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• W2148442372 abstract "<h3>PURPOSE</h3> Routine assessment of women9s pregnancy intentions and contraceptive use—a so-called contraceptive vital sign—may help primary care physicians identify patients who need preconception or contraceptive counseling and be of particular benefit when teratogenic medications are prescribed. <h3>METHODS</h3> We conducted a cluster-randomized controlled trial to evaluate the effect of a contraceptive vital sign on primary care documentation of contraceptive use and change in primary care physicians9 provision of family planning services. Academic internists in the intervention group (n = 26) were provided with information on their female patients9 pregnancy intentions and contraceptive use immediately before visits; internists in the control group (n = 27) received only standard intake information. Data were abstracted from the electronic health record for 5,371 visits by 2,304 women aged 18 to 50 years. <h3>RESULTS</h3> Documentation of contraception increased from baseline, from 23% to 57% in the intervention group, but remained 28% in the control group, a change of +77.4 (95% confidence interval [CI], 70.7 to 84.1) adjusted percentage points in the former vs +3.1 (95% CI, 1.2 to 5.0) in the latter (<i>P</i> <.001). For visits involving a teratogenic prescription, documentation increased from 14% to 48% in the intervention group and decreased from 29% to 26% in the control group, a change of +61.5 (95% CI, 35.8 to 87.1) adjusted percentage points in the former vs −0.3 (95% CI, −4.3 to 3.6) in the latter (<i>P</i> <.001). Provision of new family planning services increased only minimally with this intervention, however. When women with documented nonuse of contraception were prescribed potential teratogens, only 7% were provided family planning services. <h3>CONCLUSIONS</h3> A contraceptive vital sign improves documentation of contraceptive use; however, ongoing efforts are needed to improve provision of preconception and contraceptive services." @default.
• W2148442372 created "2016-06-24" @default.
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• W2148442372 date "2012-11-01" @default.
• W2148442372 modified "2023-09-25" @default.
• W2148442372 title "Promoting Safe Prescribing in Primary Care With a Contraceptive Vital Sign: A Cluster-Randomized Controlled Trial" @default.
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• W2148442372 doi "https://doi.org/10.1370/afm.1404" @default.
• W2148442372 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3495925" @default.
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