Abstract：
BACKGROUND: Pregnancies conceived within 18 months of a prior delivery (termed short inter-pregnancy interval [IPI]) place mothers and infants at high risk for poor health outcomes. Despite this, nearly one third of U.S. women experience a short IPI.
OBJECTIVE: To address the gap in the current model of postpartum (PP) contraception care by developing and implementing a novel approach to link (co-schedule) PP contraception care with newborn well-baby care to improve access to timely PP contraception.
METHODS: The LINCC Trial will take place in seven clinical locations across five community health centers within the U.S. PP patients (planned n = 3150) who are attending a Well-Baby Visit between 0 and 6 months will be enrolled. The LINCC Trial aims to leverage the Electronic Health Record to prompt providers to ask PP patients attending a Well-Baby Visit about their PP contraception needs and facilitate co-scheduling of PP contraception care with routine newborn care visits. The study includes a cluster randomized, cross-sectional stepped wedge design to roll out the intervention across the seven sites. The outcomes of the study include receipt of most or moderately effective methods of contraception by two and six months PP; and rate of short IPI pregnancies. Implementation outcomes will be assessed at baseline and 6 months after site enters intervention period.
CONCLUSIONS: The LINCC Trial seeks to evaluate the effectiveness and feasibility of a linked care model in comparison to usual care.
OBJECTIVE: To address the gap in the current model of postpartum (PP) contraception care by developing and implementing a novel approach to link (co-schedule) PP contraception care with newborn well-baby care to improve access to timely PP contraception.
METHODS: The LINCC Trial will take place in seven clinical locations across five community health centers within the U.S. PP patients (planned n = 3150) who are attending a Well-Baby Visit between 0 and 6 months will be enrolled. The LINCC Trial aims to leverage the Electronic Health Record to prompt providers to ask PP patients attending a Well-Baby Visit about their PP contraception needs and facilitate co-scheduling of PP contraception care with routine newborn care visits. The study includes a cluster randomized, cross-sectional stepped wedge design to roll out the intervention across the seven sites. The outcomes of the study include receipt of most or moderately effective methods of contraception by two and six months PP; and rate of short IPI pregnancies. Implementation outcomes will be assessed at baseline and 6 months after site enters intervention period.
CONCLUSIONS: The LINCC Trial seeks to evaluate the effectiveness and feasibility of a linked care model in comparison to usual care.
摘要：
背景：在分娩前18个月内怀孕（称为妊娠间隔时间短[IPI]）使母亲和婴儿处于健康结局不良的高风险中。尽管如此,近三分之一的美国女性经历过短暂的IPI。
目的：通过开发和实施一种新的方法来将PP避孕护理与新生儿健康护理联系起来，以改善获得及时的PP避孕。
方法：LINCC试验将在美国五个社区卫生中心的七个临床地点进行，这些PP患者（计划n=3150）正在参加0至6个月的Well-Baby访问。LINCC试验旨在利用电子健康记录来提示提供者向参加Well-Baby访问的PP患者询问其PP避孕需求，并促进PP避孕护理与常规新生儿护理访问的共同安排。这项研究包括随机分组，横截面阶梯式楔形设计，可在七个地点展开干预。该研究的结果包括在2个月和6个月PP之前接受最有效或中等有效的避孕方法;以及短期IPI妊娠率。实施结果将在基线和现场进入干预期后6个月进行评估。
结论：LINCC试验旨在与常规护理相比，评估关联护理模式的有效性和可行性。
目的：通过开发和实施一种新的方法来将PP避孕护理与新生儿健康护理联系起来，以改善获得及时的PP避孕。
方法：LINCC试验将在美国五个社区卫生中心的七个临床地点进行，这些PP患者（计划n=3150）正在参加0至6个月的Well-Baby访问。LINCC试验旨在利用电子健康记录来提示提供者向参加Well-Baby访问的PP患者询问其PP避孕需求，并促进PP避孕护理与常规新生儿护理访问的共同安排。这项研究包括随机分组，横截面阶梯式楔形设计，可在七个地点展开干预。该研究的结果包括在2个月和6个月PP之前接受最有效或中等有效的避孕方法;以及短期IPI妊娠率。实施结果将在基线和现场进入干预期后6个月进行评估。
结论：LINCC试验旨在与常规护理相比，评估关联护理模式的有效性和可行性。
