Current Research: Family Planning
Title: Exploring The Factors That Influence Implementation Of Mifepristone Abortion Practice In Canada: The CART-Mife Study
Funder: Canadian Institutes of Health Research, Michael Smith Foundation for Health Research (2016-20)
Abstract: Approximately one-third of Canadian women will have an abortion in their lifetime. About 100,000 occur annually, of which 96 percent are provided using surgery. Mifepristone medical abortion has the potential to increase women's access to abortion services. This integrated knowledge translation research seeks to understand the barriers and facilitators to implementation of mifepristone in Canada and draws on Greenhalgh's Diffusion of Innovation theoretical framework. I am a trainee co-investigator on this research led by Dr. Wendy Norman (UBC) and funded in part by the Canadian Institutes of Health Research, the Michael Smith Foundation for Health Research, and a grant from the Society of Family Planning.
With the Contraception and Abortion Research Team (CART-GRAC) based at BC Women's Hospital, I conduct research in the area of knowledge translation science (2016-present). Senior research investigators with the program have made significant impacts on increasing Canadian patients' access to mifepristone medical abortion and long-acting contraception methods. I study their integrated knowledge translation activities - knowledge brokering, policy dialogues, evidence reviews, media appearances - to determine the methods that facilitate uptake of best evidence into policy and practice.
Status: We are preparing manuscripts for our analyses of practice and policy barriers to mifepristone access, and of the characteristics of researcher-research user relationships that led to significant policy changes. Stay tuned for the publications!
Title: Right For Me: A Cluster Randomised Trial of Two Interventions for Facilitating Shared Decision-Making About Contraceptive Methods
Funder: Patient Centred Outcomes Research Institute (2014-17)
Abstract: In the United States, over half of all pregnancies are unintended. Unintended pregnancy often occurs because women do not have a contraceptive method that fits their needs and lifestyle. The purpose of this research was to learn the best way to support women and their providers as they together compare contraceptive methods and choose a method based on what matters most to the woman. The Right for Me study was a large multi-centre randomized control trial in the eastern US that aims to improve shared conversations about birth control methods between patients and providers. It was led by Dr. Rachel Thompson at Dartmouth College, involved patients as partners in all stages of the research process, and was funded by the Patient-Centered Outcomes Research Institute. I conducted the qualitative evaluation of the implementation of the shared decision-making interventions, informed by the Theoretical Domains Framework. The evaluation explored how clinics implemented the shared decision-making interventions. This evidence will help policy makers and researchers understand what strategies are best for implementing shared decision-making into routine care.
Status: Analysis is complete. Stay tuned for the publication!
Model of Maternity Care
Title: Where and How You Birth (WHY Birth): Development of a Patient Decision Aid for Model of Care and Place of Birth
Funder: Vancouver Coastal Health Research Institute (2017-19)
Abstract: The purpose of this online interactive patient decision aid is to support women and health care providers when making decisions about model of care and place of birth. This work is being conducted in partnership with Prof. Saraswathi Vedam and the Birthplace Lab in the UBC Department of Family Practice.
Status: We are currently recruiting participants to review and test the decision aid. Contact us!