Evidence map›Paper›PMID 40714268›Full record

ArticleJournal of pediatric and adolescent gynecology2025

Piloting a Birth Control Navigator Program for Adolescents and Young Adults in Indiana.

Tracey A Wilkinson, Faith Coleman, Natasha Chaku, Jeffrey F Peipert, Sarah E Wiehe, Aaron E Carroll, J Dennis Fortenberry

Abstract readEvaluation Study
In one paragraph

Article in Journal of pediatric and adolescent gynecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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

7 authors.

Tracey A WilkinsonIndiana University School of Medicine, Department of Pediatrics, Indianapolis, Indiana. Electronic address: tracwilk@iu.edu.
Faith ColemanIndiana University School of Medicine, Department of Pediatrics, Indianapolis, Indiana.
Natasha ChakuIndiana University, Department of Psychological and Brain Sciences, Bloomington, Indiana.
Jeffrey F PeipertIndiana University School of Medicine, Department of Obstetrics and Gynecology, Indianapolis, Indiana; University of Vermont, Department of Obstetrics, Gynecology and Reproductive Sciences, Burlington, Vermont.
Sarah E WieheIndiana University School of Medicine, Department of Pediatrics, Indianapolis, Indiana.
Aaron E CarrollIndiana University School of Medicine, Department of Pediatrics, Indianapolis, Indiana; Academy Health, Washington, District of Columbia.
J Dennis FortenberryIndiana University School of Medicine, Department of Pediatrics, Indianapolis, Indiana.

Funding

A Navigator Program to Overcome Barriers to Hormonal ContraceptionK23HD094853 · NICHD · INDIANA UNIVERSITY INDIANAPOLIS · PI WILKINSON, TRACEY · 2019 to 2023
$795k
NICHD NIH HHS K23 HD094853
6 · The paper itself

Abstract

objectivesWhile increasing access to contraception is important, young people often face barriers to access prior to, within and after engagement with clinical care. The objective was to examine the feasibility of a pilot adolescent and young adult (AYA) birth control navigator program.

methodsAn online and in-person outreach strategy was launched in central Indiana starting in June 2023 to reach AYA outside of clinical settings and connect them to a trained navigator. Various communication platforms were used and a link to a validated contraception decision aid and barrier assessment was sent. After program support, AYA were invited to participate in a research cohort and complete a baseline survey.

resultsThe outreach strategy included social media advertising with 4,327,614 impressions and 30,210 clicks and 17 social media ambassadors with 96 posts. Of the 30 people who connected with the navigator, 18 (60%) participated in the post-programmatic research cohort. Participants had a mean age of 17.3 years (range 15-19), 33% identified as African American and 61% reported being sexually active. Addressed barriers included appointment booking (73%), access confidential care (67%) and support around transportation (30%). All participants (100%) reported that the navigator listened to them, provided helpful information, and made them feel comfortable. However, only 8 (67%) reported high-quality person-centered care was experienced during clinical encounters.

conclusionsA human-centered designed birth control navigator pilot program can provide AYA's personalized assistance with overcoming barriers faced. Recruitment outside of clinical environments of AYA in a restrictive state was challenging, despite online outreach strategies.

Indexed as

Family Planning ServicesHealth Services AccessibilityPatient Acceptance of Health CarePatient NavigationProgram EvaluationAdolescentContraception BehaviorFeasibility StudiesFemaleHumansIndianaMalePatient-Centered CarePilot ProjectsYoung AdultAccess to health careBirth controlComprehensive health careContraceptionPatient centered carePatient navigation. adolescent

Identifiers

PMID40714268
PMCPMC12324822

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Registered trials

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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.