Lamme Jacqueline, Edelman Alison, Padua Emily, Jensen Jeffrey T
Department of Obstetrics & Gynecology, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, UHN 50, Portland, OR 97239 USA.
Contracept Reprod Med. 2017 Oct 23;2:25. doi: 10.1186/s40834-017-0051-8. eCollection 2017.
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.
NCT02735551 Registered April 6, 2016.
研究表明，消除获取障碍、降低成本以及提供长效可逆避孕法（LARC）当日放置服务，可提高年轻女性的避孕措施使用率。对于社区学院（CC）的学生而言，使用LARC可能会降低辍学风险并提高学位完成率。我们通过最近的学生评估发现当地一所学校记录了对校内服务的未满足需求。然后，作为一项临床试验的一部分，我们在该社区学院设立了一个校内当日避孕诊所。我们发现，即使多次尝试提高知晓度，学生们仍未使用该服务，于是我们终止了该研究。在此，我们报告在此环境下开展研究所得的经验教训，以及一项后续调查的结果，以确定学生未利用该临床资源的原因。学生们表示，他们已经能够方便地获取避孕服务，并且更倾向于在校外接受医疗保健。这项研究表明，在当前法规不断变化的医疗环境中，研究高度针对性的干预措施以影响医疗服务获取情况具有复杂性。
NCT02735551，于2016年4月6日注册。
