ArticlePreventive medicine2013
Counseling and provision of long-acting reversible contraception in the US: national survey of nurse practitioners.
Article in Preventive medicine, 2013. 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 32 papers, 3 of them syntheses 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
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- Intrauterine contraceptive device training and outcomes for healthcare providers in developed countries: A systematic review.PloS one · 2019Pooled it
- Provider and lay perspectives on intra-uterine contraception: a global review.Reproductive health · 2017Pooled it
- Brief educational strategies for improving contraception use in young people.The Cochrane database of systematic reviews · 2016Pooled 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 Contraception Counseling and Use for Older Adolescents and Nulliparous Women.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2016Trial
- Funding policies and postabortion long-acting reversible contraception: results from a cluster randomized trial.American journal of obstetrics and gynecology · 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
- Contraceptive Method Provision Patterns Among Rural and Urban Kentucky Medicaid Enrollees.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Few clinicians provide a wide range of contraceptive methods to Medicaid beneficiaries.Health affairs scholar · 2026Article
- Article
- Evidence of intrauterine device insertion by nurses in Primary Health Care: an integrative review.Revista brasileira de enfermagem · 2024Review
- Patient concerns about accessing sexual and reproductive health services outside of primary care: A survey in rural and urban settings in the Pacific Northwest.Contraception · 2023Article
- Results of the National Contraception Survey Conducted byJournal of clinical medicine · 2022Article
- Title X Improved Access To Most Effective And Moderately Effective Contraception In US Safety-Net Clinics, 2016-18.Health affairs (Project Hope) · 2022Article
- Multilevel Influences on Providers' Delivery of Contraceptive Services: A Qualitative Thematic Analysis.Women's health reports (New Rochelle, N.Y.) · 2022Article
- 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 at 3 institutions in 1 country.
Funding
Abstract
objectiveNurse practitioners (NPs) provide frontline care in women's health, including contraception, an essential preventive service. Their importance for contraceptive care will grow, with healthcare reforms focused on affordable primary care. This study assessed practice and training needs to prepare NPs to offer high-efficacy contraceptives - intrauterine devices (IUDs) and implants.
methodA US nationally representative sample of nurse practitioners in primary care and women's health was surveyed in 2009 (response rate 69%, n=586) to assess clinician knowledge and practices, guided by the CDC US Medical Eligibility Criteria for Contraceptive Use.
resultsTwo-thirds of women's health NPs (66%) were trained in IUD insertions, compared to 12% of primary care NPs. Contraceptive counseling that routinely included IUDs was low overall (43%). Nurse practitioners used overly restrictive patient eligibility criteria, inconsistent with CDC guidelines. Insertion training (aOR=2.4, 95%CI: 1.10 5.33) and knowledge of patient eligibility (aOR=2.9, 95%CI: 1.91 4.32) were associated with IUD provision. Contraceptive implant provision was low: 42% of NPs in women's health and 10% in primary care. Half of NPs desired training in these methods.
conclusionNurse practitioners have an increasingly important position in addressing high unintended pregnancy in the US, but require specific training in long-acting reversible contraceptives.
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What 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.