Increasing access to family planning services among women receiving medications for opioid use disorder: A pilot randomized trial examining a peer-led navigation intervention

Rinehart, Deborah; Stowell, Melanie; Collings, Adriana; Durfee, Michael J.; Thomas-Gale, Tara; Jones, Hendrée E.; Binswanger, Ingrid A.

doi:10.1016/j.jsat.2021.108318

Cited by 13 publications

(15 citation statements)

References 39 publications

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“…Patient-provider communication strategies were facilitators, including: motivational interviewing ( Jones et al, 2021 , Rinehart et al, 2021 ); discussions around managing side effects ( Heil et al, 2016 , Heil et al, 2021 ); shared decision-making ( Heil et al, 2016 , Heil et al, 2021 , Jones et al, 2021 ); use of real-life examples or visual tools to educate on contraceptive methods ( Heil et al, 2016 , Heil et al, 2021 , Jones et al, 2021 , Rinehart et al, 2021 ); and communication skill-building, including active listening, communication with providers, negotiation for safer sex with partners, and goal-setting techniques ( Jones et al, 2021 ).…”

Section: Resultsmentioning

confidence: 99%

“…The same study identified community outreach and information dissemination through opinion leaders as facilitators to improve HC-LARC access in hard-to-reach communities ( Hurley et al, 2020 ). Peer navigators, nurse practitioners, and peer educators were used to facilitate contraceptive education and service provision ( Heil et al, 2016 , Heil et al, 2021 , Hurley et al, 2020 , Rinehart et al, 2021 ). Healthcare appointment-related factors, including same-day appointments ( Heil et al, 2016 , Heil et al, 2021 , Jones et al, 2021 ), short wait times ( Hurley et al, 2020 ), walk-in appointments ( Hurley et al, 2020 ), and scheduling reminders ( Rinehart et al, 2021 , Sobel et al, 2021 ), were commonly identified facilitators, as were providing transportation to appointments ( Jones et al, 2021 , MacAfee et al, 2020b , Rinehart et al, 2021 ) and a warm hand-off or referral to a contraceptive provider ( Rinehart et al, 2021 ).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Barriers to and facilitators of hormonal and long-acting reversible contraception access and use in the US among reproductive-aged women who use opioids: A scoping review

Charron¹,

Kent-Marvick²,

Gibson³

et al. 2023

Preventive Medicine Reports

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Barriers to and facilitators of hormonal and long-acting reversible contraception access and use in the US among reproductive-aged women who use opioids: A scoping review

Charron¹,

Kent-Marvick²,

Gibson³

et al. 2023

Preventive Medicine Reports

View full text Add to dashboard Cite

“…It was notable that there were very few comments about potential practical solutions to service level challenges despite these topics being included in the topic guide. These include the use of rifapentine-based regimens, shown to improve outcomes in under-served populations [20,24,30], novel diagnostics such as c-TB, which may remove some practical challenges such as venepuncture [31], use of peer support / outreach workers [32,33], and video-observed-treatment (VOT) [34,35]. Workforce training to ensure optimal use of evidence-based strategies may help target some of these short-comings.…”

Section: Discussionmentioning

confidence: 99%

“It’s too hard” – the management of latent TB in under-served populations in the UK: a qualitative study

Gray

Surey

Esmail

et al. 2022

BMC Health Serv Res

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Background UK national guidance recommends systematic screening for latent tuberculosis infection (LTBI) in under-served populations, including people experiencing homelessness and people who use drugs. This is not routinely implemented in the UK, and the reasons for this policy-practice mismatch remain underexplored. Methods Semi-structured qualitative interviews were conducted with 19 healthcare professionals from across the UK. Participants were recruited using purposive sampling and snowballing, identifying individuals with excellent knowledge of their regions practice and policy of LTBI management. The interviews were conducted online, and were audio recorded, with transcripts thematically analysed using a two-stage inductive coding process to explore perceived barriers and enablers to LTBI screening. Results Most participants had previous experience managing LTBI in under-served populations, but none were conducting systematic screening as per national guidance. We identified service provision challenges and low prioritisation of LTBI as the key explanatory themes driving this policy-practice mismatch. Lack of resource, and the complexity of clinical decision making were two key service level barriers. System and service inertia, and lack of cost effectiveness evidence led to LTBI being deprioritised. Service integration and promotion of WHO targets for TB elimination were highlighted as potential solutions. Conclusion Integrating LTBI testing and treatment with existing health services for under-served populations could improve feasibility and efficacy. Promotion of UK TB elimination goals and generation of regional evidence to support commissioning for LTBI care is vital. Without such a multi-pronged approach inertia is likely to persist and the zeitgeist will remain: “it’s too hard”.

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“…It was notable that there were very few comments about potential practical solutions to service level challenges despite these topics being included in the topic guide. These include the use of rifapentinebased regimens, shown to improve outcomes in under-served populations 21,27,28 , novel diagnostics such as c-TB, which may remove some practical challenges such as venepuncture 29 , and the use of peer support workers 30,31 . Workforce training to ensure optimal use of evidence-based strategies may help target some of these short-comings.…”

Section: Discussionmentioning

confidence: 99%

“It’s too hard” – the management of latent TB in under-served populations in the UK: a qualitative study

Gray

Surey

Esmail

et al. 2022

Preprint

View full text Add to dashboard Cite

BackgroundUK national guidance recommends systematic screening for latent tuberculosis infection (LTBI) in under-served populations, including people experiencing homelessness and people who use drugs. This is not routinely implemented in the UK, and the reasons for this policy-practice mismatch remain underexplored.MethodsSemi-structured qualitative interviews were conducted with 19 healthcare professionals from across the UK. Participants were recruited using purposive sampling and snowballing, identifying individuals with excellent knowledge of their regions practice and policy of LTBI management. The interviews were conducted online, and were audio recorded, with transcripts thematically analysed using a two-stage inductive coding process to explore perceived barriers and enablers to LTBI screening.ResultsMost participants had previous experience managing LTBI in under-served populations, but none were conducting systematic screening as per national guidance. We identified service provision challenges and low prioritisation of LTBI as the key explanatory themes driving this policy-practice mismatch. Lack of resource, and the complexity of clinical decision making were two key service level barriers. System and service inertia, and lack of cost effectiveness evidence led to LTBI being deprioritised. Service integration and promotion of WHO targets for TB elimination were highlighted as potential solutions.ConclusionIntegrating LTBI testing and treatment with existing health services for under-served populations could improve feasibility and efficacy. Promotion of UK TB elimination goals and generation of regional evidence to support commissioning for LTBI care is vital. Without such a multi-pronged approach inertia is likely to persist and the zeitgeist will remain: “it’s too hard”.

show abstract

Increasing access to family planning services among women receiving medications for opioid use disorder: A pilot randomized trial examining a peer-led navigation intervention

Cited by 13 publications

References 39 publications

Barriers to and facilitators of hormonal and long-acting reversible contraception access and use in the US among reproductive-aged women who use opioids: A scoping review

Barriers to and facilitators of hormonal and long-acting reversible contraception access and use in the US among reproductive-aged women who use opioids: A scoping review

“It’s too hard” – the management of latent TB in under-served populations in the UK: a qualitative study

“It’s too hard” – the management of latent TB in under-served populations in the UK: a qualitative study

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