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
2022
Medicaid 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 care
2020
Decisional 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
Comparison 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 care
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
2017
Meeting the Contraceptive Needs of a Community: Increasing Access to Long-Acting Reversible Contraception.
McNicholas C, Madden T. Meeting the Contraceptive Needs of a Community: Increasing Access to Long-Acting Reversible Contraception. Missouri Medicine 2017, 114: 163-167. PMID: 30228573, PMCID: PMC6140203.Peer-Reviewed Original Research
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 bleedingAddressing Challenges to Implementation of the Contraceptive Coverage Guarantee of the Affordable Care Act
Politi M, Sonfield A, Madden T. Addressing Challenges to Implementation of the Contraceptive Coverage Guarantee of the Affordable Care Act. JAMA 2016, 315: 653. PMID: 26832953, DOI: 10.1001/jama.2016.0204.Peer-Reviewed Original Research
2015
Contraceptive Use and Unintended Pregnancy in Women With Congenital Heart Disease
Lindley K, Madden T, Cahill A, Ludbrook P, Billadello J. Contraceptive Use and Unintended Pregnancy in Women With Congenital Heart Disease. Obstetrics And Gynecology 2015, 126: 363-369. PMID: 26241427, DOI: 10.1097/aog.0000000000000911.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude to HealthContraceptionContraception BehaviorContraceptive AgentsCross-Sectional StudiesFemaleHeart Defects, CongenitalHumansIntrauterine DevicesNeeds AssessmentPregnancyPregnancy Complications, CardiovascularPregnancy, UnplannedReproductive HistorySex CounselingSexual BehaviorUnited StatesConceptsCongenital heart diseaseHeart diseaseUnintended pregnancyReversible contraceptionContraceptive useCongenital heart disease clinicCross-sectional studyTime of conceptionDisease clinicPrimary outcomeTotal pregnanciesPregnancy historyActive womenIntrauterine deviceCardiology practiceContraceptive methodsHigh incidenceSubdermal implantsContraception useMost womenPregnancySpecific counselingContraceptionDiseaseWomenFertility 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
Provision of No-Cost, Long-Acting Contraception and Teenage Pregnancy
Secura G, Madden T, McNicholas C, Mullersman J, Buckel C, Zhao Q, Peipert J. Provision of No-Cost, Long-Acting Contraception and Teenage Pregnancy. New England Journal Of Medicine 2014, 371: 1316-1323. PMID: 25271604, PMCID: PMC4230891, DOI: 10.1056/nejmoa1400506.Peer-Reviewed Original ResearchConceptsRate of pregnancyReversible contraceptionLARC methodsLarge prospective cohort studyTeenage pregnancyProspective cohort studyReversible contraceptive methodsYears of ageTeenage girlsSame age groupHealth care costsContraceptive CHOICE ProjectCohort studyUnintended pregnancyIntrauterine deviceContraceptive methodsPregnancyWomen 15Care costsAge groupsNational ratesContraceptionTeenage birthsExperienced teensBirth
2012
Predictors of Male Partner Treatment for Sexually Transmitted Infection
Secura G, Desir F, Mullersman J, Madden T, Allsworth J, Peipert J. Predictors of Male Partner Treatment for Sexually Transmitted Infection. Sexually Transmitted Diseases 2012, 39: 769-775. PMID: 23001263, PMCID: PMC3457019, DOI: 10.1097/olq.0b013e31825ec611.Peer-Reviewed Original ResearchConceptsPartner treatmentSTI testingTreatment ratesMale partner treatmentRobust error varianceLongitudinal cohort studyPatient-specific factorsInconsistent condom useCharacteristics of womenContraceptive CHOICE ProjectFuture STIsCohort studyIndependent predictorsPartner notificationStudy clinicMultivariable analysisAntibiotic treatmentUnivariate analysisCost contraceptionSex partnersTreatment dataPoisson regressionCondom useMale partnersBaseline survey
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 dataPregnancy
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 rates