ArticleFamily medicine2012
Evidence-based IUD practice: family physicians and obstetrician-gynecologists.
Article in Family medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03519685 (UCSF College Health Study), which is not on this map. Cited by 42 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
UCSF College Health Study: A Cluster Randomized Trial on Contraceptive Training and Education at Community Colleges
Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Provider and lay perspectives on intra-uterine contraception: a global review.Reproductive health · 2017Pooled it
- Intrauterine Devices and Sexually Transmitted Infection among Older Adolescents and Young Adults in a Cluster Randomized Trial.Journal of pediatric and adolescent gynecology · 2021Trial
- Training contraceptive providers to offer intrauterine devices and implants in contraceptive care: a cluster randomized trial.American journal of obstetrics and gynecology · 2018Trial
- Long-acting reversible contraceptive acceptability and unintended pregnancy among women presenting for short-acting methods: a randomized patient preference trial.American journal of obstetrics and gynecology · 2017Trial
- Long-Acting Reversible Contraception Counseling and Use for Older Adolescents and Nulliparous Women.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2016Trial
- Public Funding for Contraception, Provider Training, and Use of Highly Effective Contraceptives: A Cluster Randomized Trial.American journal of public health · 2016Trial
- Reductions in pregnancy rates in the USA with long-acting reversible contraception: a cluster randomised trial.Lancet (London, England) · 2015Trial
- Rationale and enrollment results for a partially randomized patient preference trial to compare continuation rates of short-acting and long-acting reversible contraception.Contraception · 2015Trial
- Primary healthcare practitioners' views and experiences of providing postpartum contraception counselling and care: a rapid review.Family practice · 2026Review
- Article
- Block Scheduling for LARC in a Family Medicine Residency Program.Family medicine · 2024Article
- Factors associated with never-use of long-acting reversible contraception among adult reproductive-aged women in Ohio.Perspectives on sexual and reproductive health · 2023Article
- Changes in Utilization of Birth Control and PrEP During COVID-19 in the USA: A Mixed-Method Analysis.Archives of sexual behavior · 2022Article
- Ethical Issues in Providing and Promoting Contraception to Women with Opioid Use Disorder.The Journal of clinical ethics · 2022Article
- Multilevel Influences on Providers' Delivery of Contraceptive Services: A Qualitative Thematic Analysis.Women's health reports (New Rochelle, N.Y.) · 2022Article
- Contraceptive knowledge among women at risk of unintended pregnancy in Kingston, Jamaica.Women & health · 2021Article
- Assessing knowledge, attitudes, and practice of health providers towards the provision of postpartum intrauterine devices in Nepal: a two-year follow-up.Reproductive health · 2021Article
- Improving Capacity at School-based Health Centers to Offer Adolescents Counseling and Access to Comprehensive Contraceptive Services.Journal of pediatric and adolescent gynecology · 2021Article
- Short-acting hormonal contraceptive continuation among low-income postpartum women in Texas.Contraception: X · 2021Article
- Implementation science: Scaling a training intervention to include IUDs and implants in contraceptive services in primary care.Preventive medicine · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
BACKGROUND AND
objectivesFamily physicians and obstetrician-gynecologists provide much of contraceptive care in the United States and have a shared goal in preventing unintended pregnancy among patients. We assessed their competency to offer women contraceptives of the highest efficacy levels.
methodsWe conducted a national probability survey of family physicians and obstetrician-gynecologists (n=1,192). We measured counseling and provision practices of intrauterine contraception and used multivariable regression analysis to evaluate the importance of evidence-based knowledge to contraceptive care.
resultsFamily physicians reported seeing fewer contraceptive patients per week than did obstetrician-gynecologists and were less likely to report sufficient time for counseling. While 95% of family physicians believed patients were receptive to learning about intrauterine contraception, fewer than half offered counseling or the method. Only half were trained to competence to offer intrauterine contraception, while virtually all obstetrician-gynecologists were. Both family physicians and obstetrician-gynecologists were unlikely to have adequate knowledge of the women who would be good candidates for intrauterine contraception-as gauged by the Centers for Disease Control and Prevention Medical Eligibility Criteria for contraception-and consequently did not offer the method to a wide range of eligible patients.
conclusionsMost family physicians providing contraceptive care were not offering methods with top-tier effectiveness, although they reported interest in updating contraceptive skills through training. Obstetrician-gynecologists had technical skills to offer intrauterine contraception but still required education on patient selection. Greater hands-on training opportunities for family physicians, and complementary education on eligible method candidates for obstetrician-gynecologists, can increase access to intrauterine contraception by women seeking contraceptive care.
Indexed as
Identifiers
23027156PMC3745306What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.