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Changes in providers' views and practices about emergency contraception with education
L J Beckman1, S M Harvey, C A Sherman
1California School of Professional Psychology, Alliant University, Alhambra, California 91803, USA. lebckman@alliant.edu
Obstetrics and Gynecology
|June 1, 2001
Summary
An educational program significantly improved health care providers' knowledge and prescribing of emergency contraception (EC). However, gaps in understanding EC medications and protocols persist, indicating a need for ongoing training.
Area of Science:
- Reproductive Health
- Medical Education
- Public Health
Background:
- Emergency contraception (EC) is crucial for preventing unintended pregnancies.
- Understanding health care providers' (HCPs) practices and knowledge regarding EC is vital for effective implementation.
- Educational interventions can influence prescribing behaviors and perceptions.
Purpose of the Study:
- To evaluate the impact of an educational program on HCPs' prescribing practices, knowledge, attitudes, and perceptions related to emergency contraception.
- To identify changes in EC prescription frequency and barriers to prescribing.
Main Methods:
- A pre- and post-intervention study design was employed.
- 102 physicians and mid-level professionals from 13 medical offices completed self-administered questionnaires.
- Data were collected before and one year after the educational program's full implementation.
Main Results:
- Significant increase in the frequency of emergency contraceptive pills prescriptions.
- Notable improvement in HCPs' knowledge regarding emergency contraception.
- Significant decrease in perceived barriers to prescribing EC within the health maintenance organization.
- Attitudes towards emergency contraception showed minimal change.
Conclusions:
- In-service training and demonstration projects can positively alter HCPs' perceptions, knowledge, and behavior regarding emergency contraception.
- Persistent knowledge gaps exist concerning EC medications, side effects, and mechanisms of action.
- Additional training on EC protocols, modes of action, and effects is recommended for HCPs in various healthcare settings.
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