Related Experiment Video
Updated: Jan 8, 2026
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Designing and evaluating a statewide person-centered contraceptive access initiative: The PATH4YOU program
Tracey A Wilkinson1, Kelly Kean2, Kathleen Wendholt3
1Indiana University School of Medicine, Department of Pediatrics, Division of Children's Health Services Research, Indianapolis, IN, United States.
Objectives:
Develop and implement a statewide contraceptive access initiative in Indiana using a person-centered contraceptive care framework and to evaluate utilization and care quality using the Person-Centered Contraceptive Counseling (PCCC) and shared decision-making (CollaboRATE) measures.
Study Design:
We conducted a cross-sectional analysis of program utilization from 2021 to 2024, examining contraceptive method and appointment type by age and geography using rural-urban commuting area (RUCA) codes. Patients opting to participate in the research sample completed surveys on care quality, which were analyzed by program characteristics and participant demographics.
Results:
The analytical sample included 2820 participants with a mean age of 27.1 years (range 14-49). Most care (77%) occurred in-person and 87% of Indiana counties were reached. Participants similarly selected short-acting (45%) and long-acting methods (46%). Those in rural/mixed RUCA areas were less likely to choose long-acting contraception (aOR=0.67, 95% CI 0.55-0.83). Among the research sample, 80% reported receiving high quality care (PCCC) and 75% reported the highest level of shared decision-making (collaboRATE). Differences by ethnicity were observed for both measures (p < 0.01), while differences by sexual attraction were found with the PCCC (p = 0.02). In-person participants more often reported the highest PCCC scores (84% vs 78%), while telehealth participants more often reported the highest collaboRATE scores (81% vs. 72%) (p < 0.01).
Conclusions:
Our findings from the PATH4YOU program demonstrate that a statewide, person-centered approach can expand contraceptive access broadly while maintaining participant-reported high-quality care. We found important differences by geography, ethnicity, sexual attraction, and care modality, emphasizing the need to tailor strategies to ensure equitable outcomes.
Implications:
A statewide contraceptive access initiative in Indiana (PATH4YOU) was designed with a person-centered care framework and provides free, same-day access to comprehensive contraception. Research sample participants reported high-quality contraception counseling and shared decision-making, with differences noted based on ethnicity, sexual attraction and appointment type, but no other demographics.
More Related Videos
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
08:13Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
Related Concept Videos
01:30Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
01:22Birth Control Methods
01:30Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
01:15Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:17Healthcare Agencies II
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...