Abstract
Background: We evaluated whether computerized counseling about contraceptive options and screening for contraindications increased women's subsequent knowledge and use of hormonal contraception. Methods: For the study 814 women aged 18-45 years were recruited from the waiting rooms of three emergency departments and an urgent care clinic staffed by non-gynecologists and asked to use a randomly selected computer module before seeing a clinician. Results: Women in the intervention group were more likely to report receiving a contraceptive prescription when seeking acute care than women in the control group (16% vs. 1%, p=.001). Women who requested contraceptive refills were not less likely than women requesting new prescriptions to have potential contraindications to estrogen (75% of refills vs. 52% new, p=.23). Three months after visiting the clinic, women in the intervention group tended to be more likely to have used contraception at last intercourse (71% vs. 65%, p=.91) and to correctly answer questions about contraceptive effectiveness, but these differences were not statistically significant. Conclusion: Patient-facing computers appear to increase access to prescription contraception for women seeking acute care.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 242-250 |
| Number of pages | 9 |
| Journal | Contraception |
| Volume | 87 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 1 2013 |
| Externally published | Yes |
Fingerprint
Keywords
- Acute care
- Computer information technology
- Contraceptive counseling
- Primary care
- Urgent care
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynecology
Cite this
Computer-Assisted provision of hormonal contraception in acute care settings. / Schwarz, Eleanor; Burch, Elizabeth J.; Parisi, Sara M.; Tebb, Kathleen P.; Grossman, Daniel; Mehrotra, Ateev; Gonzales, Ralph.
In: Contraception, Vol. 87, No. 2, 01.02.2013, p. 242-250.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Computer-Assisted provision of hormonal contraception in acute care settings
AU - Schwarz, Eleanor
AU - Burch, Elizabeth J.
AU - Parisi, Sara M.
AU - Tebb, Kathleen P.
AU - Grossman, Daniel
AU - Mehrotra, Ateev
AU - Gonzales, Ralph
PY - 2013/2/1
Y1 - 2013/2/1
N2 - Background: We evaluated whether computerized counseling about contraceptive options and screening for contraindications increased women's subsequent knowledge and use of hormonal contraception. Methods: For the study 814 women aged 18-45 years were recruited from the waiting rooms of three emergency departments and an urgent care clinic staffed by non-gynecologists and asked to use a randomly selected computer module before seeing a clinician. Results: Women in the intervention group were more likely to report receiving a contraceptive prescription when seeking acute care than women in the control group (16% vs. 1%, p=.001). Women who requested contraceptive refills were not less likely than women requesting new prescriptions to have potential contraindications to estrogen (75% of refills vs. 52% new, p=.23). Three months after visiting the clinic, women in the intervention group tended to be more likely to have used contraception at last intercourse (71% vs. 65%, p=.91) and to correctly answer questions about contraceptive effectiveness, but these differences were not statistically significant. Conclusion: Patient-facing computers appear to increase access to prescription contraception for women seeking acute care.
AB - Background: We evaluated whether computerized counseling about contraceptive options and screening for contraindications increased women's subsequent knowledge and use of hormonal contraception. Methods: For the study 814 women aged 18-45 years were recruited from the waiting rooms of three emergency departments and an urgent care clinic staffed by non-gynecologists and asked to use a randomly selected computer module before seeing a clinician. Results: Women in the intervention group were more likely to report receiving a contraceptive prescription when seeking acute care than women in the control group (16% vs. 1%, p=.001). Women who requested contraceptive refills were not less likely than women requesting new prescriptions to have potential contraindications to estrogen (75% of refills vs. 52% new, p=.23). Three months after visiting the clinic, women in the intervention group tended to be more likely to have used contraception at last intercourse (71% vs. 65%, p=.91) and to correctly answer questions about contraceptive effectiveness, but these differences were not statistically significant. Conclusion: Patient-facing computers appear to increase access to prescription contraception for women seeking acute care.
KW - Acute care
KW - Computer information technology
KW - Contraceptive counseling
KW - Primary care
KW - Urgent care
UR - http://www.scopus.com/inward/record.url?scp=84872145593&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84872145593&partnerID=8YFLogxK
U2 - 10.1016/j.contraception.2012.07.003
DO - 10.1016/j.contraception.2012.07.003
M3 - Article
C2 - 22921686
AN - SCOPUS:84872145593
VL - 87
SP - 242
EP - 250
JO - Contraception
JF - Contraception
SN - 0010-7824
IS - 2
ER -