We still have a long way to go with LARCs; Knowledge, attitudes and practice of general practitioners (GPs) in the Australian Contraceptive ChOice pRoject (ACCORd).
ESC Congress Library. Mazza D. 05/10/18; 208244; ESC47
Prof. Danielle Mazza
Prof. Danielle Mazza
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Rate & Comment (0)
Objectives Long Acting Reversible Contraceptives (LARCs) are the most effective contraception available and can reduce unwanted pregnancies. Australian guidelines recommend increased usage of LARCs.  ACCORd, a cluster randomised controlled trial in metropolitan Melbourne, is investigating whether a complex intervention (online educational module and rapid referral to LARC insertion clinic) is a cost-effective means of increasing LARC uptake.  This paper examines the knowledge, attitudes and practice of GPs regarding LARCs.   Design and methods Eligible GPs (N=77) worked 3 or more sessions each week, had computerised practice and supportive reception staff. When visited by an ACCORd researcher, they completed a paper-based baseline Knowledge, Attitudes and Practice (KAP) survey, which is presented here using descriptive statistics. Results 41% GPs had received training in IUD insertion but only 17% reported undertaking routine insertion of IUDs (mostly 1-5 per month). 86% routinely inserted Implanon. Around 71% of GPs often / always initiated LARC discussion during consultations. Age was the strongest factor influencing recommendation of LARCs (85%), with less than 17% of GPs encouraging IUDs in women under 19 years.  The most common barrier to prescribing LARCs was the necessity of a procedure. GPs also reported concerns regarding side-effects of LARCS (79%), lack of LARC training (13%) and parental disapproval (20%). Conclusions Despite our cohort of GPs being informed and interested in LARCS, the results from our KAP survey indicate that they experienced significant barriers (structural, attitudinal or knowledge-based issues) to prescribing LARCs to eligible women.
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Save Settings