5072.0 Long-Acting Reversible Contraceptives (LARC)

Wednesday, November 11, 2009: 8:30 AM
This session examines health care providers’ impact on women’s use of long-acting reversible contraception (LARC). There are two LARC methods available in the United States: intrauterine contraception and the single-rod implant. They are more effective than any other reversible methods, have high continuation rates, are cost-effective, and are suitable for a broad range of women. Yet these methods remain much less commonly used in the U.S. than in other countries. Low LARC use is partly due to outdated knowledge and practices among health care providers. This session will show how providers’ knowledge about LARC is associated with their training and the health care sector in which they practice, and how this relates to their counseling and provision practices. Results of two nationwide surveys of providers will be presented, along with findings from interviews with patients of California’s Medicaid waiver program providers. An evaluation of one approach to increasing provider familiarity with LARC will also be presented. Increased provider knowledge and familiarity with LARC has the potential to increase women’s use of the methods, ultimately decreasing unintended pregnancy.
Session Objectives: 1) Describe how the LARC knowledge and practices of contraceptive providers differ according to medical specialty 2) Explain how provider training, practice setting, and costs of LARC are associated with counseling and provision 3) Identify the LARC training opportunities for providers of various specialties 4) Compare the characteristics of women who use LARC and women who do not 5) Describe the potential public health impact of increased LARC use in the U.S.

8:30 AM
Long-acting reversible contraception (LARC) in the US: Are contraceptive providers adequately trained?
Cynthia C. Harper, PhD, Tina Raine, MD, MPH, Jillian T. Henderson, PhD, MPH, Maya Blum, MPH, Kirsten Thompson, MPH and J. Joseph Speidel, MD, MPH
8:50 AM
Increasing access to long-acting, reversible contraception: An innovative initiative
Kristin Simonson, MA, Mitchel Hawkins, Marissa Gonzalez, Maura Fulton, Jody Steinauer, MD, MAS and Uta Landy, PhD
9:10 AM
Obstetrician-gynecologists and long-acting, reversible contraception (LARC): A national survey of knowledge, attitudes, and practice
Alicia T. Luchowski, MPH, Jay Schulkin, PhD, Janet Chapin, RN, MPH, Rebecca Fried, BA and Britta Anderson, BA
9:30 AM
Discussing intrauterine contraception at the family planning visit: A (missed) opportunity for client education
Sarah L. Schwartz, MPH, M. Antonia Biggs, PhD, Sue Holtby, MPH, Christy McCain, MPH, Daria P. Rostovtseva, MS and Claire Brindis, DrPH

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: Population, Reproductive and Sexual Health

CE Credits: Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH)