Pharmacist-administered subcutaneous depot medroxyprogesterone acetate: a pilot randomized controlled trial

Contraception
Carla Picardo, Stefanie Ferreri

Abstract

The objectives of this study were to assess the feasibility of administering subcutaneous depot medroxyprogesterone acetate (DMPA-SC) in a pharmacy setting and assess patient satisfaction. Fifty women, at least 18 years of age, presenting to a family planning clinic to initiate, continue or restart any form of DMPA were randomized to receive two subsequent injections at a nearby pharmacy by trained pharmacists or at the clinic. Women completed two follow-up surveys to rate their satisfaction with DMPA-SC and their clinic/pharmacy experiences. The relative risk of returning and receiving a second DMPA-SC injection of women randomized to the pharmacy compared with those randomized to the clinic was 0.73 (95% CI 0.42-1.27). The relative risk of returning and receiving a third DMPA-SC injection was 0.75 (95% CI 0.39-1.46). Most women found the pharmacy setting convenient (70%), private (100%), the providers respectful (100%) and were satisfied with DMPA-SC and the pharmacy as a clinical site (> or = 89%). No significant difference in patient satisfaction with location, convenience, privacy, and respect from providers was found between study groups (p>.05), nor were there significant differences in attitudes or satisfaction among wo...Continue Reading

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Citations

Apr 29, 2014·Contraception·Andrew M KaunitzDavid A Grimes
Jan 9, 2013·Contraception·Rebekah L WilliamsJ Dennis Fortenberry
Nov 10, 2015·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Sally RafieCynthia C Harper
Feb 6, 2016·Pharmacotherapy·Natalie A DiPietro Mager
May 15, 2012·Journal of Pediatric and Adolescent Gynecology·Tia M AltonMeredith B Loveless
Jun 25, 2014·Best Practice & Research. Clinical Obstetrics & Gynaecology·Michael T Mbizvo, Sharon J Phillips
Aug 18, 2016·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Jéssica M FerreiraLuis Bahamondes
Apr 10, 2018·Obstetrics and Gynecology·Priya BatraJ Greer Sullivan
Aug 30, 2017·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·R HellerS T Cameron
Nov 9, 2012·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Valerie OjiOluwaranti Akiyode
Sep 12, 2020·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Ayse Nilufer OzaydinFuat Nihat Ozaydin
Apr 22, 2011·Obstetrics and Gynecology·Jeffrey F PeipertGina Secura
Feb 15, 2021·Research in Social & Administrative Pharmacy : RSAP·Pip BuckinghamDanielle Mazza

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