ArticleJournal of pediatric and adolescent gynecology2016
Interdependent Barriers to Providing Adolescents with Long-Acting Reversible Contraception: Qualitative Insights from Providers.
Article in Journal of pediatric and adolescent gynecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed.
- Barriers and facilitators to contraception provision among rural healthcare providers.Contraception and reproductive medicine · 2025Article
- Assessing readiness to implement long-acting injectable HIV antiretroviral therapy: provider and staff perspectives.Implementation science communications · 2023Article
- US "Safety Net" Clinics Provide Access to Effective Contraception for Adolescents and Young Women, 2017-2019.American journal of public health · 2022Article
- Title X Improved Access To Most Effective And Moderately Effective Contraception In US Safety-Net Clinics, 2016-18.Health affairs (Project Hope) · 2022Article
- Long-Acting Reversible Contraceptive Users' Knowledge, Conversations with Healthcare Providers, and Condom Use: Findings from a U.S. Nationally Representative Probability Survey.International journal of sexual health : official journal of the World Association for Sexual Health · 2021Article
- Understanding the Acceptability of Subdermal Implants as a Possible New HIV Prevention Method: Multi-Stage Mixed Methods Study.Journal of medical Internet research · 2020Article
- The only way is up: priorities for implementing long-acting antiretrovirals for HIV prevention and treatment.Current opinion in HIV and AIDS · 2020Review
- Clinician and Staff Perceptions of Barriers to Providing Contraception in Primary Care.PRiMER (Leawood, Kan.) · 2019Article
- Are men ready to use thermal male contraception? Acceptability in two French populations: New fathers and new providers.PloS one · 2018Article
- "The thing in my arm": Providing contraceptive services for adolescents in primary care.Women's health (London, England)Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
STUDY
objectiveLong-acting reversible contraceptive (LARC) methods are the most effective form of reversible contraception but are underutilized by adolescents. The purpose of this study was to identify the context-specific barriers to providing adolescents with LARC that are experienced by pediatricians, family medicine physicians, and advanced practice nurses (APNs). DESIGN, SETTING, PARTICIPANTS, AND
interventionsPediatricians, family medicine providers, and APNs (n = 16) who care for adolescents participated in semistructured qualitative interviews. Interview data were analyzed using a modified grounded theory approach.
main outcome measuresPediatricians, family medicine physicians, and APNs self-reported attitudes and practices regarding LARC provision to adolescents.
resultsProvider confidence in LARC, patient-centered counseling on LARC, and instrumental supports for LARC all work interdependently either in support of or in opposition to provision of LARC to adolescents. Low provider confidence in LARC for adolescents was characterized by confusion about LARC eligibility criteria and perceptions of LARC insertion as traumatic for adolescents. Patient-centered counseling on LARC required providers' ability to elicit patient priorities, highlight the advantages of LARC over other methods, and address patients' concerns about these methods. Instrumental support for LARC included provider training on LARC, access to and financial support for LARC devices, and opportunity to practice LARC insertion and counseling skills.
conclusionAlthough none of the identified essential components of LARC provision to adolescents exist in isolation, instrumental support like provider training on LARC and access to LARC devices have the most fundamental effect on the other components and on providers' attitudes and practices regarding LARC for adolescents.
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Registered trials
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