2018
Medicaid savings from the Contraceptive CHOICE Project: a cost-savings analysis
Madden T, Barker A, Huntzberry K, Secura G, Peipert J, McBride T. Medicaid savings from the Contraceptive CHOICE Project: a cost-savings analysis. American Journal Of Obstetrics And Gynecology 2018, 219: 595.e1-595.e11. PMID: 30194049, PMCID: PMC6741429, DOI: 10.1016/j.ajog.2018.08.043.Peer-Reviewed Original ResearchConceptsTitle X programContraceptive CHOICE ProjectCost savingsValue of investmentCost-savings analysisCHOICE ProjectFederal poverty lineUnintended pregnancyMissouri's Medicaid programPoverty lineContraceptive costsComparison groupPolicy interventionsHousehold incomeMedicaid savingsTotal cost savingsGroup costsX programEffective reversible contraceptive methodsProspective cohort studyReproductive-age womenIncomeReversible contraceptive methodsSubstantial cost savingsState of Missouri
2015
Preventing Unintended Pregnancy: The Contraceptive CHOICE Project in Review
Birgisson N, Zhao Q, Secura G, Madden T, Peipert J. Preventing Unintended Pregnancy: The Contraceptive CHOICE Project in Review. Journal Of Women's Health 2015, 24: 349-353. PMID: 25825986, PMCID: PMC4441000, DOI: 10.1089/jwh.2015.5191.Peer-Reviewed Original ResearchConceptsContraceptive CHOICE ProjectUnintended pregnancyLARC methodsRepeat abortionProspective cohort studyTeen pregnancyReversible contraceptive methodsCHOICE ProjectYears of ageNon-LARC methodsNon-LARC usersHealth care systemContraceptive method choiceWomen 14Cohort studyContraceptive counselingEffective contraceptionLARC usersContraceptive methodsPregnancyStudy participantsNational ratesGreater continuationCare systemAccess barriersFertility after Intrauterine Device Removal: A Pilot Study
Stoddard A, Xu H, Madden T, Allsworth J, Peipert J. Fertility after Intrauterine Device Removal: A Pilot Study. The European Journal Of Contraception & Reproductive Health Care 2015, 20: 223-230. PMID: 25751567, PMCID: PMC4536198, DOI: 10.3109/13625187.2015.1010639.Peer-Reviewed Original ResearchConceptsNon-IUD usersIUD usersFormer IUD usersPregnancy rateContraceptive methodsIntrauterine device removalAfrican American raceActive women 18Years of ageContraceptive CHOICE ProjectAfrican American womenNulliparous womenWomen 18IUD useCox modelContraception useAmerican raceDevice removalHormonal IUDsPregnancyPilot studyHigh efficacyOnly variableWomenCHOICE Project
2014
The Contraceptive CHOICE Project Round Up
MCNICHOLAS C, MADDEN T, SECURA G, PEIPERT J. The Contraceptive CHOICE Project Round Up. Clinical Obstetrics & Gynecology 2014, 57: 635-643. PMID: 25286295, PMCID: PMC4216614, DOI: 10.1097/grf.0000000000000070.Peer-Reviewed Original ResearchMeSH KeywordsAbortion, InducedAdolescentAdultCohort StudiesContraceptive Agents, FemaleContraceptive Devices, FemaleCounselingFamily Planning ServicesFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansIntrauterine DevicesPregnancyPregnancy, UnplannedProspective StudiesTreatment OutcomeYoung Adult
2013
Medical contraindications in women seeking combined hormonal contraception
Xu H, Eisenberg D, Madden T, Secura G, Peipert J. Medical contraindications in women seeking combined hormonal contraception. American Journal Of Obstetrics And Gynecology 2013, 210: 210.e1-210.e5. PMID: 24246525, PMCID: PMC3958945, DOI: 10.1016/j.ajog.2013.11.023.Peer-Reviewed Original ResearchConceptsMedical contraindicationsVenous thromboembolismHormonal contraceptionMedical historyActing reversible contraceptive (LARC) methodsTrue medical contraindicationsProspective cohort studyReproductive-aged womenAge 35 yearsCerebral vascular accidentConfidence intervalsReversible contraceptive methodsCHOICE ProjectSelf-reported historyMethod of contraceptionContraceptive CHOICE ProjectChart reviewCohort studyLiver diseaseVascular accidentMyocardial infarctionUnintended pregnancyBaseline enrollmentContraindicationsLow prevalenceTwenty-Four–Month Continuation of Reversible Contraception
O'Neil-Callahan M, Peipert J, Zhao Q, Madden T, Secura G. Twenty-Four–Month Continuation of Reversible Contraception. Obstetrics And Gynecology 2013, 122: 1083-1091. PMID: 24104781, PMCID: PMC4012225, DOI: 10.1097/aog.0b013e3182a91f45.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultBody Mass IndexCohort StudiesContraceptionContraceptive Agents, FemaleContraceptives, OralFemaleFollow-Up StudiesHumansInterviews as TopicIntrauterine DevicesIntrauterine Devices, CopperLevonorgestrelMedroxyprogesterone AcetateParityProspective StudiesRisk FactorsSocioeconomic FactorsYoung AdultConceptsNon-LARC methodsContinuation ratesContraceptive CHOICE ProjectReversible contraceptionContraceptive methodsFirst-line contraceptive optionProspective observational cohort studyContraceptive method discontinuationImplant continuation ratesMonth continuation ratesObservational cohort studyMonths of enrollmentHigh continuation ratesReversible contraceptive methodsCHOICE ProjectShort-acting methodsCohort studyMethod discontinuationContraceptive optionsLARC methodsUnintended pregnancyIntrauterine deviceCost contraceptionLower riskCopper IUD
2012
Preventing Unintended Pregnancies by Providing No-Cost Contraception
Peipert J, Madden T, Allsworth J, Secura G. Preventing Unintended Pregnancies by Providing No-Cost Contraception. Obstetrics And Gynecology 2012, 120: 1291. PMID: 23168752, PMCID: PMC4000282, DOI: 10.1097/aog.0b013e318273eb56.Peer-Reviewed Original ResearchConceptsReversible contraceptive methodsUnintended pregnancyContraceptive methodsAbortion rateCost contraceptionRepeat abortionActing reversible contraceptive (LARC) methodsTeenage birthsProspective cohort studyEffective contraceptive methodsPercentage of abortionsContraceptive CHOICE ProjectSignificant reductionTeenage birth ratesProvider referralCohort studyContraceptive counselingLARC methodsLarge cohortPregnancyNational ratesCohortAbortion facilitiesContraceptionCHOICE ProjectContinuation of the etonogestrel implant in women undergoing immediate postabortion placement.
Madden T, Eisenberg D, Zhao Q, Buckel C, Secura G, Peipert J. Continuation of the etonogestrel implant in women undergoing immediate postabortion placement. Obstetrics And Gynecology 2012, 120: 1053-9. PMID: 23090522, PMCID: PMC3711380, DOI: 10.1097/aog.0b013e3182632cd6.Peer-Reviewed Original ResearchConceptsContinuation ratesSubdermal implantsInterval placementCox proportional hazards modelInterval insertionHigh discontinuation ratesProportional hazards modelContraceptive CHOICE ProjectDiscontinuation ratesIrregular bleedingReversible contraceptivesUnplanned pregnancyCommon reasonHazards modelInduced abortionSurvival analysisInterval groupSecondary analysisStudy periodKaplan-Meier estimatorWomenCHOICE ProjectEtonogestrelHigh ratePostabortionStructured contraceptive counseling provided by the Contraceptive CHOICE Project
Madden T, Mullersman J, Omvig K, Secura G, Peipert J. Structured contraceptive counseling provided by the Contraceptive CHOICE Project. Contraception 2012, 88: 243-249. PMID: 22959396, PMCID: PMC3660507, DOI: 10.1016/j.contraception.2012.07.015.Peer-Reviewed Original ResearchConceptsContraceptive counselingContraceptive CHOICE ProjectReversible contraceptionPartner clinicsContraceptive methodsFormal health care trainingStructured contraceptive counselingCHOICE ProjectHealth care experiencesPrior health care experienceHealth care trainingIntrauterine deviceSubdermal implantsKnowledge of contraceptive effectiveness
Eisenberg D, Secura G, Madden T, Allsworth J, Zhao Q, Peipert J. Knowledge of contraceptive effectiveness. American Journal Of Obstetrics And Gynecology 2012, 206: 479.e1-479.e9. PMID: 22521458, PMCID: PMC4007217, DOI: 10.1016/j.ajog.2012.04.012.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultCondomsContraceptionContraceptive Agents, FemaleContraceptive Devices, FemaleCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansMiddle AgedMissouriMultivariate AnalysisPoisson DistributionProspective StudiesRegression AnalysisSurveys and QuestionnairesYoung AdultConceptsDepo-medroxyprogesterone acetateContraceptive effectivenessComprehensive contraceptive counselingContraceptive CHOICE ProjectCross-sectional analysisContraceptive historyContraceptive counselingIntrauterine deviceContraceptive methodsWomen's knowledgeKnowledge questionnaireAnnual riskWomenPillsCHOICE ProjectCondomsSignificant knowledge gapsPregnancyCohortContraception
2011
Baseline Correlates of Inconsistent and Incorrect Condom Use Among Sexually Active Women in the Contraceptive CHOICE Project
Shih S, Kebodeaux C, Secura G, Allsworth J, Madden T, Peipert J. Baseline Correlates of Inconsistent and Incorrect Condom Use Among Sexually Active Women in the Contraceptive CHOICE Project. Sexually Transmitted Diseases 2011, 38: 1012-1019. PMID: 21992976, PMCID: PMC3192989, DOI: 10.1097/olq.0b013e318225f8c3.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultChoice BehaviorCohort StudiesCondomsContraception BehaviorContraceptive DevicesFemaleHealth Knowledge, Attitudes, PracticeHumansMiddle AgedPregnancyPregnancy Complications, InfectiousProspective StudiesRisk FactorsRisk-TakingSexual BehaviorSexual PartnersSexually Transmitted DiseasesUnited StatesYoung AdultConceptsIncorrect condom useMore sex actsContraceptive CHOICE ProjectCondom useActive womenInconsistent condom useCHOICE ProjectLow condom useSex actsCorrect condom useFuture STIsProspective cohortBaseline correlatesUnivariate analysisRelative riskUnintended pregnancyHigh riskPrevention strategiesPoisson regressionUnprotected actsYounger ageWomenFirst intercourseBaseline dataPregnancyAcceptance of long-acting reversible contraceptive methods by adolescent participants in the Contraceptive CHOICE Project
Mestad R, Secura G, Allsworth J, Madden T, Zhao Q, Peipert J. Acceptance of long-acting reversible contraceptive methods by adolescent participants in the Contraceptive CHOICE Project. Contraception 2011, 84: 493-498. PMID: 22018123, PMCID: PMC3505875, DOI: 10.1016/j.contraception.2011.03.001.Peer-Reviewed Original ResearchConceptsContraceptive CHOICE ProjectIntrauterine deviceLARC methodsCHOICE ProjectActing reversible contraceptive (LARC) methodsReversible contraception useReversible contraceptive methodsAssociation of ageNon-LARC methodsAdolescent participantsUnintended pregnancyReversible contraceptionHigh riskContraception useContraceptive methodsAdolescent womenYounger groupLARCLittle dataAdolescentsWomenAgeParticipantsAssociationYears
2010
Comparison of contraceptive use between the Contraceptive CHOICE Project and state and national data
Kittur N, Secura G, Peipert J, Madden T, Finer L, Allsworth J. Comparison of contraceptive use between the Contraceptive CHOICE Project and state and national data. Contraception 2010, 83: 479-485. PMID: 21477693, PMCID: PMC3074095, DOI: 10.1016/j.contraception.2010.10.001.Peer-Reviewed Original ResearchConceptsBehavioral Risk Factor Surveillance SystemTime of enrollmentContraceptive CHOICE ProjectMissouri Behavioral Risk Factor Surveillance SystemPrevalence estimatesRisk Factor Surveillance SystemContraceptive pill usersReversible contraception useCurrent contraceptive methodCHOICE ProjectNational surveyLARC usePill usersContraceptive useContraceptive methodsContraception useContraceptive prevalenceStudy participantsDemographic characteristicsChoices participantsSurvey weightsNational dataEnrollmentHigh rateLower ratesUnderstanding prescription adherence: pharmacy claims data from the Contraceptive CHOICE Project
Pittman M, Secura G, Allsworth J, Homco J, Madden T, Peipert J. Understanding prescription adherence: pharmacy claims data from the Contraceptive CHOICE Project. Contraception 2010, 83: 340-345. PMID: 21397092, PMCID: PMC3058146, DOI: 10.1016/j.contraception.2010.08.003.Peer-Reviewed Original ResearchConceptsOral contraceptive pillsVaginal ringPharmacy dataRisk factorsMarker of adherenceRobust error varianceCox proportional hazardsHistory of abortionContraceptive CHOICE ProjectContraceptive prescriptionsEarly nonadherenceInitial nonadherenceMonthly refillsMultivariable analysisAdherence ratesContraceptive pillsPrescription adherenceUnintended pregnancyContraceptive methodsNonadherenceProportional hazardsPoisson regressionTransdermal patchWomenCHOICE ProjectThe Contraceptive CHOICE Project: Recruiting Women at Highest Risk for Unintended Pregnancy and Sexually Transmitted Infection
Spain J, Peipert J, Madden T, Allsworth J, Secura G. The Contraceptive CHOICE Project: Recruiting Women at Highest Risk for Unintended Pregnancy and Sexually Transmitted Infection. Journal Of Women's Health 2010, 19: 2233-2238. PMID: 20831439, PMCID: PMC3003915, DOI: 10.1089/jwh.2010.2146.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultChoice BehaviorCohort StudiesContraceptionEarly Medical InterventionFemaleHealth Knowledge, Attitudes, PracticeHumansInterinstitutional RelationsMiddle AgedMissouriPatient SelectionPilot ProjectsPregnancyPregnancy, UnplannedProspective StudiesRisk-TakingSexually Transmitted DiseasesWomen's HealthConceptsUnintended pregnancyContraceptive CHOICE ProjectHigh riskNumber of womenProspective cohort studyHigh-risk womenCHOICE ProjectSignificant increaseLow-income womenCohort studyReversible contraceptionPregnancyGreater riskMethod satisfactionStrong community partnershipsWomenInfectionSTIsRecruitment strategiesRiskKey community partnersBaselineMinority participantsEnrollmentParticipantsThe Contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception
Secura G, Allsworth J, Madden T, Mullersman J, Peipert J. The Contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception. American Journal Of Obstetrics And Gynecology 2010, 203: 115.e1-115.e7. PMID: 20541171, PMCID: PMC2910826, DOI: 10.1016/j.ajog.2010.04.017.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultCohort StudiesConfidence IntervalsContraceptionContraception BehaviorContraceptive Agents, FemaleContraceptive Devices, FemaleCost SavingsCost-Benefit AnalysisDelayed-Action PreparationsDrug ImplantsFamily Planning ServicesFemaleHumansIntrauterine DevicesMiddle AgedPregnancyProbabilityProspective StudiesRisk FactorsTime FactorsYoung AdultConceptsContraceptive CHOICE ProjectReversible contraceptionReversible methodFirst-line contraceptive optionProspective cohort studyPercent of womenCHOICE ProjectBaseline characteristicsCohort studyWomen 14Contraceptive optionsIntrauterine contraceptionSubdermal implantsContraceptive methodsContraceptive choicesContraceptionWomenFinancial barriersPotential participantsTwo-thirdsParticipantsPercentPregnancyOptionsYears