Study Objective

To assess whether improving providers’ education by video training using a mobile phone could affect providers’ knowledge and attitude toward long-acting reversible contraceptives (LARCs), and thus further affect adolescents’ and young nulliparous women's decisions to use LARCs.

Design, Setting, Participants, Intervention, and Main Outcome Measures

This prospective case-control study was performed between 2019 and 2020. A total of 40 healthcare providers participated, of which 20 received “LARC First” video training, whereas the other 20 served as the control group and received no training. Surveys were conducted of 244 adolescents and young women who were consulted by these 2 groups of healthcare providers before abortion surgery. The data were used to analyze the relationship between providers’ knowledge scores and the percentage of women who received counseling on LARCs decided to use LARCs, and what percentage continued to do so 12 months after surgery.

Results

Providers from the study group scored higher in LARC knowledge than the control group. Compared to the control group, women in the study group reported receiving more counseling on LARCs (81.4% vs 7.9%) and more often chose to use LARCs (24.6% vs 2.4%). Twelve months later, there was no significant difference in contraceptive continuation between study and control groups, but study group participants were more likely to be using LARCs (P < .001).

Conclusion

Video training for providers improved both their knowledge and willingness to recommend LARCs and increased the probability of adolescent and young nulliparous women using these methods to reduce unintended pregnancy.

中文翻译：

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医疗保健提供者的移动视频培训对青少年和年轻女性长效可逆避孕药 (LARC) 使用的影响

学习目标

评估通过使用手机进行视频培训来改善提供者的教育是否会影响提供者对长效可逆避孕药 (LARC) 的知识和态度，从而进一步影响青少年和年轻未产妇使用 LARC 的决定。

设计、设置、参与者、干预和主要结果措施

这项前瞻性病例对照研究在 2019 年至 2020 年期间进行。共有 40 名医疗保健提供者参与，其中 20 名接受了“LARC First”视频培训，而另外 20 名作为对照组且未接受过培训。对 244 名青少年和年轻女性进行了调查，她们在流产手术前接受了这两组医疗保健提供者的咨询。这些数据用于分析提供者的知识得分与接受 LARC 咨询的女性决定使用 LARC 的百分比之间的关系，以及手术后 12 个月继续这样做的百分比。

结果

研究组的提供者在 LARC 知识方面的得分高于对照组。与对照组相比，研究组的女性报告接受了更多关于 LARC 的咨询（81.4% 对 7.9%），并且更经常选择使用 LARC（24.6% 对 2.4%）。12 个月后，研究组和对照组在继续避孕方面没有显着差异，但研究组参与者更有可能使用 LARC ( P < .001)。

结论

提供者的视频培训提高了他们推荐 LARC 的知识和意愿，并增加了青少年和年轻未产妇使用这些方法减少意外怀孕的可能性。