Improving the Implementation of Evidence-Based Clinical Practices in Adolescent Reproductive Health Care Services

Details

• Alternative Title:
  J Adolesc Health
• Personal Author:
  Romero, Lisa M. ; Middleton, Dawn ; Mueller, Trisha ; Avellino, Lia ; Hallum-Montes, Rachel
• Description:
  Purpose ; The purposes of the study were to describe baseline data in the implementation of evidence-based clinical practices among health center partners as part of a community-wide teen pregnancy prevention initiative and to identify opportunities for health center improvement. ; Methods ; Health center partner baseline data were collected in the first year (2011) and before program implementation of a 5-year community-wide teen pregnancy prevention initiative. A needs assessment on health center capacity and implementation of evidence-based clinical practices was administered with 51 health centers partners in 10 communities in the United States with high rates of teen pregnancy. ; Results ; Health centers reported inconsistent implementation of evidence-based clinical practices in providing reproductive health services to adolescents. Approximately 94.1% offered same-day appointments, 91.1% had infrastructure to reduce cost barriers, 90.2% offered after-school appointments, and 80.4% prescribed hormonal contraception without prerequisite examinations or testing. Approximately three quarters provided visual and audio privacy in examination rooms (76.5%) and counseling areas (74.5%). Fewer offered a wide range of contraceptive methods (67.8%) and took a sexual health history at every visit (54.9%). Only 45.1% reported Quick Start initiation of hormonal contraception, emergency contraception (43.1%), or intrauterine devices (12.5%) were “always” available to adolescents. ; Conclusions ; The assessment highlighted opportunities for health center improvement. Strategies to build capacity of health center partners to implement evidence-based clinical practices may lead to accessibility and quality of reproductive health services for adolescents in the funded communities.
• Keywords:
  • Teen pregnancy
  • Adolescent reproductive health services
  • Evidence-based clinical practices
  • Youth-friendly reproductive health services
  • Adolescent
  • Adolescent Health Services
  • Evidence-Based Practice
  • Female
  • Guideline Adherence
  • Humans
  More +
• Source:
  J Adolesc Health. 57(5):488-495
• Pubmed ID:
  26381918
• Pubmed Central ID:
  PMC4624029
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  57
• Issue:
  5
• Download URL:
  https://stacks.cdc.gov/view/cdc/36297/cdc_36297_DS1.pdf
• File Type:
  [PDF - 155.91 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:26edef359829d5a7b2e9c77622aeb7a7c8720c4b928f00e2d3f0a9db66b0a8b6