{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:30:10Z","timestamp":1785429010785,"version":"3.56.0"},"reference-count":12,"publisher":"North Carolina Institute of Medicine","issue":"3","license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"background\">\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>We sought to characterize changes in single-visit long-acting reversible contraception (LARC) placement before and after the start of the COVID-19 pandemic in North Carolina.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We utilized an interrupted time series analysis to characterize single-visit LARC placement after the start of the pandemic across a state-wide health care system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"results\">\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Within our cohort of 4591 patients receiving a LARC, 70.36% received single-visit LARC before and 66.98% after the start of the pandemic (odds ratio [OR] = 0.85; 95% confidence interval [CI], 0.75 \u2013 0.97). There was a slight monthly decrease in the likelihood of single-visit LARC after the pandemic started (0.001, 95% CI: -0.004 \u2013 0.005).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"limitations\">\n                    <jats:title>LIMITATIONS<\/jats:title>\n                    <jats:p>Limitations include the electronic health record data-based abstraction of variables, as well as the inability to assess patient preferences in visit scheduling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusions\">\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Rapid increases in telehealth were associated with slight decreases in single-visit LARC placement. Further study is needed to better understand patient goals and experiences, as well as clinical and public health impacts surrounding the use of telehealth for contraceptive care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.18043\/001c.141315","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T15:00:33Z","timestamp":1750950033000},"source":"Crossref","is-referenced-by-count":0,"title":["Single-Visit Long-Acting Reversible Contraception (LARC) Insertion Practices Before and After Implementation of Practice Changes Including Telehealth Due to the COVID-19 Pandemic in North Carolina"],"prefix":"10.18043","volume":"86","author":[{"given":"Gretchen S.","family":"Sauer","sequence":"first","affiliation":[{"name":"Dartmouth Hitchcock Medical Center","department":["Department of Obstetrics and Gynecology,"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary D.","family":"Carmody","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0130frc33","id-type":"ROR","asserted-by":"publisher"}],"name":"University of North Carolina at Chapel Hill","department":["Carolina Population Center"]},{"id":[{"id":"https:\/\/ror.org\/0130frc33","id-type":"ROR","asserted-by":"publisher"}],"name":"University of North Carolina at Chapel Hill","department":["Department of Epidemiology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey","family":"Yates","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0130frc33","id-type":"ROR","asserted-by":"publisher"}],"name":"University of North Carolina at Chapel Hill","department":["Department of Health Policy and Management"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Crump","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0130frc33","id-type":"ROR","asserted-by":"publisher"}],"name":"University of North Carolina at Chapel Hill","department":["Department Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Genevieve","family":"Neal-Perry","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0130frc33","id-type":"ROR","asserted-by":"publisher"}],"name":"University of North Carolina at Chapel Hill","department":["Department Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavita S.","family":"Arora","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0130frc33","id-type":"ROR","asserted-by":"publisher"}],"name":"University of North Carolina at Chapel Hill","department":["Carolina Population Center"]},{"id":[{"id":"https:\/\/ror.org\/0130frc33","id-type":"ROR","asserted-by":"publisher"}],"name":"University of North Carolina at Chapel Hill","department":["Department Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7507","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"issue":"388","key":"ref1","first-page":"1","article-title":"Current contraceptive status among women aged 15\u201349: United States, 2017\u20132019","author":"K. Daniels","year":"2020","journal-title":"NCHS Data Brief"},{"issue":"5","key":"ref2","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1016\/j.whi.2022.05.001","article-title":"Telehealth for contraceptive services during the COVID-19 pandemic: Provider perspectives","volume":"32","author":"L. Rao","year":"2022","journal-title":"Womens Health Issues"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"110000","DOI":"10.1016\/j.contraception.2023.110000","article-title":"Contraceptive care in the United States during the COVID-19 pandemic: A social media survey of contraceptive access, telehealth use and telehealth quality","volume":"123","author":"A. A. Merz-Herrala","year":"2023","journal-title":"Contraception"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"106664","DOI":"10.1016\/j.ypmed.2021.106664","article-title":"COVID-19 and family planning service delivery: Findings from a survey of U.S. physicians","volume":"150","author":"L. B. 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Axinn","year":"2025","journal-title":"Contraception"},{"issue":"4","key":"ref6","doi-asserted-by":"publisher","first-page":"e44","DOI":"10.1097\/AOG.0000000000001106","article-title":"Committee Opinion No. 642: Increasing Access to Contraceptive Implants and Intrauterine Devices to Reduce Unintended Pregnancy","volume":"126","year":"2015","journal-title":"Obstet Gynecol"},{"issue":"5","key":"ref7","doi-asserted-by":"publisher","first-page":"e251","DOI":"10.1097\/AOG.0000000000002400","article-title":"Practice bulletin No. 186: Long-acting reversible contraception: Implants and intrauterine devices","volume":"130","author":"Committee on Practice Bulletins\u2013Gynecology, Long-Acting Reversible Contraception Work Group","year":"2017","journal-title":"Obstet Gynecol"},{"key":"ref8","article-title":"Same-visit contraception: A toolkit for family planning providers","author":"Reproductive Health National Training Center","year":"2023"},{"issue":"4","key":"ref9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.15585\/mmwr.rr6504a1","article-title":"U.S. selected practice recommendations for contraceptive use, 2016","volume":"65","author":"K. 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Borrero","year":"2007","journal-title":"Obstet Gynecol"}],"container-title":["North Carolina Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ncmedicaljournal.com\/article\/141315-single-visit-long-acting-reversible-contraception-larc-insertion-practices-before-and-after-implementation-of-practice-changes-including-telehealth","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T16:40:43Z","timestamp":1762533643000},"score":1,"resource":{"primary":{"URL":"https:\/\/ncmedicaljournal.com\/article\/141315-single-visit-long-acting-reversible-contraception-larc-insertion-practices-before-and-after-implementation-of-practice-changes-including-telehealth"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,26]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.18043\/001c.141315","relation":{},"ISSN":["2379-4313","0029-2559"],"issn-type":[{"value":"2379-4313","type":"electronic"},{"value":"0029-2559","type":"print"}],"subject":[],"published":{"date-parts":[[2025,6,26]]}}}