@article{d7c7572493fe4ae7be72e5e0510731ac,
title = "Improving LARC Access for Urban Adolescents and Young Adults in the Pediatric Primary Care Setting",
abstract = "The objective of this quality improvement study was to assess the feasibility, acceptability, and impact of integrating long-acting reversible contraceptive (LARC) delivery services into an academic pediatric primary care practice. Adolescent medicine providers in Baltimore, Maryland, were trained in LARC placement with gynecology providers integrated to offer onsite LARC placement and procedural support. Referrals, appointments, and contraceptive method choice/receipt were tabulated. Of 212 individuals referred for LARC consultations, 104 attended appointments. LARC placement at the initial referral increased from year 1 (N = 1) to year 2 (N = 42; P <.01). Adolescent medicine providers placed more LARCs in year 2 (N = 34) than year 1 (N = 0; P <.01). Patients aged 18 to 24 years were less likely to have a LARC placed than those aged 13 to 17 years (unadjusted odds ratio = 0.47 [0.26-0.86]). In conclusion, provider training and service integration of LARC services within a pediatric practice is feasible, acceptable, and increases LARC access and placement.",
keywords = "AYA, adolescent and young adult, family planning, quality improvement",
author = "Onyewuchi, {Uche F.} and Kathy Tomaszewski and Upadhya, {Krishna K.} and Gupta, {Priya S.} and Natalie Whaley and Burke, {Anne E.} and Trent, {Maria E.}",
note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Funding to support this program evaluation was supported by the National Institute of Child Health and Human Development 5T32HD052459 grant (Principal Investigator: Maria E. Trent, MD, MPH); the Leadership in Education in Adolescent Health Training Program HRSA/ MCHB: T71MC08054 (Adger); and the DC Baltimore Research Center on Child Health Disparities 2P20MD000198 (Jenkins). Funding Information: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: The principal investigator, Dr Maria E. Trent serves on the Trojan Sexual Health Advisory Council. Dr Anne E. Burke has research funding from Bayer. There is no relationship between these disclosures and the funding for our execution of the outlined project. Funding Information: We would like to thank Dr Pamela Matson, PhD, for assisting with data analysis; Lisa Tabacco, MPH, for her role as a secondary reader; and the clinical health providers so critical to the execution of this project. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Funding to support this program evaluation was supported by the National Institute of Child Health and Human Development 5T32HD052459 grant (Principal Investigator: Maria E. Trent, MD, MPH); the Leadership in Education in Adolescent Health Training Program HRSA/MCHB: T71MC08054 (Adger); and the DC Baltimore Research Center on Child Health Disparities 2P20MD000198 (Jenkins). Publisher Copyright: {\textcopyright} The Author(s) 2018.",
year = "2019",
month = jan,
day = "1",
doi = "10.1177/0009922818805234",
language = "English (US)",
volume = "58",
pages = "24--33",
journal = "Clinical pediatrics",
issn = "0009-9228",
publisher = "SAGE Publications Inc.",
number = "1",
}