A Study to Understand the Barriers in Referring Adolescent Women for the Etonogestrel Implant and to Evaluate Whether Intensive Coaching on the Management of Common Side Effects of the Implant Influences Referrals for the Implant.
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 主要终点
- Number of adolescent women referred
研究概览
简要总结
This study seeks to understand how much pediatric providers in Central Florida know about the etonogestrel contraceptive implant. The investigators also seek to understand the barriers that may prevent them from referring adolescent women for this highly effective and recommended method of contraception. Finally the study will consider if an expanded education and coaching improves their ability to referring patients for this method of birth control.
详细描述
This study is comprised of two phases. During the first phase 500 medical providers who provide care to adolescents will be recruited to complete a 30 question anonymous survey that evaluates their attitudes towards recommending and referring for adolescent women for the etonogestrel contraceptive device. This survey will also test participant's knowledge of indications, side effects and side effect management related to this contraceptive device as well.
During phase 2, 100 pediatric providers will be randomized to two groups. One group will receive standard continuing medical education on the use of the etonogestrel device in adolescents focusing on themes that emerged as knowledge deficits in phase 1. The other group will receive standard continuing medical education plus continued coaching on management of medication side effects. The referring patterns of physicians in each group will be studied.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 22 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •A primary care provider that cares for children under the age of
- •This includes physician's assistants, advanced nurse practitioners, residents or fellows, and physicians in pediatrics, internal medicine, and family medicine.
- •Must currently be practicing in Central Florida.
- •Be able to speak and write in English
- •For phase two of the study an additional requirement is that you must have a medical license to practice independently in the state of Florida.
排除标准
- •Not a primary care provider who cares for children.
- •A pediatric provider who only provides specialty care
- •Not able to speak or write in English
- •For phase two of study does not have a medical license to practice independenly in the State of Florida.
研究组 & 干预措施
Standard Education
Pediatric Providers in this arm will receive a continuing medical education on etonogestrel contractive implant but will not receive specialist coaching on how to manage side effects.
Standard Education plus Coaching
Pediatric Providers in this arm will receive a continuing medical education program on etonogestrel contraceptive implant. Providers in this arm will also receive a tip-sheet on how to manage side effects as well as a number to directly access a specialist who places them if needed.
干预措施: Education plus Coaching (Behavioral)
结局指标
主要结局
Number of adolescent women referred
时间窗: 18 months
Number of adolescent women who were referred for etonogestrel contraceptive implant
Types of barriers to referral for etonogestrel implant based on questionnaire
时间窗: 6 months
Barriers to recommending and referring adolescent women for etonogestrel contraceptive implant
次要结局
- Categories of knowledge deficit in pediatric providers based on questionaire(6 months)
- Aspects in Coaching that changed pediatric providers' behaviors(18 months)
研究者
Lonna Gordon
Chief, Adolescent Medicine
Nemours Children's Clinic