2019
Effect 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
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
2016
Changes in body composition in women using long-acting reversible contraception
dos Santos P, Madden T, Omvig K, Peipert J. Changes in body composition in women using long-acting reversible contraception. Contraception 2016, 95: 382-389. PMID: 28041992, PMCID: PMC5376505, DOI: 10.1016/j.contraception.2016.12.006.Peer-Reviewed Original ResearchConceptsENG implant usersCopper IUD usersLNG-IUSBody compositionBody weightIUD usersCopper IUDImplant usersWeight gainProspective cohort studyLevonorgestrel intrauterine systemSubgroup of womenBody composition changesLean body massLNG-IUS usersCopper intrauterine deviceContraceptive CHOICE ProjectBody massCohort studyENG implantHealthy womenIntrauterine systemMean ageBlack raceInclusion criteriaBarriers and facilitators to implementing a patient-centered model of contraceptive provision in community health centers
Politi M, Estlund A, Milne A, Buckel C, Peipert J, Madden T. Barriers and facilitators to implementing a patient-centered model of contraceptive provision in community health centers. Contraception And Reproductive Medicine 2016, 1: 21. PMID: 29201410, PMCID: PMC5693580, DOI: 10.1186/s40834-016-0032-3.Peer-Reviewed Original ResearchPatient-centered contraceptive counselingPatient-centered modelSame-day insertionContraceptive provisionContraceptive counselingHealth care provider educationCommunity health center staffEvidence-based counselingCommunity health centersCommunity health settingsHealth center staffSystem-level barriersCare provider educationHealth care providersContraceptive CHOICE ProjectSemi-structured interview guideFemale patientsProvider educationHealth centersReversible contraceptionCare providersProvider trainingContraceptive knowledgeHealth settingsContraception provisionAssociation 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
2015
Long-term utilization and continuation of intrauterine devices
Diedrich J, Madden T, Zhao Q, Peipert J. Long-term utilization and continuation of intrauterine devices. American Journal Of Obstetrics And Gynecology 2015, 213: 822.e1-822.e6. PMID: 26409157, PMCID: PMC4679676, DOI: 10.1016/j.ajog.2015.08.077.Peer-Reviewed Original ResearchConceptsYears of ageCu-intrauterine devicesIntrauterine deviceLNG intrauterine deviceMonth continuation ratesProspective cohort studyCox proportional hazardsSubsequent contraceptive useCopper intrauterine deviceContraceptive CHOICE ProjectLess discontinuationMenstrual profileMonths continuationCohort studyHazard ratioPrimary outcomeMultivariable analysisPregnancy historyContinuation ratesContraceptive useIUD continuationDiscontinuationProportional hazardsSurvival analysisLevonorgestrelRisk-based screening for Chlamydia trachomatis and Neisseria gonorrhoeae prior to intrauterine device insertion
Grentzer J, Peipert J, Zhao Q, McNicholas C, Secura G, Madden T. Risk-based screening for Chlamydia trachomatis and Neisseria gonorrhoeae prior to intrauterine device insertion. Contraception 2015, 92: 313-318. PMID: 26093189, PMCID: PMC4575889, DOI: 10.1016/j.contraception.2015.06.012.Peer-Reviewed Original ResearchConceptsMultiple sexual partnersIntrauterine device insertionIUD insertionC. trachomatisN. gonorrhoeaeSexual partnersDevice insertionChlamydia trachomatisNeisseria gonorrhoeaeRisk-based screening strategiesScreening strategyCases of infectionInconsistent condom useRisk-based screeningPositive predictive valueContraceptive CHOICE ProjectGonorrhea infectionIUD usersUniversal screeningRisk-based strategyPredictive valueCondom useSecondary analysisTrachomatisGonorrhoeaeFactors Associated With Unintended Pregnancy Outcome Among CHOICE Participants [243]
Eisenberg D, Lange J, Zhao Q, Madden T, Peipert J. Factors Associated With Unintended Pregnancy Outcome Among CHOICE Participants [243]. Obstetrics And Gynecology 2015, 125: 78s-79s. DOI: 10.1097/01.aog.0000463220.05568.8a.Peer-Reviewed Original ResearchUnintended pregnancyPregnancy outcomesCost contraceptionFirst unintended pregnancyUnintended pregnancy outcomesProspective cohort studyReproductive-aged womenMultivariable regression analysisOlder age groupsContraceptive CHOICE ProjectRace/ethnicityEctopic pregnancyCohort studyMultivariable analysisPrevious abortionPrior abortionInclusion criteriaLive birthsContraceptive methodsPregnancyInduced abortionAbortion historyPoisson regressionSecondary analysisAge groupsPositive Testing for Neisseria gonorrhoeae and Chlamydia trachomatis and the Risk of Pelvic Inflammatory Disease in IUD Users
Birgisson N, Zhao Q, Secura G, Madden T, Peipert J. Positive Testing for Neisseria gonorrhoeae and Chlamydia trachomatis and the Risk of Pelvic Inflammatory Disease in IUD Users. Journal Of Women's Health 2015, 24: 354-359. PMID: 25836384, PMCID: PMC4440993, DOI: 10.1089/jwh.2015.5190.Peer-Reviewed Original ResearchConceptsPelvic inflammatory diseaseChlamydia trachomatisIUD usersInflammatory diseasesIUD useIntrauterine deviceContraceptive methodsSelf-reported pelvic inflammatory diseaseNew IUD usersNeisseria gonorrhoeaeMajor public health problemProspective cohort studyHigh-risk womenPublic health problemYears of ageContraceptive CHOICE ProjectBirth control methodsCohort studyWomen 14Subsequent infertilityUnintended pregnancyReversible contraceptionHigh riskPID ratesPositive testingPreventing 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 AdultConceptsContraceptive CHOICE ProjectUnintended pregnancyReversible contraceptionProspective cohort studyCHOICE ProjectSt Louis areaCohort studyAbortion ratePregnancyContraceptionProvision 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 teensBirthPerformance of a checklist to exclude pregnancy at the time of contraceptive initiation among women with a negative urine pregnancy test
Min J, Buckel C, Secura G, Peipert J, Madden T. Performance of a checklist to exclude pregnancy at the time of contraceptive initiation among women with a negative urine pregnancy test. Contraception 2014, 91: 80-84. PMID: 25218500, PMCID: PMC4267981, DOI: 10.1016/j.contraception.2014.08.002.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultChecklistCohort StudiesContraceptive Agents, FemaleContraindicationsDrug ImplantsFalse Negative ReactionsFemaleHumansIllinoisIntrauterine DevicesLuteal PhaseMiddle AgedMissouriPatient CompliancePregnancyPregnancy TestsPregnancy Trimester, FirstPregnancy, UnplannedProspective StudiesSensitivity and SpecificityYoung AdultConceptsNegative urine pregnancy testUrine pregnancy testLuteal phase pregnanciesNegative predictive valuePregnancy checklistPregnancy testPositive predictive valuePredictive valueContraceptive initiationEarly pregnancyPositive urine pregnancy testHigh negative predictive valueInitiation of contraceptionSame-day initiationUrine pregnancy testingDays of enrollmentProspective cohort studyShort acting methodsContraceptive CHOICE ProjectCohort studyPositive screenReversible contraceptionPatient historyIntrauterine devicePregnancy testing
2013
Characteristics Associated With Discontinuation of Long-Acting Reversible Contraception Within the First 6 Months of Use
Grunloh D, Casner T, Secura G, Peipert J, Madden T. Characteristics Associated With Discontinuation of Long-Acting Reversible Contraception Within the First 6 Months of Use. Obstetrics And Gynecology 2013, 122: 1214-1221. PMID: 24201685, PMCID: PMC4051392, DOI: 10.1097/01.aog.0000435452.86108.59.Peer-Reviewed Original ResearchConceptsLevonorgestrel intrauterine systemIntrauterine deviceEarly discontinuationCopper intrauterine deviceBaseline characteristicsIntrauterine systemReversible contraceptionFirst-line contraceptive optionRate of discontinuationLong-Acting Reversible ContraceptionLow socioeconomic statusContraceptive CHOICE ProjectMonths of useCohort studyDiscontinuation ratesContraceptive optionsUnintended pregnancyFrequent bleedingDiscontinuationIUD usersCost contraceptionCommon reasonYounger ageLogistic regressionTelephone interviewsMedical 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 prevalenceContraceptive Failures in Overweight and Obese Combined Hormonal Contraceptive Users
McNicholas C, Zhao Q, Secura G, Allsworth J, Madden T, Peipert J. Contraceptive Failures in Overweight and Obese Combined Hormonal Contraceptive Users. Obstetrical & Gynecological Survey 2013, 68: 736-737. DOI: 10.1097/01.ogx.0000435765.37327.d9.Peer-Reviewed Original ResearchBody mass indexSignificant risk factorsContraceptive failureUnintended pregnancyVaginal ringMass indexObese femalesRisk factorsPrevious unintended pregnancyProspective cohort studyIdeal body weightHormonal contraceptive usersContraceptive vaginal ringContraceptive failure ratesReproductive age femalesReversible contraceptive methodsFailure rateContraceptive CHOICE ProjectSt Louis areaCohort studyObese womenBMI categoriesClinical outcomesHormonal contraceptionContraceptive usersTwenty-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 IUDThe impact of emotional, physical, and sexual abuse on contraceptive method selection and discontinuation.
Allsworth J, M. Secura G, Zhao Q, Madden T, Peipert J. The impact of emotional, physical, and sexual abuse on contraceptive method selection and discontinuation. American Journal Of Public Health 2013, 103: 1857-64. PMID: 23948012, PMCID: PMC3780737, DOI: 10.2105/ajph.2013.301371.Peer-Reviewed Original ResearchSexually Transmitted Infection Prevalence in a Population Seeking No-Cost Contraception
McNicholas C, Peipert J, Maddipati R, Madden T, Allsworth J, Secura G. Sexually Transmitted Infection Prevalence in a Population Seeking No-Cost Contraception. Sexually Transmitted Diseases 2013, 40: 546-551. PMID: 23965768, PMCID: PMC3752093, DOI: 10.1097/olq.0b013e31829529eb.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultBlack or African AmericanChlamydia InfectionsChlamydia trachomatisCohort StudiesContraceptionDemographyFemaleGonorrheaHumansMiddle AgedMissouriNeisseria gonorrhoeaeNucleic Acid Amplification TechniquesPrevalenceRiskSexually Transmitted DiseasesTrichomonas vaginalisTrichomonas VaginitisWhite PeopleYoung AdultConceptsChlamydia trachomatisCases of CTWhite womenStaff-administered questionnaireTransmitted Infection PrevalenceCurrent screening recommendationsContraceptive CHOICE ProjectBlack womenThird of participantsInfected womenContraceptive studyScreening recommendationsMultivariable analysisScreening guidelinesRisk factorsPrevalence ratesCost contraceptionMore infectionsPositive casesNeisseria gonorrhoeaeNucleic acid amplificationYounger ageCases of GCRisk profileOlder age