Evaluation of the challenges faced in increasing contraceptive access within a community college population

Abstract Background Research demonstrates removing barriers to access, decreasing costs and offering same-day placement of long-acting reversible contraception (LARC) increases contraceptive uptake in young women. For those in community college (CC), LARC utilization might reduce the risk of dropout...

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Main Authors: Jacqueline Lamme, Alison Edelman, Emily Padua, Jeffrey T. Jensen
Format: Article
Language:English
Published: BMC 2017-10-01
Series:Contraception and Reproductive Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40834-017-0051-8
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author Jacqueline Lamme
Alison Edelman
Emily Padua
Jeffrey T. Jensen
author_facet Jacqueline Lamme
Alison Edelman
Emily Padua
Jeffrey T. Jensen
author_sort Jacqueline Lamme
collection DOAJ
description Abstract Background Research demonstrates removing barriers to access, decreasing costs and offering same-day placement of long-acting reversible contraception (LARC) increases contraceptive uptake in young women. For those in community college (CC), LARC utilization might reduce the risk of dropout and improve degree completion. We identified a local school who had documented an unmet need for on-campus services through a recent student assessment. We then established an on-campus, same day contraceptive clinic at the CC as part of a clinical trial. We found that students did not use the service even after multiple attempts to increase awareness and we ended the study. Here, we report lessons learned from attempting research in this environment in addition to results from a follow-up survey to determine why students did not access the clinical resource. Students reported that they already had good access to contraception and preferred to get their healthcare off-campus. This study demonstrates the complexities of studying highly focused interventions to influence access to care in the current health care environment with ever changing regulations. Trial registration NCT02735551 . Registered April 6, 2016.
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spelling doaj.art-0272bd869576442194839b914dcc279a2022-12-21T18:45:06ZengBMCContraception and Reproductive Medicine2055-74262017-10-01211410.1186/s40834-017-0051-8Evaluation of the challenges faced in increasing contraceptive access within a community college populationJacqueline Lamme0Alison Edelman1Emily Padua2Jeffrey T. Jensen3Department of Obstetrics & Gynecology, Oregon Health & Science UniversityDepartment of Obstetrics & Gynecology, Oregon Health & Science UniversityDepartment of Obstetrics & Gynecology, Oregon Health & Science UniversityDepartment of Obstetrics & Gynecology, Oregon Health & Science UniversityAbstract Background Research demonstrates removing barriers to access, decreasing costs and offering same-day placement of long-acting reversible contraception (LARC) increases contraceptive uptake in young women. For those in community college (CC), LARC utilization might reduce the risk of dropout and improve degree completion. We identified a local school who had documented an unmet need for on-campus services through a recent student assessment. We then established an on-campus, same day contraceptive clinic at the CC as part of a clinical trial. We found that students did not use the service even after multiple attempts to increase awareness and we ended the study. Here, we report lessons learned from attempting research in this environment in addition to results from a follow-up survey to determine why students did not access the clinical resource. Students reported that they already had good access to contraception and preferred to get their healthcare off-campus. This study demonstrates the complexities of studying highly focused interventions to influence access to care in the current health care environment with ever changing regulations. Trial registration NCT02735551 . Registered April 6, 2016.http://link.springer.com/article/10.1186/s40834-017-0051-8ContraceptionLARCAccessCommunity college
spellingShingle Jacqueline Lamme
Alison Edelman
Emily Padua
Jeffrey T. Jensen
Evaluation of the challenges faced in increasing contraceptive access within a community college population
Contraception and Reproductive Medicine
Contraception
LARC
Access
Community college
title Evaluation of the challenges faced in increasing contraceptive access within a community college population
title_full Evaluation of the challenges faced in increasing contraceptive access within a community college population
title_fullStr Evaluation of the challenges faced in increasing contraceptive access within a community college population
title_full_unstemmed Evaluation of the challenges faced in increasing contraceptive access within a community college population
title_short Evaluation of the challenges faced in increasing contraceptive access within a community college population
title_sort evaluation of the challenges faced in increasing contraceptive access within a community college population
topic Contraception
LARC
Access
Community college
url http://link.springer.com/article/10.1186/s40834-017-0051-8
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