Cluster, Randomized Trial on Long Acting Reversible Contraception (LARC) Education and Training

University of California, San Francisco1,500 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

1,500

Conditions

Contraception Behavior

Interventions

LARC education and trainingBEHAVIORAL

A CME/CEU accredited Grand Rounds education and training session will be given to clinicians and contraceptive educators practicing in clinics assigned to the intervention arm. Clinicians will have hands-on training as well. The half-day session emphasizes evidence-based contraceptive counseling and provision.

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 25 Years

Medical Language ↔ Plain English

Inclusion Criteria: 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: Female; * 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

Locations (1)

University of California San Francisco

San Francisco, California, United States

Outcomes

Primary Outcomes

Proportion of contraceptive patients choosing a LARC method

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.

Time frame: Baseline

Secondary Outcomes

Unintended pregnancy

We are measuring unintended pregnancy among contraceptive patients receiving contraceptive counseling at intervention and control clinics (total number 1,500) during a 12 month period.

Time frame: 12 months

Data from ClinicalTrials.gov

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