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Developing and Validating a Measure of Patient-centered Peripartum Contraceptive Care

Award Number: R21HD111811
ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/04/2024
PERIOD OF PERFORMANCE END DATE: 08/31/2026

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Developing and Validating a Measure of Patient-centered Peripartum Contraceptive Care - PROJECT SUMMARY ABSTRACT Background: Contraceptive care is an essential component of maternity care. While patient-centeredness is a key aspect of the quality of contraceptive care, significant evidence suggests that many peripartum women do not receive patient-centered contraceptive care. These poor experiences affect contraceptive use, birth spacing and risk of adverse birth outcomes. Addressing current shortcomings in peripartum contraceptive care requires robust metrics grounded in patient-centeredness, but no such measures currently exist. Commonly used measures of peripartum contraceptive care focus only on the clinical outcome of contraceptive provision. Assessing quality through this measure alone—as opposed to alongside a measure of patient experience—can have unintended consequences of incentivizing the promotion of contraception use or specific method types over individual women’s preferences. Thus, there is critical need for new measures that can capture the patient-centeredness of contraceptive care among peripartum women, overall and among key subgroups at disproportionate risk of non-patient-centered care. Approach: The objective of this proposal is to develop a novel, psychometrically validated measure of the patient experience of peripartum contraceptive care, the Patient-centeredness of Peripartum Birth control Counseling (PPBC) measure. To achieve this objective, we will first adapt an existing patient-reported outcome measure to the unique peripartum context, using modified Delphi methods with patient and expert stakeholders and cognitive interviews with patients (Aim 1). We will then administer the prototype measure developed in Aim 1 to a large sample of peripartum women, to assess and confirm factor structure, evaluate reliability and external validity, and develop a refined measure of the patient experience of peripartum contraceptive care (Aim 2). Impact: Findings from this proposal hold promise to ultimately transform the ability of health systems and researchers to understand and promote patient-centered peripartum contraceptive care delivery and thereby improve health outcomes for the 4 million mothers and infants receiving perinatal care in the U.S. annually.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $203,217 )
2025	2025	REGENTS OF THE UNIVERSITY OF MICHIGAN	1109 GEDDES AVE STE 3300	ANN ARBOR	MI	48109	WASHTENAW	USA	Child Health and Human Development Extramural Research	000	2	8/25/2025	NON-COMPETING CONTINUATION	$203,217
														Subtotal = $203,217

Issue Date FY: 2024 ( Subtotal = $258,301 )
2024	2024	REGENTS OF THE UNIVERSITY OF MICHIGAN	1109 GEDDES AVE, SUITE 3300	ANN ARBOR	MI	48109	WASHTENAW	USA	Child Health and Human Development Extramural Research	001	1	9/11/2024	NEW	$0
2024	2024	REGENTS OF THE UNIVERSITY OF MICHIGAN	1109 GEDDES AVE, SUITE 3300	ANN ARBOR	MI	48109	WASHTENAW	USA	Child Health and Human Development Extramural Research	000	1	9/3/2024	NEW	$258,301
														Subtotal = $258,301

Grand Total All Awards = $461,518

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Developing and Validating a Measure of Patient-centered Peripartum Contraceptive Care

Award Number: R21HD111811

ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/04/2024

PERIOD OF PERFORMANCE END DATE: 08/31/2026

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