ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2019
A Pediatric Emergency Department Intervention to Increase Contraception Initiation Among Adolescents.
Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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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.
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Who cites it
10 citing papers in PubMed, 20 citations in OpenAlex.
- Feasibility of adolescent contraceptive care in the pediatric emergency department: A pilot randomized controlled trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Trial
- Brief Motivational Intervention to Improve Adolescent Sexual Health Service Uptake: A Pilot Randomized Controlled Trial in the Emergency Department.The Journal of pediatrics · 2021Trial
- Adolescents' Acceptance of Long-Acting Reversible Contraception After an Educational Intervention in the Emergency Department: A Randomized Controlled Trial.The western journal of emergency medicine · 2020Trial
- Barriers to contraception access and use among youth: A scoping review in high-income countries.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- A Community-Centered Approach to Strengthening Perinatal Care Connections.Maternal and child health journal · 2026Article
- Adolescent Mental Health, Contraceptive Knowledge, and Teen Pregnancy Risk: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- Contraception Initiation in the Emergency Department: Adolescent Perspectives.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Expanding Contraceptive Access for Teens-Leveraging the Pediatric Emergency Department.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Article
- Feasibility of a Contraception Intervention for Hospitalized Adolescents and Young Adults.Hospital pediatrics · 2023Article
- A Research Agenda for Emergency Medicine-based Adolescent Sexual and Reproductive Health.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2019Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThe pediatric emergency department (PED) provides care for adolescents at high risk of unintended pregnancy, but little is known regarding the efficacy of PED-based pregnancy prevention interventions. The objectives of this PED-based pilot intervention study were to 1) assess the rate of contraception initiation after contraceptive counseling and appointment facilitation in the PED during the study period, 2) identify barriers to successful contraception initiation, and 3) determine adolescent acceptability of the intervention.
methodsThis pilot intervention study included females 14 to 19 years of age at risk for unintended pregnancy. Participants received standardized contraceptive counseling and were offered an appointment with gynecology. Participants were followed via electronic medical record and phone to assess contraception initiation and barriers. Chi-square tests were used to examine the association between contraception initiation and participant characteristics.
resultsA total of 144 patients were eligible, and 100 were enrolled. In the PED, 68% (68/100) expressed interest in initiating hormonal contraception, with 70% (48/68) of interested participants indicating that long-acting reversible contraception (LARC) was their preferred method. Twenty-five percent (25/100) of participants initiated contraception during the study period, with 19 participants starting LARC. Thirty-nine percent (22/57) of participants who accepted a gynecology appointment attended that appointment. Barriers to follow-up include transportation and inconvenient follow-up times. Participants were accepting of the intervention with 93% agreeing that the PED is an appropriate place for contraceptive counseling.
conclusionsPED contraceptive counseling is acceptable among adolescents and led to successful contraception initiation in 25% of participants. The main barrier to contraception initiation was participant follow-up with the gynecology appointment.
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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.