Increasing the uptake of long-acting reversible contraception through family practice: the Australian Contraceptive ChOice pRoject (ACCORd) cluster randomized controlled trial 3-year follow-up
The higher rates of long-acting reversible contraception continuation and the lower incidence of unintended pregnancies among women receiving care from ACCORd intervention family physicians at 3 years support scaling up the intervention. Policy and practice implications based on these findings suggest that the implementation of the ACCORd intervention should be considered in similar primary care systems and in contexts where long-acting reversible contraception uptake is low, free contraception is not feasible, and specific sexual and reproductive health services are not available or accessible.
Authors
- Danielle Mazza (ORCID: https://orcid.org/0000-0001-6158-7376)
- Kevin McGeechan (ORCID: https://orcid.org/0000-0002-9679-9827)
- Angela Taft (ORCID: https://orcid.org/0000-0002-6350-843X)
- Anisa Assifi (ORCID: https://orcid.org/0000-0001-5295-4074)
- Marion Haas (ORCID: https://orcid.org/0000-0002-9726-3063)
- Kirsten Black (ORCID: https://orcid.org/0000-0003-0030-2431)
- Jayne Lucke (ORCID: https://orcid.org/0000-0002-2885-5292)
- Jeffrey F. Peipert (ORCID: https://orcid.org/0000-0002-8546-1943)
- Kathleen McNamee (ORCID: https://orcid.org/0000-0001-7112-8202)
Institutions
- University of Technology Sydney (AU)
- The University of Sydney (AU)
- La Trobe University (AU)
- Royal Prince Alfred Hospital (AU)
- University of Vermont Medical Center (US)
- Melbourne Sexual Health Centre (AU)
- Monash Health (AU)
- Monash University (AU)
Publication Details
- Journal
- American Journal of Obstetrics and Gynecology
- Published
- 2025-03-20
- DOI
- https://doi.org/10.1016/j.ajog.2025.03.020
- Citations
- 1
- Primary Topic
- Reproductive Health and Contraception
- Type
- article
- Field-Weighted Citation Impact
- 1.88
Funders
- National Health and Medical Research Council