From research to practice: dissemination of the Contraceptive CHOICE Project

Abstract

Unintended pregnancy is a public health problem with societal consequences. The Contraceptive CHOICE Project (CHOICE) demonstrated a reduction in teen pregnancy and abortion by removing barriers to effective contraception. The purpose of the study was to describe the dissemination approach used to create awareness of and promote desire to adopt the CHOICE model among selected audiences. We used a 4-stage approach and detail the work completed in the first 2 stages. We describe stakeholder involvement in the first stage and the process of undertaking core strategies in the second stage. We examine insights gained throughout the process. Through our dissemination approach, we reached an estimated 300,000 targeted individuals, not including the population reached through media. We were contacted by 141 entities for technical assistance. The completion and reporting of dissemination processes is an important component of research. There is a need to fully document and disseminate strategies that can help facilitate practice change.

Increasing the uptake of long-acting reversible contraception in general practice: the Australian Contraceptive ChOice pRoject (ACCORd) cluster randomised controlled trial protocol

“…GPs in the intervention arm will be trained to deliver structured contraceptive counselling with an emphasis on the effectiveness of LARCs. Materials from the ‘LARC First’ online training site of the Contraceptive CHOICE Project 38 were adapted to the Australian context with input from an advisory group comprising the project investigators, GPs and consumers. Training will be delivered online with additional practice visits, email and telephone support available.…”

Long‐acting reversible contraception: A route to reproductive justice or injustice

“…Because of LARC's effectiveness, initiatives have been designed and implemented to encourage use. A prime example is the Contraceptive CHOICE project, which provided counseling and no-cost contraception to women in the St. Louis, Missouri area in an effort to curtail unintended pregnancies (Birgisson, Zhao, Secura, Madden, & Peipert, 2015;Broughton et al, 2016). Of the nearly 10,000 women counseled on all types of birth control using a tiered approach (with the most effective methods described first; Stanback, Steiner, Dorflinger, Solo, & Cates, 2015), 75% chose a LARC as their method of contraception.…”

Access and Use of Contraception and Its Effects on Women’s Outcomes in the U.S.

“…A significant share of research on the effects of LARCs has focused on the CHOICE project, an intervention conducted from 2007 to 2011 to promote the use of LARCs by removing financial and knowledge barriers among women in St. Louis, Missouri. The researchers who implemented and evaluated the intervention have reported their findings in more than 60 published papers and these studies have been cited heavily by policymakers and advocates (Broughton et al 2016).…”