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From research to practice: dissemination of the Contraceptive CHOICE Project

  • Original Research
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Translational Behavioral Medicine

ABSTRACT

Unintended pregnancy is a public health problem with societal consequences. The Contraceptive CHOICE Project (CHOICE) demonstrated a reduction in teen pregnancy and abortion by removing barriers to effective contraception. The purpose of the study was to describe the dissemination approach used to create awareness of and promote desire to adopt the CHOICE model among selected audiences. We used a 4-stage approach and detail the work completed in the first 2 stages. We describe stakeholder involvement in the first stage and the process of undertaking core strategies in the second stage. We examine insights gained throughout the process. Through our dissemination approach, we reached an estimated 300,000 targeted individuals, not including the population reached through media. We were contacted by 141 entities for technical assistance. The completion and reporting of dissemination processes is an important component of research. There is a need to fully document and disseminate strategies that can help facilitate practice change.

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References

  1. Finer LB, Zolna MR. Unintended pregnancy in the United States: incidence and disparities, 2006. Contraception. 2011; 84(5): 478-485.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Finer LB, Henshaw SK. Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspect Sex Reprod Health. 2006; 38(2): 90-96.

    Article  PubMed  Google Scholar 

  3. Schwarz EB, Smith R, Steinauer J, Reeves MF, Caughey AB. Measuring the effects of unintended pregnancy on women’s quality of life. Contraception. 2008; 78(3): 204-210.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Hellerstedt WL, Pirie PL, Lando HA, et al. Differences in preconceptional and prenatal behaviors in women with intended and unintended pregnancies. Am J Public Health. 1998; 88(4): 663-666.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Sonfield A, Kost K. Public costs from unintended pregnancies and the role of public insurance programs in paying for pregnancy and infant care: estimates for 2008. New York: Guttmacher Institute; 2013.

    Google Scholar 

  6. Secura GM, Allsworth JE, Madden T, Mullersman JL, Peipert JF. The contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception. Am J Obstet Gynecol. 2010; 203(2): 115 e111-117.

    Article  Google Scholar 

  7. Peipert JF, Madden T, Allsworth JE, Secura GM. Preventing unintended pregnancies by providing no-cost contraception. Obstet Gynecol. 2012; 120(6): 1291-1297.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Secura GM, Madden T, McNicholas C, Mullersman J, Buckel CM, Zhao Q, Peipert JF. Provision of no-cost, long-acting contraception and teenage pregnancy. N Engl J Med. 2014; 371(14): 1316-1323.

  9. Glasgow RE, Vinson C, Chambers D, Khoury MJ, Kaplan RM, Hunter C. National Institutes of Health approaches to dissemination and implementation science: current and future directions. Am J Public Health. 2012; 102(7): 1274-1281.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Kerner J, Rimer B, Emmons K. Introduction to the special section on dissemination: dissemination research and research dissemination: how can we close the gap? Health Psychol. 2005; 24(5): 443-446.

    Article  PubMed  Google Scholar 

  11. Carpenter D, Nieva VTA, Sorra J. Development of a planning tool to guide dissemination of research results. In: Henriksen K, Battles JB, Marks ES, eds. Advances in patient safety: from research to implementation, vol. 4. Rockville: Agency for Healthcare Research and Quality; 2005.

    Google Scholar 

  12. Green LW, Glasgow RE. Evaluating the relevance, generalization, and applicability of research: issues in external validation and translation methodology. Eval Health Prof. 2006; 29(1): 126-153.

    Article  PubMed  Google Scholar 

  13. Glasgow RE, Emmons KM. How can we increase translation of research into practice? Types of evidence needed. Annu Rev Public Health. 2007; 28: 413-433.

    Article  PubMed  Google Scholar 

  14. Oldenburg B, Glanz K. Diffusion of innovations. Health Behav Health Educ Theory Res Pract. 2008;313–333.

  15. Wilson PM, Petticrew M, Calnan MW, Nazareth I. Disseminating research findings: what should researchers do? A systematic scoping review of conceptual frameworks. Implement Sci. 2010; 5(1): 91.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Haider M, Kreps GL. Forty years of diffusion of innovations: utility and value in public health. J Health Commun. 2004; 9(S1): 3-11.

    Article  PubMed  Google Scholar 

  17. Winner B, Peipert JF, Zhao Q, et al. Effectiveness of long-acting reversible contraception. N Engl J Med. 2012; 366(21): 1998-2007.

    Article  CAS  PubMed  Google Scholar 

  18. Mendel P, Meredith LS, Schoenbaum M, Sherbourne CD, Wells KB. Interventions in organizational and community context: a framework for building evidence on dissemination and implementation in health services research. Admin Pol Ment Health. 2008; 35(1–2): 21-37.

    Article  Google Scholar 

  19. Glasgow RE, Marcus AC, Bull SS, Wilson KM. Disseminating effective cancer screening interventions. Cancer. 2004; 101(5 Suppl): 1239-1250.

    Article  PubMed  Google Scholar 

  20. Greenhalgh T, Robert G, MacFarlane F, Bate P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 2004; 82(4): 581-629.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Scullion PA. Effective dissemination strategies. Nurse Res. 2002; 10(1): 65-77.

    Article  PubMed  Google Scholar 

  22. Scullion P. Nurse Training at Gulson Road Hospital 1954–1967. Project Report. Coventry University. 2001.

  23. Brownson RC, Jacobs JA, Tabak RG, Hoehner CM, Stamatakis KA. Designing for dissemination among public health researchers: findings from a national survey in the United States. Am J Public Health. 2013; 103(9): 1693-1699.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Huberman M. Linkage between researchers and practitioners: a qualitative study. Am Educ Res J. 1990; 27(2): 363-391.

    Article  Google Scholar 

  25. Freemantle N, Watt I. Dissemination: implementing the findings of research. Health Libr Rev. 1994; 11(2): 133-137.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The Contraceptive CHOICE Project was funded by an anonymous foundation. This publication was supported by the Clinical and Translational Science Award (CTSA) program of the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH) under Award Numbers UL1 TR000448 and TL1 TR000449. The authors would like to thank the entire staff of the CHOICE team as well as the thousands of women who participated in the project.

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Correspondence to Hilary O. Broughton MSW.

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Conflict of interest

Jeffrey Peipert received research support from Merck, Bayer, and Teva and serves on Advisory Boards for Teva and Perrigo. All other authors declare that they have no conflict of interest.

Adherence to ethical principles

The Contraceptive CHOICE Project was approved by the Institutional Review Board at Washington University School of Medicine.

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Implications

Practice: Public health researchers should plan and engage in meaningful dissemination activities with target populations to promote widespread knowledge and adoption of best practices in community health practice settings.

Policy: Removing financial barriers to long-acting reversible contraception for all women, including teens, will reduce unintended pregnancy, teen pregnancy, and abortion rates.

Research: Public health research funders should consider dissemination reporting requirements extending beyond publication to ensure results influence practice and related health outcomes in a timely manner.

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Broughton, H.O., Buckel, C.M., Omvig, K.J. et al. From research to practice: dissemination of the Contraceptive CHOICE Project. Behav. Med. Pract. Policy Res. 7, 128–136 (2017). https://doi.org/10.1007/s13142-016-0404-x

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