Evidence map›Paper›PMID 31809400›Full record

ArticleJournal of the American Association of Nurse Practitioners2020

Development and testing of a module to promote generic oral contraceptive prescribing among nurse practitioners.

Mark Chee, Gena Lenti, Jeanne Farnan, Michelle Cook, Arlene Weissman, September Wallingford, Christopher Moriates, Neel Shah, Shalini Lynch, Marilyn Stebbins and 8 more

Abstract read
In one paragraph

Article in Journal of the American Association of Nurse Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Mark CheePritzker School of Medicine, University of Chicago, Chicago, Illinois.
Gena LentiPritzker School of Medicine, University of Chicago, Chicago, Illinois.
Jeanne FarnanPritzker School of Medicine, University of Chicago, Chicago, Illinois.
Michelle CookAmerican Association of Nurse Practitioners, Austin, Texas.
Arlene WeissmanAmerican College of Physicians, Philadelphia, Pennsylvania.
September WallingfordCosts of Care, Boston, Massachusetts.
Christopher MoriatesCosts of Care, Boston, Massachusetts.
Neel ShahCosts of Care, Boston, Massachusetts.
Shalini LynchSchool of Pharmacy, University of California San Francisco, San Francisco, California.
Marilyn StebbinsSchool of Pharmacy, University of California San Francisco, San Francisco, California.
Samantha NgooiDepartment of Medicine, University of Chicago Medicine, Chicago, Illinois.
Allison NorenbergDepartment of Medicine, University of Chicago Medicine, Chicago, Illinois.
Steven MillardPritzker School of Medicine, University of Chicago, Chicago, Illinois.
Anita SamarthClinovations Government + Health, Washington, DC.
James X ZhangDepartment of Medicine, University of Chicago Medicine, Chicago, Illinois.
David O MeltzerDepartment of Medicine, University of Chicago Medicine, Chicago, Illinois.
Chris TracyAmerican Association of Nurse Practitioners, Austin, Texas.
Vineet M AroraPritzker School of Medicine, University of Chicago, Chicago, Illinois.

Funding

Short Term Aging-Related Research ProgramT35AG029795 · NIA · UNIVERSITY OF CHICAGO · PI Vineet Arora, DAVID O MELTZER · 2008 to 2026
$1.4M
Identifying Messages to PROmote Value & Education (IMPROVE) of Generic PrescribingU01FD005485 · FDA · UNIVERSITY OF CHICAGO · PI ARORA, VINEET · 2015 to 2017
$750k
FDA HHS U01 FD005485NIA NIH HHS T35 AG029795
6 · The paper itself

Abstract

Although generic oral contraceptives (OCPs) can improve adherence and reduce health care expenditures, use of generic OCPs remains low, and the factors that affect generic prescribing are not well understood. We aimed to understand the barriers and facilitators of generic OCP prescribing and potential solutions to increase generic OCP prescribing, as well as pilot an educational module to address clinician misconceptions about generic OCPs. We developed focus group scripts using the 4D model of appreciative inquiry. A total of four focus groups occurred, two at the American Association of Nurse Practitioners (AANP) national conference and two at the American College of Physicians (ACP) Internal Medicine meeting. Focus group transcripts were analyzed using a constant comparative method with no a priori hypothesis to generate emerging and reoccurring themes. Findings from these focus groups were used to develop an educational module promoting generic OCP prescribing. Participants were recruited from the AANP Network for Research and the ACP Research Panel. This study demonstrates that health system factors, workflow factors, clinician factors, and patient factors were the main barriers to and facilitators of generic OCP prescribing. Nurse practitioners were responsive to an educational module and reported increased willingness to discuss and prescribe generic OCPs after completing the module. Interventions to increase generic OCP prescribing must address clinician and patient factors within the context of workflow and larger health system factors.

Indexed as

Clinical CompetenceContraceptives, OralCurriculumDrug PrescriptionsFocus GroupsHumansNurse PractitionersQualitative ResearchSurveys and QuestionnairesContraceptives, Oral

Identifiers

PMID31809400
PMCPMC7833310

What OpenQuestion holds

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Registered trials

None linked

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.