2024
The UPFRONT project: tailored implementation and evaluation of a patient decision aid to support shared decision-making about management of symptomatic uterine fibroids
Forcino R, Durand M, Schubbe D, Engel J, Banks E, Laughlin-Tommaso S, Foster T, Madden T, Anchan R, Politi M, Lindholm A, Gargiulo R, Seshan M, Tomaino M, Zhang J, Acquilano S, Akinfe S, Sharma A, Aarts J, Elwyn G. The UPFRONT project: tailored implementation and evaluation of a patient decision aid to support shared decision-making about management of symptomatic uterine fibroids. Implementation Science 2024, 19: 75. PMID: 39501337, PMCID: PMC11536971, DOI: 10.1186/s13012-024-01404-5.Peer-Reviewed Original ResearchConceptsPatient decision aidsDecision aidClinician trainingSymptomatic uterine fibroidsDecision aid implementationVisit audio-recordingsImplementing decision aidsDecision-making scoresDecision aid useUterine fibroidsDecision-making experiencesIntention-to-treat resultsAid useAssessment of organizational readinessClinician surveyManagement of symptomatic uterine fibroidsOPTION-5Collaboration scoresDecision-makingIntention-to-treatEvaluate implementationPatient reportsAudio-recordedOrganizational readinessImplementation strategies
2023
Improvement in contraceptive knowledge after using an online educational resource
Kus L, Paul R, Nigaglioni Rivera A, Zeal C, Madden T. Improvement in contraceptive knowledge after using an online educational resource. Contraception 2023, 126: 110095. PMID: 37331460, PMCID: PMC10760799, DOI: 10.1016/j.contraception.2023.110095.Peer-Reviewed Original Research
2022
Comparison of Early Pregnancy Loss Management Between States With Restrictive and Supportive Abortion Policies
Tal E, Paul R, Dorsey M, Madden T. Comparison of Early Pregnancy Loss Management Between States With Restrictive and Supportive Abortion Policies. Women's Health Issues 2022, 33: 126-132. PMID: 36379879, DOI: 10.1016/j.whi.2022.10.001.Peer-Reviewed Original ResearchConceptsEarly pregnancy loss managementEarly pregnancy lossUterine aspirationMifepristone-misoprostolPregnancy lossAbortion careAbortion trainingRestrictive abortion policiesMultivariable logistic regressionAcademic medical centerPractice patternsMedical CenterInternet-based surveyLoss managementLogistic regressionCost-effective strategyCareAspirationManagementConfoundersOBGYNPhysiciansAbortion policyMissouri’s Abortion law: Access to care for Patients with Lethal Fetal Anomalies at a Midwest Tertiary care Center
Zahedi-Spung L, Huysman B, Madden T, Bebbington M, Raghuraman N, Stout M. Missouri’s Abortion law: Access to care for Patients with Lethal Fetal Anomalies at a Midwest Tertiary care Center. Maternal And Child Health Journal 2022, 27: 468-475. PMID: 36352286, PMCID: PMC9646264, DOI: 10.1007/s10995-022-03511-5.Peer-Reviewed Original ResearchConceptsLethal fetal anomalyFetal anomaliesGestational ageFetal care centersCare centerTertiary care centerRetrospective cohort studyMedian latency timeMidwest tertiary care centerStatistically significant differenceCohort studyPatient characteristicsPatient populationPregnancyPatientsStudy populationSignificant differenceLatency timeAbortionAbortion careAbortion servicesAgeReferralGestationConclusionPatientsSociety of Family Planning Clinical Recommendations: Contraceptive Care in the Context of Pandemic Response
Stifani B, Madden T, Micks E, Moayedi G, Tarleton J, Benson L. Society of Family Planning Clinical Recommendations: Contraceptive Care in the Context of Pandemic Response. Contraception 2022, 113: 1-12. PMID: 35594989, PMCID: PMC9113767, DOI: 10.1016/j.contraception.2022.05.006.Peer-Reviewed Original ResearchConceptsCOVID-19 infectionContraceptive careContraceptive methodsMild COVID-19 infectionDuration of therapyRelevant drug interactionsHormonal contraceptive usersCoronavirus disease 2019 (COVID-19) pandemicRole of telehealthForm of telehealthDisease 2019 pandemicLow socioeconomic statusPandemic responseCHC useCHC usersSociety of FamilyTelemedicine visitsContraceptive usersPostpartum periodSevere infectionsClinical recommendationsContraceptive outcomesDrug interactionsHealth servicesPermanent contraceptionMedicaid reimbursement program for immediate postpartum long-acting reversible contraception improves uptake regardless of insurance status
Koch S, Paul R, Addante A, Brubaker A, Kelly J, Raghuraman N, Madden T, Tepe M, Carter E. Medicaid reimbursement program for immediate postpartum long-acting reversible contraception improves uptake regardless of insurance status. Contraception 2022, 113: 57-61. PMID: 35588793, DOI: 10.1016/j.contraception.2022.05.007.Peer-Reviewed Original ResearchConceptsImmediate postpartum LARCPostpartum LARCLARC uptakeInsurance statusReversible contraceptionImmediate postpartumCommercial insuranceRetrospective cohort studyMedicaid reimbursementMultivariable logistic regressionReimbursement programsElectronic medical recordsEligible patientsCohort studyPrimary outcomeWeeks' gestationLarge academic institutionMedical recordsInsurance typeStratified analysisAppropriate confoundersMedicaid coveragePatientsHospital policiesPatient careComparison of procedure time between manual and electric vacuum aspiration for pregnancy termination between 10-14 weeks: A randomized trial
Grentzer J, McNicholas C, Eisenberg D, Peipert J, Paul R, Madden T. Comparison of procedure time between manual and electric vacuum aspiration for pregnancy termination between 10-14 weeks: A randomized trial. Contraception 2022, 113: 108-112. PMID: 35417756, DOI: 10.1016/j.contraception.2022.03.025.Peer-Reviewed Original Research
2021
The Impact of Group Prenatal Care on Interpregnancy Interval
Keller J, Norton J, Zhang F, Paul R, Madden T, Raghuraman N, Stout M, Carter E. The Impact of Group Prenatal Care on Interpregnancy Interval. American Journal Of Perinatology 2021, 40: 1659-1664. PMID: 34891199, DOI: 10.1055/s-0041-1739413.Peer-Reviewed Original ResearchConceptsInterpregnancy intervalGroup prenatal carePrenatal careLARC uptakeInclusion criteriaMissouri MedicaidLogistic regressionBackward stepwise logistic regressionReversible contraception uptakePrior preterm birthRetrospective cohort studyTraditional prenatal careSignificant decreaseBirth certificate recordsCenteringPregnancy group prenatal careStepwise logistic regressionCohort studyPregnancy spacingPrenatal visitSecondary outcomesSingleton deliveriesPreterm birthPrimary outcomePotential confoundersMaternal ageDifferences in Financial and Social Burdens Experienced by Patients Traveling for Abortion Care
Addante A, Paul R, Dorsey M, McNicholas C, Madden T. Differences in Financial and Social Burdens Experienced by Patients Traveling for Abortion Care. Women's Health Issues 2021, 31: 426-431. PMID: 34266708, PMCID: PMC9059566, DOI: 10.1016/j.whi.2021.06.002.Peer-Reviewed Original ResearchYoung women's preferences for contraceptive education: The importance of the clinician in three U.S. health centers in 2017-2018
Zeal C, Paul R, Dorsey M, Politi M, Madden T. Young women's preferences for contraceptive education: The importance of the clinician in three U.S. health centers in 2017-2018. Contraception 2021, 104: 553-555. PMID: 34139152, PMCID: PMC9118463, DOI: 10.1016/j.contraception.2021.06.005.Peer-Reviewed Original ResearchContraception and Reproductive Planning for Women With Cardiovascular Disease JACC Focus Seminar 5/5
Lindley K, Merz C, Davis M, Madden T, Park K, Bello N, Group A. Contraception and Reproductive Planning for Women With Cardiovascular Disease JACC Focus Seminar 5/5. Journal Of The American College Of Cardiology 2021, 77: 1823-1834. PMID: 33832608, PMCID: PMC8041063, DOI: 10.1016/j.jacc.2021.02.025.Peer-Reviewed Original ResearchConceptsCardiovascular diseaseCardiovascular mortality riskReproductive-age womenHigh-risk groupEvidence-based recommendationsContraceptive safetyContraceptive optionsUnplanned pregnancyPregnancy terminationAccurate counselingMortality riskHigh riskCardiovascular teamReproductive planningWomenPregnancyDiseaseRiskPatientsCardiovascularContraception
2020
Patient and counselor satisfaction with structured contraceptive counseling by health center staff in federally qualified health centers
Huysman B, Paul R, Nigaglioni Rivera A, Tal E, Maddipati R, Madden T. Patient and counselor satisfaction with structured contraceptive counseling by health center staff in federally qualified health centers. Contraception 2020, 103: 97-102. PMID: 33160909, PMCID: PMC7856096, DOI: 10.1016/j.contraception.2020.10.020.Peer-Reviewed Original ResearchContraception and ectopic pregnancy risk: a prospective observational analysis
Schultheis P, Montoya M, Zhao Q, Archer J, Madden T, Peipert J. Contraception and ectopic pregnancy risk: a prospective observational analysis. American Journal Of Obstetrics And Gynecology 2020, 224: 228-229. PMID: 33049248, DOI: 10.1016/j.ajog.2020.10.013.Peer-Reviewed Original ResearchCohort StudiesContraceptive Agents, FemaleContraceptive Devices, FemaleContraceptives, OralDelayed-Action PreparationsDrug ImplantsFemaleHumansIntrauterine Devices, CopperIntrauterine Devices, MedicatedLevonorgestrelMedroxyprogesterone AcetatePregnancyPregnancy, EctopicProportional Hazards ModelsProspective StudiesTransdermal PatchEvaluation of a computerized contraceptive decision aid: A randomized controlled trial
Madden T, Holttum J, Maddipati R, Secura G, Nease R, Peipert J, Politi M. Evaluation of a computerized contraceptive decision aid: A randomized controlled trial. Contraception 2020, 102: 339-345. PMID: 32771369, PMCID: PMC7821473, DOI: 10.1016/j.contraception.2020.08.002.Peer-Reviewed Original ResearchDecisional conflict associated with clinicians discouraging particular contraceptive methods
Grant R, Paul R, Zeal C, Madden T, Politi M. Decisional conflict associated with clinicians discouraging particular contraceptive methods. Journal Of Evaluation In Clinical Practice 2020, 26: 1612-1619. PMID: 32026566, DOI: 10.1111/jep.13364.Peer-Reviewed Original ResearchConceptsParticular contraceptive methodsContraceptive methodsSelf-reported outcomesDecisional conflictSide effectsPrimary self-reported outcomesSecondary self-report outcomesProportion of participantsYears of ageSelf-reported qualityContraceptive method selectionUse of contraceptionFemale sexPatient preferencesUnintended pregnancyEligible individualsClinicians' reasonsContraceptive attributesContraceptive featuresCliniciansContraceptive decisionsAnonymous surveyNulliparityPregnancyContraception
2019
Familiarity and acceptability of long-acting reversible contraception and contraceptive choice
Paul R, Huysman B, Maddipati R, Madden T. Familiarity and acceptability of long-acting reversible contraception and contraceptive choice. American Journal Of Obstetrics And Gynecology 2019, 222: s884.e1-s884.e9. PMID: 31838124, PMCID: PMC7781163, DOI: 10.1016/j.ajog.2019.11.1266.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsBlack or African AmericanChoice BehaviorContraceptive Agents, HormonalContraceptives, OralDelayed-Action PreparationsDrug ImplantsFemaleHealth Knowledge, Attitudes, PracticeHispanic or LatinoHumansIntrauterine DevicesLong-Acting Reversible ContraceptionMarital StatusMedroxyprogesterone AcetateMiddle AgedPatient Acceptance of Health CareRecognition, PsychologyWhite PeopleYoung AdultConceptsOral contraceptive pillsContraceptive pillsIntrauterine deviceDepo-medroxyprogesteroneContraceptive choicesReversible contraceptionDepo-medroxyprogesterone acetateHealth center populationHealthcare provider visitsHormonal intrauterine deviceHigh acceptabilityMultivariable Poisson regressionQualified health centersPreference-sensitive decisionsReversible contraception methodsCopper intrauterine deviceInterviewer-administered surveySpecific contraceptive methodsChi-square testProvider visitsContraceptive counselingContraceptive careHealth centersContraception methodsContraceptive methodsImplementation of the uterine fibroids Option Grid patient decision aids across five organizational settings: a randomized stepped-wedge study protocol
Scalia P, Durand M, Forcino R, Schubbe D, Barr P, O’Brien N, O’Malley A, Foster T, Politi M, Laughlin-Tommaso S, Banks E, Madden T, Anchan R, Aarts J, Velentgas P, Balls-Berry J, Bacon C, Adams-Foster M, Mulligan C, Venable S, Cochran N, Elwyn G. Implementation of the uterine fibroids Option Grid patient decision aids across five organizational settings: a randomized stepped-wedge study protocol. Implementation Science 2019, 14: 88. PMID: 31477140, PMCID: PMC6721118, DOI: 10.1186/s13012-019-0933-z.Peer-Reviewed Original ResearchConceptsPatient decision aidOption GridUterine fibroidsNormalization Process TheoryOutcome measuresMulti-component implementation strategyHeavy menstrual bleedingPrimary outcome measureMultiple treatment optionsYears of ageQuantitative outcome measuresBackgroundUterine fibroidsEligible patientsPelvic painPostmenopausal patientsPregnancy complicationsRecurrent symptomsDifferent time pointsMenstrual bleedingRoutine careTreatment optionsFemale sexStudy protocolClinician characteristicsTreatment decisionsComparison of unintended pregnancy at 12 months between two contraceptive care programs; a controlled time-trend design
Madden T, Paul R, Maddipati R, Buckel C, Goodman M, Peipert J. Comparison of unintended pregnancy at 12 months between two contraceptive care programs; a controlled time-trend design. Contraception 2019, 100: 196-201. PMID: 31132346, PMCID: PMC6699922, DOI: 10.1016/j.contraception.2019.05.009.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultContraceptionContraception BehaviorCounselingFamily Planning ServicesFemaleHumansKaplan-Meier EstimateLong-Acting Reversible ContraceptionMedically UninsuredMiddle AgedPregnancyPregnancy RatePregnancy, UnplannedProgram EvaluationProportional Hazards ModelsUnited StatesYoung AdultConceptsHealthcare provider educationUnintended pregnancy ratesUnintended pregnancyProvider educationContraceptive counselingLARC methodsContraceptive carePregnancy rateHealth centersCox proportional hazards regressionPerson baseline surveyKaplan-Meier survival functionProportional hazards regressionQualified health centersReversible contraceptive methodsTime-trend designUsual carePregnancy outcomesUninsured womenPatient counselingEnhanced careComprehensive counselingReversible contraceptionContraceptive provisionCenter careEffect of staff training and cost support on provision of long-acting reversible contraception in community health centers
Buckel C, Maddipati R, Goodman M, Peipert J, Madden T. Effect of staff training and cost support on provision of long-acting reversible contraception in community health centers. Contraception 2019, 99: 222-227. PMID: 30685287, PMCID: PMC6639006, DOI: 10.1016/j.contraception.2018.12.005.Peer-Reviewed Original ResearchConceptsHealthcare provider educationSame-day insertionContraceptive counselingProvider educationHealth centersUsual careEnhanced careReversible contraceptionContraceptive provisionContraceptive methodsHealth center populationSame-day initiationQualified health centersRobust error varianceCommunity health centersContraceptive CHOICE ProjectProportion of womenUninsured womenLARC insertionProvider appointmentsRelative riskProvider practicesCare modelPoisson regressionVs. 13.7
2018
Ulipristal Acetate for Unscheduled Bleeding in Etonogestrel Implant Users
Zigler R, Madden T, Ashby C, Wan L, McNicholas C. Ulipristal Acetate for Unscheduled Bleeding in Etonogestrel Implant Users. Obstetrics And Gynecology 2018, 132: 888-894. PMID: 30130351, PMCID: PMC6153077, DOI: 10.1097/aog.0000000000002810.Peer-Reviewed Original ResearchConceptsEtonogestrel implant usersUlipristal acetateImplant usersIdentical-appearing placeboPlacebo-controlled trialSerum progesterone levelsUnscheduled bleedingBleeding profilePlacebo groupSecondary outcomesEnrolled participantsEligible participantsSerum progesteroneOvulatory potentialProgesterone levelsOvulation statusPlaceboU.S. FoodDemographic characteristicsWomenBleedingParticipant satisfactionEffect sizeDaysGroup