Increasing Long-Acting Reversible Contraceptive Method Use Among Alaska Native Women

Long-acting reversible contraceptive (LARC) methods are underutilized despite having the highest efficacy rates. This quality improvement project examined an intervention to increase use of structured contraceptive counseling by health care providers and LARC choice among Alaska Native women. Docume...

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Bibliographic Details
Published in:Journal for nurse practitioners 2018-05, Vol.14 (5), p.e105-e108
Main Authors: Tobias, Emily, Enriquez, Maithe
Format: Article
Language:English
Subjects:
Alaska Native
Birth control
Clinical decision making
Confidence intervals
contraceptive counseling
Contraceptives
Counseling
Decision making
Educational programs
Efficacy
Ethnicity
Health behavior
Health care policy
Indigenous peoples
Intervention
Marital status
Medical personnel
Native women
Nurse practitioners
Patients
Pregnancy
Quality management
Reproductive health
Reversible
unplanned pregnancy
Uptake
Women
Womens health
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Summary:Long-acting reversible contraceptive (LARC) methods are underutilized despite having the highest efficacy rates. This quality improvement project examined an intervention to increase use of structured contraceptive counseling by health care providers and LARC choice among Alaska Native women. Documentation of contraceptive counseling increased from 50% to 96.6% (P = .002), and women were almost 2 times more likely to choose LARC. Results suggest that a short educational intervention had a positive impact on health care provider behavior and LARC uptake. •Women who decide on long-acting reversible contraceptive (LARC) do not always return for method placement.•Discontinuation of LARC and barriers to access are poorly understood.•Repealing or altering the Affordable Care Act may introduce barriers to contraception access.•Structured contraceptive counseling is effective at improving patient adherence.•Influence of structured contraceptive counseling tools needs further investigation.
ISSN:1555-4155
1878-058X
DOI:10.1016/j.nurpra.2017.12.024