ABSTRACT
Study Objective
To assess whether improving providers’ education by video training using a mobile
phone could affect providers’ knowledge and attitude toward long-acting reversible
contraceptives (LARCs), and thus further affect adolescents’ and young nulliparous
women's decisions to use LARCs.
Design, Setting, Participants, Intervention, and Main Outcome Measures
This prospective case-control study was performed between 2019 and 2020. A total of
40 healthcare providers participated, of which 20 received “LARC First” video training,
whereas the other 20 served as the control group and received no training. Surveys
were conducted of 244 adolescents and young women who were consulted by these 2 groups
of healthcare providers before abortion surgery. The data were used to analyze the
relationship between providers’ knowledge scores and the percentage of women who received
counseling on LARCs decided to use LARCs, and what percentage continued to do so 12
months after surgery.
Results
Providers from the study group scored higher in LARC knowledge than the control group.
Compared to the control group, women in the study group reported receiving more counseling
on LARCs (81.4% vs 7.9%) and more often chose to use LARCs (24.6% vs 2.4%). Twelve
months later, there was no significant difference in contraceptive continuation between
study and control groups, but study group participants were more likely to be using
LARCs (P < .001).
Conclusion
Video training for providers improved both their knowledge and willingness to recommend
LARCs and increased the probability of adolescent and young nulliparous women using
these methods to reduce unintended pregnancy.
Key Words
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Article info
Publication history
Published online: May 20, 2021
Accepted:
April 25,
2021
Received in revised form:
April 9,
2021
Received:
November 25,
2020
Footnotes
The authors report no conflict of interest.
This work was supported by the Chinese Medical Association, China Population Welfare Foundation Project No. 171103.
Identification
Copyright
© 2021 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
