contraceptive educators in Planned Parenthood affiliated Title X clinics throughout the US on LARC methods.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 25 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •This study involves two groups of human subjects: patients and staff at participating Planned Parenthood (PP) clinics in the United States.
- •Patient participants are young women receiving contraceptive counseling at Planned Parenthood clinics and staff participants are the clinicians and health educators serving these women.
- •Patients must be:
- •Age 18-25;
- •Fluent in English or Spanish;
- •Not wanting to become pregnant in the next 12 months;
- •Sexually active in past 3 months;
- •At risk of pregnancy;
- •Received contraceptive counseling;
- •Not pregnant;
- •Willing to be contacted by telephone over the next 12 months.
- •Clinic staff must be:
- •Employed by a participating PP clinic; and
- •Offer clinical care, counseling or education for abortion or contraception at the clinic. (This may include physicians, advance practice clinicians, nurses, social workers and health educators.)
- •For clinics to be eligible to be study sites, they must:
- •Not share staff
- •Have no active LARC interventions ongoing
- •Have >400 clients/year
排除标准
- 未提供
研究组 & 干预措施
LARC education and training
Clinicians and contraceptive educators practicing in clinics assigned to this arm receive a special half-day Continuing Medical Education (CME/CEU) accredited LARC education and training session.
干预措施: LARC education and training (Behavioral)
Standard practice- control
Clinicians and contraceptive educators practicing in clinics assigned to this arm do not receive special LARC training and education session. Standard practice will be followed at clinics assigned to the control arm.
结局指标
主要结局
Proportion of contraceptive patients choosing a LARC method
时间窗: Baseline
We are measuring the proportion of patients deciding to use a LARC method at intervention and control clinics in a patient cohort aged 18-25 years (n=1500). We are also measuring with clinic service statistics the proportion of contraceptive patients selecting LARC v. non-LARC methods during the 12 month-period before the intervention and the 12-month period after the intervention, to supplement the analysis with individual patient data.
次要结局
- Unintended pregnancy(12 months)