Giho Yukiko, Jones Kelley A, Dick Rebecca N, Gold Melanie A, Talis Janine M, Gmelin Theresa A, Laird Hollis J, Vanek Marian S, Miller Elizabeth
Children's Hospital of Pittsburgh of UPMC, Department of Pediatrics, Division of Adolescent and Young Adult Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
University of Pittsburgh Student Health Service, Pittsburgh, Pennsylvania, USA.
J Am Coll Health. 2020 May-Jun;68(4):336-340. doi: 10.1080/07448481.2019.1577859. Epub 2019 Mar 25.
To evaluate feasibility of integrating Bedsider.org, a web-based contraceptive decision support tool, at a university health clinic (UHC). Female students (ages 18-29) seeking contraceptive care at the UHC were enrolled in September 2015 ( = 46). Providers recruited eligible patients during reproductive healthcare visits and introduced Bedsider. Surveys were administered immediately following the visit and a follow-up 2-4 weeks later. Electronic health records through 6 weeks post-enrollment were extracted. Most patients had positive views toward Bedsider and appreciated receiving information during their UHC encounters. None were using long-acting reversible contraceptives (LARC) at enrollment. At follow-up, two patients self-reported IUD use. Among those recently sexually active, use of more effective contraceptive methods increased from 65% to 74%; 11% had initiated or were scheduled to receive a LARC. Bedsider can be feasibly integrated into UHC visits and may support women's selection of more effective contraceptive methods, including LARCs.
评估在大学健康诊所(UHC)整合基于网络的避孕决策支持工具Bedsider.org的可行性。2015年9月,在UHC寻求避孕护理的18至29岁女学生被纳入研究(n = 46)。医护人员在生殖健康护理就诊期间招募符合条件的患者并介绍Bedsider。就诊后立即进行调查,并在2至4周后进行随访。提取了入组后6周内的电子健康记录。大多数患者对Bedsider持积极态度,并对在UHC就诊期间获得信息表示赞赏。入组时无人使用长效可逆避孕方法(LARC)。随访时,两名患者自我报告使用了宫内节育器。在最近有性行为的人群中,使用更有效避孕方法的比例从65%增加到74%;11%的人已开始或计划接受LARC。Bedsider可以切实地整合到UHC就诊中,并可能支持女性选择更有效的避孕方法,包括LARC。