Forty-one percent of unintended pregnancies occur in women using contraception inconsistently or incorrectly. Long-acting reversible contraceptive (LARC) methods (ie, intrauterine devices and implants) have higher typical-use effectiveness compared with other methods of reversible contraception. Despite high effectiveness, LARC methods are used by a minority of contraceptive users due to barriers including patient cost, patient and provider misconceptions, lack of provider training, and multiple visits required for initiation. Our research team conducted a previous study, the Contraceptive CHOICE Project (CHOICE), in which we developed a contraceptive care model designed to reduce barriers to LARC methods, including structured contraceptive counseling, health care provider education, and no-cost contraception. This model was shown to reduce unintended pregnancy among CHOICE participants.
