2019
Implementation 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 decisions
2016
Association of baseline bleeding pattern on amenorrhea with levonorgestrel intrauterine system use
Mejia M, McNicholas C, Madden T, Peipert J. Association of baseline bleeding pattern on amenorrhea with levonorgestrel intrauterine system use. Contraception 2016, 94: 556-560. PMID: 27364099, PMCID: PMC5077249, DOI: 10.1016/j.contraception.2016.06.013.Peer-Reviewed Original ResearchConceptsLNG-IUS useEffect of baselineBleeding patternsMonths postinsertionLevonorgestrel intrauterine system useLikelihood of amenorrheaRates of amenorrheaHeavy menstrual bleedingHeavy menstrual flowMonths of enrollmentMultivariable logistic regressionIntrauterine system useIntrauterine system usersLNG-IUS usersContraceptive CHOICE ProjectMonths of useMenstrual bleedingModerate bleedingMultivariable analysisHeavy bleedingLNG-IUSMenstrual flowContraceptive counselingUnintended pregnancyBaseline bleeding