TY - JOUR
T1 - Patient Satisfaction with IUD Services in a School-Based Health Center
T2 - A Pilot Study
AU - Stein, Tara B.
AU - Summit, Aleza K.
AU - St. Louis, Michele
AU - Gold, Marji
N1 - Funding Information:
The authors would like to acknowledge Stephanie Herold for assistance in data entry, Sarah Overholt for feedback on data analysis, Drs. Neal Hoffman and David Appel for overall support for this project, and the Office of School Health-NYC DOE-DOHMH. Funding for this research was provided through salary support from the Department of Family and Social Medicine and the Montefiore School Health Program at Montefiore Medical Center.
Funding Information:
The authors would like to acknowledge Stephanie Herold for assistance in data entry, Sarah Overholt for feedback on data analysis, Drs. Neal Hoffman and David Appel for overall support for this project, and the Office of School Health-NYC DOE-DOHMH. Funding for this research was provided through salary support from the Department of Family and Social Medicine and the Montefiore School Health Program at Montefiore Medical Center .
Publisher Copyright:
© 2020 North American Society for Pediatric and Adolescent Gynecology
PY - 2020/8
Y1 - 2020/8
N2 - Study Objective: We aimed to determine the acceptability to and satisfaction of high school students receiving an intrauterine device (IUD) at a school-based health center (SBHC). Design, Setting, Participants, Interventions, and Main Outcome Measures: In this prospective pilot study at a Bronx SBHC, adolescent patients who had an IUD inserted in the SBHC between November 2010 and June 2013 completed a self-administered survey on the day of IUD insertion and a follow-up survey within 6 months. The initial survey addressed patient sexual and contraceptive history, reasons for choosing the IUD, and the insertion experience, whereas the follow-up survey addressed IUD continuation and side effects. Results: In all, 104 of 139 (75%) eligible patients agreed to participate, and 75 (72%) of those completed the follow-up survey. Respondents chose IUDs because they were long-lasting, effective, private, and easy to remember, and chose the SBHC for services because it was convenient, recommended, free, and a trusted setting. Participants rated their interactions with SBHC staff highly, and almost all described their procedure experience as somewhat or very acceptable. Of the respondents, 92% were still using the IUD at the time of the follow-up survey, with 32% stating that they were somewhat satisfied and 65% stating they were very satisfied with this method of contraception. Conclusion: Our research demonstrates that IUD services can be integrated into the SBHC setting with high rates of acceptability and satisfaction. Furthermore, SBHCs provide a unique and acceptable option for providing these services and have the potential to increase adolescents’ contraceptive access and choice.
AB - Study Objective: We aimed to determine the acceptability to and satisfaction of high school students receiving an intrauterine device (IUD) at a school-based health center (SBHC). Design, Setting, Participants, Interventions, and Main Outcome Measures: In this prospective pilot study at a Bronx SBHC, adolescent patients who had an IUD inserted in the SBHC between November 2010 and June 2013 completed a self-administered survey on the day of IUD insertion and a follow-up survey within 6 months. The initial survey addressed patient sexual and contraceptive history, reasons for choosing the IUD, and the insertion experience, whereas the follow-up survey addressed IUD continuation and side effects. Results: In all, 104 of 139 (75%) eligible patients agreed to participate, and 75 (72%) of those completed the follow-up survey. Respondents chose IUDs because they were long-lasting, effective, private, and easy to remember, and chose the SBHC for services because it was convenient, recommended, free, and a trusted setting. Participants rated their interactions with SBHC staff highly, and almost all described their procedure experience as somewhat or very acceptable. Of the respondents, 92% were still using the IUD at the time of the follow-up survey, with 32% stating that they were somewhat satisfied and 65% stating they were very satisfied with this method of contraception. Conclusion: Our research demonstrates that IUD services can be integrated into the SBHC setting with high rates of acceptability and satisfaction. Furthermore, SBHCs provide a unique and acceptable option for providing these services and have the potential to increase adolescents’ contraceptive access and choice.
KW - Adolescents
KW - Intrauterine devices
KW - Reproductive health services
KW - School-based health clinics
UR - http://www.scopus.com/inward/record.url?scp=85081241470&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85081241470&partnerID=8YFLogxK
U2 - 10.1016/j.jpag.2020.01.004
DO - 10.1016/j.jpag.2020.01.004
M3 - Article
C2 - 31972297
AN - SCOPUS:85081241470
SN - 1083-3188
VL - 33
SP - 388
EP - 392
JO - Journal of Pediatric and Adolescent Gynecology
JF - Journal of Pediatric and Adolescent Gynecology
IS - 4
ER -