# Improving Contraceptive Care for Women with Chronic Conditions: A Novel, Web-Based Decision Aid in Primary Care

> **NIH NIH K23** · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2021 · $168,480

## Abstract

PROJECT SUMMARY/ABSTRACT
Candidate: Justine Wu, MD, MPH, is a family physician with clinical and educational expertise in family
planning and primary care. Dr. Wu's long-term career goal is to become a successful clinical investiga-
tor who leads efforts to develop practice-based interventions that improve contraceptive use and de-
crease the rate of unintended pregnancy. She is particularly interested in understanding and address-
ing the contraceptive needs of women with chronic medical conditions, including diabetes and hyper-
tension. Upon completion of this 5-year career development award, Dr. Wu will have obtained the expe-
rience and skills necessary to launch a career as an independent investigator.
Public Health Context: The proposed project is relevant to the mission of NIH because it addresses
the intersection of unintended pregnancy and chronic conditions, two significant public health issues
that affect reproductive-aged women in the US. Adult women with chronic conditions have a higher rate
of unintended pregnancy than adult women without chronic conditions. Chronic conditions and unin-
tended pregnancy are both associated with pregnancy-related complications and adverse maternal and
child health outcomes. Prior studies show that women with chronic conditions are not receiving ade-
quate contraceptive counseling, particularly regarding highly effective contraceptive methods. There is
an urgent need to improve contraceptive counseling and services for women with chronic conditions in
order to decrease the rate of unintended pregnancy and improve reproductive health outcomes among
this population.
Proposed Research: The overarching goal of this proposal is to design and pilot test a theory-driven,
interactive web-based contraceptive decision aid for women with chronic conditions and for use in pri-
mary care. This decision aid will help women understand their contraceptive options within the context
of their medical conditions, ongoing drug therapy, and personal preferences, and facilitate a shared-
decision making process with their primary care providers (PCPs).
The specific aims of this mixed methods, multi-phase study are: 1) to identify key factors on the
patient-, provider-, and practice-level that are critical to the design of a contraceptive intervention for
women with chronic conditions in primary care; 2) to develop an interactive, web-based contraceptive
decision aid for women with chronic conditions, their PCPs, and implementation in primary care; 3) to
conduct a pilot randomized controlled trial (RCT) decision aid versus usual care to assess the feasibility
of the intervention and to determine the population size needed for a future R01 RCT.
Project Innovation: The proposed contraceptive decision aid is innovative because it will: 1) be cus-
tomized for women with chronic conditions and for use in community-based primary care sites; 2) be
informed by a new conceptual model that draws upon elements of traditional behaviora...

## Key facts

- **NIH application ID:** 10141278
- **Project number:** 5K23HD084744-05
- **Recipient organization:** UNIVERSITY OF MICHIGAN AT ANN ARBOR
- **Principal Investigator:** JUSTINE P WU
- **Activity code:** K23 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $168,480
- **Award type:** 5
- **Project period:** 2017-04-20 → 2022-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10141278

## Citation

> US National Institutes of Health, RePORTER application 10141278, Improving Contraceptive Care for Women with Chronic Conditions: A Novel, Web-Based Decision Aid in Primary Care (5K23HD084744-05). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10141278. Licensed CC0.

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