Increasing the uptake of long-acting reversible contraception through family practice: the Australian Contraceptive ChOice pRoject (ACCORd) cluster randomized controlled trial 3-year follow-up
Increased use of long-acting reversible contraception can reduce the rate of unintended pregnancies and abortions. This study aimed to assess whether the ACCORd (Australian Contraceptive ChOice pRoject) trial intervention resulted in sustained long-acting reversible contraception use and decreased u...
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| Vydané v: | American journal of obstetrics and gynecology Ročník 233; číslo 4; s. 299.e1 - 299.e7 |
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| Hlavní autori: | , , , , , , , , |
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United States
Elsevier Inc
01.10.2025
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| Abstract | Increased use of long-acting reversible contraception can reduce the rate of unintended pregnancies and abortions.
This study aimed to assess whether the ACCORd (Australian Contraceptive ChOice pRoject) trial intervention resulted in sustained long-acting reversible contraception use and decreased unplanned pregnancies.
This was a longitudinal 3-year follow-up study of the ACCORd cluster randomized controlled trial. The study setting was metropolitan Melbourne, Australia. Participants were patients of ACCORd family physicians who identified as women and had not actively withdrawn from the ACCORd trial 12-month survey. Family physicians in the intervention group undertook online training to deliver structured contraceptive counseling (nonbiased, scripted descriptions of all available contraceptive methods, with a particular focus on the efficacy and safety of each method), and were also provided access to an online booking system enabling rapid referral to long-acting reversible contraception insertion clinics. Family physicians in the control group provided usual care. Women who participated in the original ACCORd trial were invited to take part in a follow-up survey 3 years after completing their original baseline assessment. The primary outcome was the rate of continuation of long-acting reversible contraception methods compared with non–long-acting reversible contraception methods. The secondary outcomes included the contraceptive method used, satisfaction with contraceptive choice, and the number of unintended pregnancies and abortions.
Of the original ACCORd trial participants (N=531), 75% agreed to participate in the follow-up study. At 3 years, the rate of continuation of long-acting reversible contraception was 66%, significantly higher than the 55% rate observed with non-long-acting reversible contraception methods (P=.027). Satisfaction with the method of contraception was higher among long-acting reversible contraception users than among oral contraceptive pill users. A greater proportion of participants in the intervention group compared with the control group were still using a long-acting reversible contraception method 3 years after intervention (41% [93/229] and 28% [84/302], respectively; P=.019). Compared with the control group, women in the intervention group experienced significantly fewer unintended pregnancies (3.1% and 6.3%; odds ratio [95% confidence interval], 0.38 [0.16–0.86]; P=.021) and abortions (0.9% and 3.6%; odds ratio [95% confidence interval], 0.10 [0.02–0.50]; P=.0051).
The higher rates of long-acting reversible contraception continuation and the lower incidence of unintended pregnancies among women receiving care from ACCORd intervention family physicians at 3 years support scaling up the intervention. Policy and practice implications based on these findings suggest that the implementation of the ACCORd intervention should be considered in similar primary care systems and in contexts where long-acting reversible contraception uptake is low, free contraception is not feasible, and specific sexual and reproductive health services are not available or accessible. |
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| AbstractList | Increased use of long-acting reversible contraception can reduce the rate of unintended pregnancies and abortions.
This study aimed to assess whether the ACCORd (Australian Contraceptive ChOice pRoject) trial intervention resulted in sustained long-acting reversible contraception use and decreased unplanned pregnancies.
This was a longitudinal 3-year follow-up study of the ACCORd cluster randomized controlled trial. The study setting was metropolitan Melbourne, Australia. Participants were patients of ACCORd family physicians who identified as women and had not actively withdrawn from the ACCORd trial 12-month survey. Family physicians in the intervention group undertook online training to deliver structured contraceptive counseling (nonbiased, scripted descriptions of all available contraceptive methods, with a particular focus on the efficacy and safety of each method), and were also provided access to an online booking system enabling rapid referral to long-acting reversible contraception insertion clinics. Family physicians in the control group provided usual care. Women who participated in the original ACCORd trial were invited to take part in a follow-up survey 3 years after completing their original baseline assessment. The primary outcome was the rate of continuation of long-acting reversible contraception methods compared with non–long-acting reversible contraception methods. The secondary outcomes included the contraceptive method used, satisfaction with contraceptive choice, and the number of unintended pregnancies and abortions.
Of the original ACCORd trial participants (N=531), 75% agreed to participate in the follow-up study. At 3 years, the rate of continuation of long-acting reversible contraception was 66%, significantly higher than the 55% rate observed with non-long-acting reversible contraception methods (P=.027). Satisfaction with the method of contraception was higher among long-acting reversible contraception users than among oral contraceptive pill users. A greater proportion of participants in the intervention group compared with the control group were still using a long-acting reversible contraception method 3 years after intervention (41% [93/229] and 28% [84/302], respectively; P=.019). Compared with the control group, women in the intervention group experienced significantly fewer unintended pregnancies (3.1% and 6.3%; odds ratio [95% confidence interval], 0.38 [0.16–0.86]; P=.021) and abortions (0.9% and 3.6%; odds ratio [95% confidence interval], 0.10 [0.02–0.50]; P=.0051).
The higher rates of long-acting reversible contraception continuation and the lower incidence of unintended pregnancies among women receiving care from ACCORd intervention family physicians at 3 years support scaling up the intervention. Policy and practice implications based on these findings suggest that the implementation of the ACCORd intervention should be considered in similar primary care systems and in contexts where long-acting reversible contraception uptake is low, free contraception is not feasible, and specific sexual and reproductive health services are not available or accessible. Increased use of long-acting reversible contraception (LARC) can reduce the rate of unintended pregnancies and abortions.BACKGROUNDIncreased use of long-acting reversible contraception (LARC) can reduce the rate of unintended pregnancies and abortions.To assess whether the Australian Contraceptive ChOice pRoject (ACCORd) trial intervention resulted in sustained LARC use and decreasing unplanned pregnancies.OBJECTIVETo assess whether the Australian Contraceptive ChOice pRoject (ACCORd) trial intervention resulted in sustained LARC use and decreasing unplanned pregnancies.Longitudinal 3-year follow-up study of the ACCORd cluster randomised controlled trial. Study setting was metropolitan Melbourne, Australia. Participants were patients of ACCORd family physicians, identified their gender as women, and that had not actively withdrawn from the ACCORd trial 12-month survey. Intervention family physicians undertook online training to deliver structured contraceptive counselling (non-biased, scripted descriptions of all available contraceptive methods, with a particular focus on the efficacy and safety of each method) and were also given access to an online booking system enabling rapid referral to long-acting reversible contraception insertion clinics. Family physicians in the control group provided usual care. Women who participated in the original ACCORd trial were invited to take part in a follow-up survey three years after completing their original baseline assessment. The primary outcome was the continuation rate of use of long-acting reversible contraception methods compared with non-long-acting reversible contraception methods. Secondary outcomes included contraceptive method used, satisfaction with contraceptive choice, and the number of unintended pregnancies and abortions.STUDY DESIGNLongitudinal 3-year follow-up study of the ACCORd cluster randomised controlled trial. Study setting was metropolitan Melbourne, Australia. Participants were patients of ACCORd family physicians, identified their gender as women, and that had not actively withdrawn from the ACCORd trial 12-month survey. Intervention family physicians undertook online training to deliver structured contraceptive counselling (non-biased, scripted descriptions of all available contraceptive methods, with a particular focus on the efficacy and safety of each method) and were also given access to an online booking system enabling rapid referral to long-acting reversible contraception insertion clinics. Family physicians in the control group provided usual care. Women who participated in the original ACCORd trial were invited to take part in a follow-up survey three years after completing their original baseline assessment. The primary outcome was the continuation rate of use of long-acting reversible contraception methods compared with non-long-acting reversible contraception methods. Secondary outcomes included contraceptive method used, satisfaction with contraceptive choice, and the number of unintended pregnancies and abortions.75% of the original ACCORd trial participants (N=531) agreed to take part in the follow-up study. At three years, the continuation rate of long-acting reversible contraception was 66%, significantly higher than for non-long-acting reversible contraception methods at 55% (P=0.027). Satisfaction with their method of contraception was higher among long-acting reversible contraception users compared to oral contraceptive pill users. A greater proportion of participants in the intervention group as compared to the control group was still using a long-acting reversible contraception method three years post-intervention (41% (93/229) and 28% (84/302) respectively P=0.019). Compared to the control group, women in the intervention group experienced significantly fewer unintended pregnancies (3.1% and 6.3%; odds ratio (95% CI)=0.38 (0.16, 0.86), P=0.021) and abortions (0.9% and 3.6%; odds ratio (95% CI)=0.10 (0.02, 0.50), P=0.0051).RESULTS75% of the original ACCORd trial participants (N=531) agreed to take part in the follow-up study. At three years, the continuation rate of long-acting reversible contraception was 66%, significantly higher than for non-long-acting reversible contraception methods at 55% (P=0.027). Satisfaction with their method of contraception was higher among long-acting reversible contraception users compared to oral contraceptive pill users. A greater proportion of participants in the intervention group as compared to the control group was still using a long-acting reversible contraception method three years post-intervention (41% (93/229) and 28% (84/302) respectively P=0.019). Compared to the control group, women in the intervention group experienced significantly fewer unintended pregnancies (3.1% and 6.3%; odds ratio (95% CI)=0.38 (0.16, 0.86), P=0.021) and abortions (0.9% and 3.6%; odds ratio (95% CI)=0.10 (0.02, 0.50), P=0.0051).The higher long-acting reversible contraception continuation rates and fewer unintended pregnancies in women attending ACCORd intervention family physicians at three years supports a scale up. Policy and practice implications based on these findings are that the implementation of the ACCORd intervention should be considered in similar primary care systems and in contexts where long-acting reversible contraception uptake is low, free contraception is not feasible, and specific sexual and reproductive health services are either not available or accessible.CONCLUSIONThe higher long-acting reversible contraception continuation rates and fewer unintended pregnancies in women attending ACCORd intervention family physicians at three years supports a scale up. Policy and practice implications based on these findings are that the implementation of the ACCORd intervention should be considered in similar primary care systems and in contexts where long-acting reversible contraception uptake is low, free contraception is not feasible, and specific sexual and reproductive health services are either not available or accessible. BackgroundIncreased use of long-acting reversible contraception can reduce the rate of unintended pregnancies and abortions. ObjectiveThis study aimed to assess whether the ACCORd (Australian Contraceptive ChOice pRoject) trial intervention resulted in sustained long-acting reversible contraception use and decreased unplanned pregnancies. Study DesignThis was a longitudinal 3-year follow-up study of the ACCORd cluster randomized controlled trial. The study setting was metropolitan Melbourne, Australia. Participants were patients of ACCORd family physicians who identified as women and had not actively withdrawn from the ACCORd trial 12-month survey. Family physicians in the intervention group undertook online training to deliver structured contraceptive counseling (nonbiased, scripted descriptions of all available contraceptive methods, with a particular focus on the efficacy and safety of each method), and were also provided access to an online booking system enabling rapid referral to long-acting reversible contraception insertion clinics. Family physicians in the control group provided usual care. Women who participated in the original ACCORd trial were invited to take part in a follow-up survey 3 years after completing their original baseline assessment. The primary outcome was the rate of continuation of long-acting reversible contraception methods compared with non–long-acting reversible contraception methods. The secondary outcomes included the contraceptive method used, satisfaction with contraceptive choice, and the number of unintended pregnancies and abortions. ResultsOf the original ACCORd trial participants (N=531), 75% agreed to participate in the follow-up study. At 3 years, the rate of continuation of long-acting reversible contraception was 66%, significantly higher than the 55% rate observed with non-long-acting reversible contraception methods ( P=.027). Satisfaction with the method of contraception was higher among long-acting reversible contraception users than among oral contraceptive pill users. A greater proportion of participants in the intervention group compared with the control group were still using a long-acting reversible contraception method 3 years after intervention (41% [93/229] and 28% [84/302], respectively; P=.019). Compared with the control group, women in the intervention group experienced significantly fewer unintended pregnancies (3.1% and 6.3%; odds ratio [95% confidence interval], 0.38 [0.16–0.86]; P=.021) and abortions (0.9% and 3.6%; odds ratio [95% confidence interval], 0.10 [0.02–0.50]; P=.0051). ConclusionThe higher rates of long-acting reversible contraception continuation and the lower incidence of unintended pregnancies among women receiving care from ACCORd intervention family physicians at 3 years support scaling up the intervention. Policy and practice implications based on these findings suggest that the implementation of the ACCORd intervention should be considered in similar primary care systems and in contexts where long-acting reversible contraception uptake is low, free contraception is not feasible, and specific sexual and reproductive health services are not available or accessible. |
| Author | Black, Kirsten I. Assifi, Anisa R. McGeechan, Kevin Taft, Angela Haas, Marion Peipert, Jeffrey F. Mazza, Danielle Lucke, Jayne McNamee, Kathleen |
| Author_xml | – sequence: 1 givenname: Danielle orcidid: 0000-0001-6158-7376 surname: Mazza fullname: Mazza, Danielle email: danielle.mazza@monash.edu organization: SPHERE NHMRC Centre of Research Excellence, Department of General Practice, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia – sequence: 2 givenname: Anisa R. orcidid: 0000-0001-5295-4074 surname: Assifi fullname: Assifi, Anisa R. organization: SPHERE NHMRC Centre of Research Excellence, Department of General Practice, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia – sequence: 3 givenname: Kevin surname: McGeechan fullname: McGeechan, Kevin organization: School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia – sequence: 4 givenname: Marion surname: Haas fullname: Haas, Marion organization: Centre for Health Economics Research and Evaluation, University of Technology Sydney, Ultimo, Australia – sequence: 5 givenname: Jeffrey F. surname: Peipert fullname: Peipert, Jeffrey F. organization: Department of Obstetrics, Midwifery, Gynecology and Reproductive Health, The University of Vermont Medical Center, Burlington, VT – sequence: 6 givenname: Jayne surname: Lucke fullname: Lucke, Jayne organization: Australian Research Centre in Sex, Health and Society, School of Psychology and Public Health, La Trobe University, Melbourne, Australia – sequence: 7 givenname: Angela surname: Taft fullname: Taft, Angela organization: Judith Lumley Centre, La Trobe University, Melbourne, Australia – sequence: 8 givenname: Kathleen surname: McNamee fullname: McNamee, Kathleen organization: Sexual Health Victoria, Box Hill, Australia – sequence: 9 givenname: Kirsten I. surname: Black fullname: Black, Kirsten I. organization: Royal Prince Alfred Hospital, Camperdown, Australia |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40120734$$D View this record in MEDLINE/PubMed |
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| Keywords | unintended pregnancy family practice long-acting reversible contraception randomized controlled trial |
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| References | Arrowsmith, Majeed, Lee, Saxena (bib18) 2014; 9 Winner, Peipert, Zhao (bib5) 2012; 366 Mazza, Watson, Taft (bib11) 2020; 222 Mazza, Amos, Watson (bib15) 2020; 10 Ma, Cecil, Bottle, French, Saxena (bib19) 2020; 17 Concepcion, Lacey, McGeechan, Estoesta, Bateson, Botfield (bib21) 2020; 44 Mazza, Black, Taft (bib10) 2016; 6 Black, McGeechan, Watson (bib13) 2021; 61 Gyllenberg, Saloranta, But, Gissler, Heikinheimo (bib2) 2018; 132 Sundaram, Vaughan, Kost (bib6) 2017; 49 Harris, Taylor, Minor (bib16) 2019; 95 Wellings, Jones, Mercer (bib4) 2013; 382 Grzeskowiak, Calabretto, Amos, Mazza, Ilomaki (bib7) 2021; 61 Diedrich, Zhao, Madden, Secura, Peipert (bib14) 2015; 213 (bib8) 2021 (bib17) 2009 Pasvol, Macgregor, Rait, Horsfall (bib20) 2022; 48 Secura, Allsworth, Madden, Mullersman, Peipert (bib12) 2010; 203 Taft, Shankar, Black, Mazza, Hussainy, Lucke (bib3) 2018; 209 French, Gibson, Geary, Glasier, Wellings (bib9) 2020; 46 Rowe, Holton, Kirkman (bib1) 2016; 40 Taft (10.1016/j.ajog.2025.03.020_bib3) 2018; 209 Ma (10.1016/j.ajog.2025.03.020_bib19) 2020; 17 Rowe (10.1016/j.ajog.2025.03.020_bib1) 2016; 40 Secura (10.1016/j.ajog.2025.03.020_bib12) 2010; 203 Arrowsmith (10.1016/j.ajog.2025.03.020_bib18) 2014; 9 Sundaram (10.1016/j.ajog.2025.03.020_bib6) 2017; 49 Harris (10.1016/j.ajog.2025.03.020_bib16) 2019; 95 Gyllenberg (10.1016/j.ajog.2025.03.020_bib2) 2018; 132 Mazza (10.1016/j.ajog.2025.03.020_bib10) 2016; 6 Mazza (10.1016/j.ajog.2025.03.020_bib11) 2020; 222 (10.1016/j.ajog.2025.03.020_bib17) 2009 Grzeskowiak (10.1016/j.ajog.2025.03.020_bib7) 2021; 61 Pasvol (10.1016/j.ajog.2025.03.020_bib20) 2022; 48 Concepcion (10.1016/j.ajog.2025.03.020_bib21) 2020; 44 Mazza (10.1016/j.ajog.2025.03.020_bib15) 2020; 10 Wellings (10.1016/j.ajog.2025.03.020_bib4) 2013; 382 (10.1016/j.ajog.2025.03.020_bib8) 2021 Winner (10.1016/j.ajog.2025.03.020_bib5) 2012; 366 Diedrich (10.1016/j.ajog.2025.03.020_bib14) 2015; 213 French (10.1016/j.ajog.2025.03.020_bib9) 2020; 46 Black (10.1016/j.ajog.2025.03.020_bib13) 2021; 61 |
| References_xml | – year: 2009 ident: bib17 article-title: Quality and outcomes framework guidance for GMS contract 2009/10 - delivering investment in general practice – volume: 17 year: 2020 ident: bib19 article-title: Impact of a pay-for-performance scheme for long-acting reversible contraceptive (LARC) advice on contraceptive uptake and abortion in British primary care: an interrupted time series study publication-title: PLoS Med – volume: 132 start-page: 1453 year: 2018 end-page: 1460 ident: bib2 article-title: Induced abortion in a population entitled to free-of-charge long-acting reversible contraception publication-title: Obstet Gynecol – volume: 222 start-page: S921.e1 year: 2020 end-page: S921.e13 ident: bib11 article-title: Increasing long-acting reversible contraceptives: the Australian Contraceptive ChOice pRoject (ACCORd) cluster randomized trial publication-title: Am J Obstet Gynecol – volume: 209 start-page: 407 year: 2018 end-page: 408 ident: bib3 article-title: Unintended and unwanted pregnancy in Australia: a cross-sectional, national random telephone survey of prevalence and outcomes publication-title: Med J Aust – volume: 61 start-page: 448 year: 2021 end-page: 453 ident: bib13 article-title: Women’s satisfaction with and ongoing use of hormonal long-acting methods compared to the oral contraceptive pill: findings from an Australian general practice cluster randomised trial (Accord) publication-title: Aust N Z J Obstet Gynaecol – volume: 203 start-page: 115.e1 year: 2010 end-page: 115.e7 ident: bib12 article-title: The Contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception publication-title: Am J Obstet Gynecol – volume: 40 start-page: 104 year: 2016 end-page: 109 ident: bib1 article-title: Prevalence and distribution of unintended pregnancy: the Understanding Fertility Management in Australia National Survey publication-title: Aust N Z J Public Health – year: 2021 ident: bib8 article-title: Contraceptive use in the United States – volume: 61 start-page: 128 year: 2021 end-page: 134 ident: bib7 article-title: Changes in use of hormonal long-acting reversible contraceptive methods in Australia between 2006 and 2018: a population-based study publication-title: Aust N Z J Obstet Gynaecol – volume: 6 year: 2016 ident: bib10 article-title: Increasing the uptake of long-acting reversible contraception in general practice: the Australian Contraceptive ChOice pRoject (ACCORd) cluster randomised controlled trial protocol publication-title: BMJ Open – volume: 44 start-page: 385 year: 2020 end-page: 391 ident: bib21 article-title: Cost–benefit analysis of enhancing the uptake of long-acting reversible contraception in Australia publication-title: Aust Health Rev – volume: 49 start-page: 7 year: 2017 end-page: 16 ident: bib6 article-title: Contraceptive failure in the United States: estimates from the 2006–2010 national survey of family growth publication-title: Perspect Sex Reprod Health – volume: 48 start-page: 193 year: 2022 end-page: 198 ident: bib20 article-title: Time trends in contraceptive prescribing in UK primary care 2000–2018: a repeated cross-sectional study publication-title: BMJ Sex Reprod Health – volume: 46 start-page: 200 year: 2020 end-page: 209 ident: bib9 article-title: Changes in the prevalence and profile of users of contraception in Britain 2000–2010: evidence from two National Surveys of Sexual Attitudes and Lifestyles publication-title: BMJ Sex Reprod Health – volume: 366 start-page: 1998 year: 2012 end-page: 2007 ident: bib5 article-title: Effectiveness of long-acting reversible contraception publication-title: N Engl J Med – volume: 10 year: 2020 ident: bib15 article-title: Increasing the uptake of long-acting reversible contraception in general practice: the Australian Contraceptive ChOice pRoject (ACCORd) cluster randomised controlled trial longitudinal follow-up protocol publication-title: BMJ Open – volume: 9 year: 2014 ident: bib18 article-title: Impact of pay for performance on prescribing of long-acting reversible contraception in primary care: an interrupted time series study publication-title: PLoS One – volume: 213 start-page: 662.e1 year: 2015 end-page: 662.e8 ident: bib14 article-title: Three-year continuation of reversible contraception publication-title: Am J Obstet Gynecol – volume: 382 start-page: 1807 year: 2013 end-page: 1816 ident: bib4 article-title: The prevalence of unplanned pregnancy and associated factors in Britain: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3) publication-title: Lancet – volume: 95 year: 2019 ident: bib16 article-title: The REDCap consortium: building an international community of software platforms partners publication-title: J Biomed Inform – volume: 366 start-page: 1998 year: 2012 ident: 10.1016/j.ajog.2025.03.020_bib5 article-title: Effectiveness of long-acting reversible contraception publication-title: N Engl J Med doi: 10.1056/NEJMoa1110855 – volume: 48 start-page: 193 year: 2022 ident: 10.1016/j.ajog.2025.03.020_bib20 article-title: Time trends in contraceptive prescribing in UK primary care 2000–2018: a repeated cross-sectional study publication-title: BMJ Sex Reprod Health doi: 10.1136/bmjsrh-2021-201260 – volume: 222 start-page: S921.e1 year: 2020 ident: 10.1016/j.ajog.2025.03.020_bib11 article-title: Increasing long-acting reversible contraceptives: the Australian Contraceptive ChOice pRoject (ACCORd) cluster randomized trial publication-title: Am J Obstet Gynecol doi: 10.1016/j.ajog.2019.11.1267 – year: 2009 ident: 10.1016/j.ajog.2025.03.020_bib17 – volume: 49 start-page: 7 year: 2017 ident: 10.1016/j.ajog.2025.03.020_bib6 article-title: Contraceptive failure in the United States: estimates from the 2006–2010 national survey of family growth publication-title: Perspect Sex Reprod Health doi: 10.1363/psrh.12017 – volume: 382 start-page: 1807 year: 2013 ident: 10.1016/j.ajog.2025.03.020_bib4 article-title: The prevalence of unplanned pregnancy and associated factors in Britain: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3) publication-title: Lancet doi: 10.1016/S0140-6736(13)62071-1 – volume: 61 start-page: 448 year: 2021 ident: 10.1016/j.ajog.2025.03.020_bib13 article-title: Women’s satisfaction with and ongoing use of hormonal long-acting methods compared to the oral contraceptive pill: findings from an Australian general practice cluster randomised trial (Accord) publication-title: Aust N Z J Obstet Gynaecol doi: 10.1111/ajo.13319 – volume: 132 start-page: 1453 year: 2018 ident: 10.1016/j.ajog.2025.03.020_bib2 article-title: Induced abortion in a population entitled to free-of-charge long-acting reversible contraception publication-title: Obstet Gynecol doi: 10.1097/AOG.0000000000002966 – volume: 9 year: 2014 ident: 10.1016/j.ajog.2025.03.020_bib18 article-title: Impact of pay for performance on prescribing of long-acting reversible contraception in primary care: an interrupted time series study publication-title: PLoS One doi: 10.1371/journal.pone.0092205 – volume: 46 start-page: 200 year: 2020 ident: 10.1016/j.ajog.2025.03.020_bib9 article-title: Changes in the prevalence and profile of users of contraception in Britain 2000–2010: evidence from two National Surveys of Sexual Attitudes and Lifestyles publication-title: BMJ Sex Reprod Health doi: 10.1136/bmjsrh-2019-200474 – volume: 10 year: 2020 ident: 10.1016/j.ajog.2025.03.020_bib15 article-title: Increasing the uptake of long-acting reversible contraception in general practice: the Australian Contraceptive ChOice pRoject (ACCORd) cluster randomised controlled trial longitudinal follow-up protocol publication-title: BMJ Open doi: 10.1136/bmjopen-2019-035895 – volume: 44 start-page: 385 year: 2020 ident: 10.1016/j.ajog.2025.03.020_bib21 article-title: Cost–benefit analysis of enhancing the uptake of long-acting reversible contraception in Australia publication-title: Aust Health Rev doi: 10.1071/AH18190 – volume: 17 year: 2020 ident: 10.1016/j.ajog.2025.03.020_bib19 article-title: Impact of a pay-for-performance scheme for long-acting reversible contraceptive (LARC) advice on contraceptive uptake and abortion in British primary care: an interrupted time series study publication-title: PLoS Med doi: 10.1371/journal.pmed.1003333 – volume: 40 start-page: 104 year: 2016 ident: 10.1016/j.ajog.2025.03.020_bib1 article-title: Prevalence and distribution of unintended pregnancy: the Understanding Fertility Management in Australia National Survey publication-title: Aust N Z J Public Health doi: 10.1111/1753-6405.12461 – volume: 213 start-page: 662.e1 year: 2015 ident: 10.1016/j.ajog.2025.03.020_bib14 article-title: Three-year continuation of reversible contraception publication-title: Am J Obstet Gynecol doi: 10.1016/j.ajog.2015.08.001 – volume: 61 start-page: 128 year: 2021 ident: 10.1016/j.ajog.2025.03.020_bib7 article-title: Changes in use of hormonal long-acting reversible contraceptive methods in Australia between 2006 and 2018: a population-based study publication-title: Aust N Z J Obstet Gynaecol doi: 10.1111/ajo.13257 – volume: 209 start-page: 407 year: 2018 ident: 10.1016/j.ajog.2025.03.020_bib3 article-title: Unintended and unwanted pregnancy in Australia: a cross-sectional, national random telephone survey of prevalence and outcomes publication-title: Med J Aust doi: 10.5694/mja17.01094 – volume: 6 year: 2016 ident: 10.1016/j.ajog.2025.03.020_bib10 article-title: Increasing the uptake of long-acting reversible contraception in general practice: the Australian Contraceptive ChOice pRoject (ACCORd) cluster randomised controlled trial protocol publication-title: BMJ Open doi: 10.1136/bmjopen-2016-012491 – volume: 203 start-page: 115.e1 year: 2010 ident: 10.1016/j.ajog.2025.03.020_bib12 article-title: The Contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception publication-title: Am J Obstet Gynecol doi: 10.1016/j.ajog.2010.04.017 – year: 2021 ident: 10.1016/j.ajog.2025.03.020_bib8 – volume: 95 year: 2019 ident: 10.1016/j.ajog.2025.03.020_bib16 article-title: The REDCap consortium: building an international community of software platforms partners publication-title: J Biomed Inform doi: 10.1016/j.jbi.2019.103208 |
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This study aimed to assess whether the... BackgroundIncreased use of long-acting reversible contraception can reduce the rate of unintended pregnancies and abortions. ObjectiveThis study aimed to... Increased use of long-acting reversible contraception (LARC) can reduce the rate of unintended pregnancies and abortions.BACKGROUNDIncreased use of long-acting... |
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| SubjectTerms | Adolescent Adult Australia Contraception Behavior - statistics & numerical data Family Practice Female Follow-Up Studies Humans long-acting reversible contraception Long-Acting Reversible Contraception - statistics & numerical data Longitudinal Studies Obstetrics and Gynecology Pregnancy Pregnancy, Unplanned randomized controlled trial unintended pregnancy Young Adult |
| Title | Increasing the uptake of long-acting reversible contraception through family practice: the Australian Contraceptive ChOice pRoject (ACCORd) cluster randomized controlled trial 3-year follow-up |
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