Feasibility and acceptability of a toolkit-based process to implement patient-centered, immediate postpartum long-acting reversible contraception services

Moniz, Michelle H.; Dalton, Vanessa K.; Smith, Roger; Owens, Lauren; Landis-Lewis, Zach; Peahl, Alex; Kainen, Barbara Van; Punch, Margaret R.; Wetmore, Marisa; Bonawitz, Kirsten; Kolenic, Giselle; Dehlendorf, Christine; Heisler, Michele

doi:10.1016/j.ajog.2021.10.009

Cited by 6 publications

(2 citation statements)

References 43 publications

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“…Toolkits were selected as the primary dissemination method for the WCHC Model due to their popularity in expanding healthcare models and promoting evidence-based practice for both providers and patients. 37 – 42 Recently, a systematic review of 39 studies affirmed toolkits as a promising knowledge translation method for facilitating evidence use in practice and improving health outcomes. 43 …”

Section: Discussionmentioning

confidence: 99%

Dissemination of the Women-Centred HIV Care Model: A Multimodal Process and Evaluation

Koebel,

Kazemi,

Kennedy

et al. 2024

J Int Assoc Provid AIDS Care

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Background Using data from a national cohort study and focus groups, the Women-Centred HIV Care (WCHC) Model was developed to inform care delivery for women living with HIV. Methods Through an evidence-based, integrated knowledge translation approach, we developed 2 toolkits based on the WCHC Model for service providers and women living with HIV in English and French (Canada's national languages). To disseminate, we distributed printed advertising materials, hosted 3 national webinars and conducted 2 virtual capacity-building training series. Results A total of 315 individuals attended the webinars, and the average WCHC knowledge increased by 29% (SD 4.3%). In total, 131 service providers engaged in 22 virtual capacity-building training sessions with 21 clinical cases discussed. Learners self-reported increased confidence in 15/15 abilities, including the ability to provide WCHC. As of December 2023, the toolkits were downloaded 7766 times. Conclusions We successfully developed WCHC toolkits and shared them with diverse clinical and community audiences through various dissemination methods.

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Section: Discussionmentioning

confidence: 99%

Dissemination of the Women-Centred HIV Care Model: A Multimodal Process and Evaluation

Koebel,

Kazemi,

Kennedy

et al. 2024

J Int Assoc Provid AIDS Care

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“…Although some studies have been published examining the implementation of immediate postpartum LARC, most were conducted in high-income countries (HICs). [13][14][15] Due to differences in health systems, resources, demographic characteristics, or other variables, barriers and facilitators to contraceptive services in middle-income countries (MICs) may differ significantly from those in HICs. Our study employed the Consolidated Framework for Implementation Research (CFIR), 16,17 a meta-theoretical framework synthesized the constructs from several published models that is considered suitable for studying immediate postpartum LARC policies.…”

Section: Introductionmentioning

confidence: 99%

Barriers and Facilitators to Implementing Immediate Postpartum Contraceptive Implant Programs: A Formative Implementation Research

Sothornwit¹,

Lumbiganon²,

Saranrittichai³

et al. 2022

IJWH

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This study sought to identify the factors that act as barriers and facilitators to developing and implementing Immediate postpartum (IPP) insertion of contraceptive implants service according to the Consolidated Framework for Implementation Research (CFIR). Methods: We conducted in-depth interviews and focus group discussions to explore IPP contraceptive implantation programs implemented in community, regional, and university hospitals in Thailand. The CFIR was used to guide the data collection and analyses. Results: All CFIR domains were found to have an impact on planning and implementation. Out of 38 constructs, nine were identified as either barriers or facilitators, and four were determined to be both. Barriers included an insufficient training budget, lack of policy to support non-teenagers, disconnect among organizations, and lack of knowledge on the part of the clients. Facilitators included the relative advantage of implants over other contraceptive methods, reimbursement policy, laws that promote teenage autonomy, setting IPP implants as a key performance indicator (KPI), identifying project champions, and educating clients through antenatal counseling or multimedia intervention. Conclusion: Barriers and facilitators to the successful implementation of an IPP contraceptive implant program were identified. In order to successfully implement this service, modifiable barriers should be overcome and facilitators should be strengthened. Strategies tailored to the local context should be developed to ensure the sustainability of the program. Educating clients is crucial and need both hospital-and community interventions.

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A Scoping Review of Patient-Centered Perinatal Contraceptive Counseling

Karlin,

Newmark,

Oberman

et al. 2024

Matern Child Health J

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Introduction Contraceptive counseling during the perinatal period is an important component of comprehensive perinatal care. We synthesized research about contraceptive counseling during the perinatal period, which has not previously been systematically compiled. Methods We developed search criteria to identify articles listed in PubMed, Embase, and Popline databases published between 1992 and July 2022 that address patients’ preferences for, and experiences of, perinatal contraceptive counseling, as well as health outcomes associated with this counseling. Search results were independently reviewed by multiple reviewers to assess relevance for the present review. Methods were conducted in accordance with PRISMA guidelines. Results Thirty-four articles were included in the final full text review. Of the included articles, 10 included implementation and evaluation of a contraceptive counseling method or protocol, and 24 evaluated preferences for or experiences of existing contraceptive counseling in the perinatal period. Common themes included the acceptability of contraceptive counseling in the peripartum and postpartum periods, and a preference for contraceptive counseling at some point during the antenatal period and before the inpatient hospital experience, and direct provider-patient discussion instead of video or written material. Multiple studies suggest that timing, content, and modality should be individualized. In general, avoiding actual or perceived directiveness and providing multi-modal counseling that includes both written educational materials and patient-provider conversations was desired. Discussion The perinatal period constitutes a critical opportunity to provide contraceptive counseling that can support pregnant and postpartum people’s management of their reproductive futures. The reviewed studies highlight the importance of patient-centered approach to providing this care, including flexibility of timing, content, and modality to accommodate individual preferences.

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Feasibility and acceptability of a toolkit-based process to implement patient-centered, immediate postpartum long-acting reversible contraception services

Cited by 6 publications

References 43 publications

Dissemination of the Women-Centred HIV Care Model: A Multimodal Process and Evaluation

Dissemination of the Women-Centred HIV Care Model: A Multimodal Process and Evaluation

Barriers and Facilitators to Implementing Immediate Postpartum Contraceptive Implant Programs: A Formative Implementation Research

A Scoping Review of Patient-Centered Perinatal Contraceptive Counseling

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