THE CHOICE

Our website provides the most up-to-date information about the CHOICE Project, publications, research findings and dissemination efforts.  Start by watching an overview of our research results in "Pathway to CHOICE", check out local and national resources or learn more about your contraceptive options.  The CHOICE is yours!

The Contraceptive CHOICE Project round up: what we did and what we learned

This review provides an overview of the CHOICE Project and highlights the major findings and impact on pregnancy and abortion rates.

Provision of no-cost long-acting contraception and teen pregnancy

Providing no-cost contraception to teens in the CHOICE Project dramatically reduced the teen pregnancy and abortion rate. Of the 1,404 teens in the project, 72% chose a LARC method. The teen pregnancy rate was 34.0 per 1,000 teens compared to the national average of 158.5 per 1,000 teens. Additionally, the abortion rate for teens in the CHOICE project was 9.7 per 1,000 teens compared to the national average of 41.5 per 1,000 teens.

Contraceptive continuation in Hispanic women

Does ethnicity play a role in contraceptive choice, continuation and satisfaction? Researchers found that Hispanic women in the CHOICE Project were more likely to choose a LARC method when compared to non-Hispanic black and non-Hispanic white participants. Hispanic women also experienced high continuation and satisfaction rates with LARC methods, which is consistent with the findings from the entire CHOICE cohort.

OUR MISSION

We started this research project to remove the financial barriers to contraception, promote the most effective methods of birth control, and reduce unintended pregnancy in the St. Louis area. This was an undertaking of nearly 10,000 St. Louis women, our community partners, private providers, and a dedicated
staff of over 100 women and men.

Our Inception

The Contraceptive CHOICE Project began enrollment in August 2007. Over the course of 4 years we enrolled 9,256 women. Our last participant enrolled in September 2011.

Participants represent a diverse group of women in terms of age, education and race. Each chart shows the percentage of women in each category among the 9,256 enrolled.

graph 1

Their Choice

When our participants were counseled about all methods of birth control, 75% of the 9,256 women chose a Long-Acting Reversible Contraceptive method (LARC: IUD or Implant).

Young women under the age of 21 were also interested in the IUD and implant. Over 40% of young women 14-17 years chose the implant, and over 40% of young women 18-20 years chose an IUD.

graph 2

What We've Learned

Among women who chose a LARC method, 86% were still using the method at 1 year. For women who chose a non-long-acting method, only 55% were still using their method at 1 year.

Women using LARC methods had the highest satisfaction at their one-year follow-up. Women who stopped their method during the course of the study were considered not satisfied.

Women using either LARC or the shot had the lowest unintended pregnancy rates during year 1, year 2, and year 3 of their follow-up. Pill, patch and ring users had much higher unintended pregnancy rates; they were 20 times more likely to have an unintended pregnancy compared to LARC users in Year 1.

graph 3

CONTACT US

Have a question? Need to find our location?
Need information on other research studies?
Use our information below.

Contact Us!

Unfortunately, we have completed our enrollment for The CHOICE Project, and we are unable to receive new participants for this study. However, we would love to hear from you and answer any questions you may have. There are several substudies available. Check to see if you qualify for any of our substudies listed below.
Washington University
Department of Obstetrics and Gynecology
4533 Clayton Ave, St. Louis, Mo 63110
Phone: 314-747-0800
Email: Choice@wudosis.wustl.edu
fax: 314-747-6722


Current Substudies

Fertility After Contraception (FACT)

Have you stopped or are you planning to stop your birth control?
Are you trying to have a baby?
Are you between the ages of 18 and 35 years old?

The Fertility After ConTraception (FACT) study is researching what role past birth control use may have on fertility. The study involves one 35-minute in-person clinic visit and four follow-up telephone interviews. You will be compensated up to $90.00 for your participation.

If you are interested, please contact us at choice@wudosis.wustl.edu or 314-747-0800.

Effectiveness of Prolonged Use of IUD/Implant for Contraception (EPIC)

Do you currently use the hormonal IUD or implant?
Is it time to have it removed?
Do you desire contraception for the next 12 months?
Are you 18-45 years old?

The Effectiveness of Prolonged use of IUD/Implant for Contraception (EPIC) study is investigating the use of these methods past the current U.S. FDA-approved duration. The study involves a 15-minute telephone enrollment survey and up to 6 follow-up telephone surveys. There is no in-person visit required and you will be compensated up to $140.00 for your participation.

If you are interested in EPIC, please contact us at choice@wudosis.wustl.edu or 314-747-0800.

Levongestrel IUD for Emergency Contraception (LIFE)

Have you had unprotected intercourse in the previous 5 days?
Are you interested in the 5-year hormonal IUD?
Are you 18-45 years old?

The Levongestral IUD For Emergency Contraception (LIFE) study is investigating the use of the 5-year hormonal IUD as a method of Emergency Contraception (EC). Participation involves a 30-minute clinic visit for enrollment and distribution of your EC method, a 5-minute clinic visit 6 weeks later to check a pregnancy test and a follow-up survey at 6 months. At time of enrollment, you have an equal chance of receiving an immediate IUD placement or EC pills, at no cost. You will be compensated $20 for the follow-up survey.

If you are interested in LIFE, please contact us at choice@wudosis.wustl.edu or 314-747-0800.

Relief Of Bleeding on the Implant

Do you use a contraceptive implant?
Are you currently experiencing undesirable bleeding as a result of your implant?
Are you between the ages of 14-45 years old?

The Relief Of Bleeding on the Implant (ROBI) study is investigating the use of oral contraceptives in improving bleeding pattners among implant users. The study involves three 30-minute in-person clinic visits and one follow-up telephone interview. You will be compensated up to $85.00 for your participation.

If you are interested, please contact us at choice@wudosis.wustl.edu or 314-747-0800.

RESOURCES

Here are some additional tools that can also help you
find what you're looking for!

Saint Louis Region

Saint Louis County Health Department

You must be a St. Louis county resident to receive care at either of these health centers.

North Central Community Health Center
4000 Jennings Station Road
Pine Lawn, MO 63121
314-679-7800

South County Health Center
4580 S. Lindbergh Blvd
Saint Louis, MO 63127
314-615-0400

Family Care Health Centers

Holly Hills Location
401 Holly Hills Ave
St. Louis, MO 63111
314-353-5190

Forest Park Location
4352 Manchester Ave
St. Louis, MO 63110
314-531-5444

People's Health Centers

Delmar Location
5701 Delmar Blvd.
St. Louis MO 63112
314-367-7848

Maplewood Location
7200 Manchester Rd.
St. Louis MO 63143
314-781-9162

Planned Parenthood Saint Louis Region

Central West End Location
4251 Forest Park Avenue
St. Louis MO 63108
314-531-7526

South Grand Location
3401 South Grand
St. Louis MO 63118
314-865-1850

West County Location
#1 Stonegate Center
Manchester MO 63088
636-431-0030

St. Peters Location
208 Mid Rivers Mall Center Drive
St. Peters MO 63376
636-279-3339

North County Location
2796-98 North Highway 67
Florissant MO 63033
314-921-4445

Fairview Heights
4529 North Illinois
Belleville, IL 62226
618-277-6668

Center for Advanced Medicine
4921 Parkview Place
St. Louis, MO 63110
314-362-4211

West End OB/Gyn
1110 Highlands Plaza Dr East Ste 300
St. Louis, MO 63110
314-286-2620

Balanced Care for Women
10806 Olive Blvd
St. Louis, MO 63141
314-993-7009

OB/Gyn Associates, Inc.
1034 S Brentwood Blvd
St. Louis, MO 63117
314-725-9300

West County Women's Healthcare
222 S Woods Mill Road 360N
Chesterfield, MO 63017
314-205-6788

Mercy OB/Gyn

St. John's Mercy Medical Center
621 S. New Ballas Road
Tower B, Suite 4017
St. Louis MO 63141
314-872-9192

St. John's Health Center-North County
755 Dunn Road, Suite 130
Hazelwood, MO 63042
314-872-9192

O'Fallon Office
300 Winding Woods Drive
Suite 200
O'Fallon, MO 63366
314-872-9192

Serenity Women's Healthcare
493 St. Francois, Suite 2
Florissant, MO 63031
314-972-9888

Dr. Jean Thomas
6125 Clayton Ave, Suite 122
St. Louis MO 63139
314-997-2707
Dr. Aaron Pile
10121 W Florissant Ave
St. Louis MO 63136
314-521-1444
Dr. Vernon Johnson
637 Dunn Rd Suite 135
Hazelwood, MO 63042
314-647-6766
Saint Louis County Health Department

North Central Community Health Center
4000 Jennings Station Road
Pine Lawn, MO 63121
314-679-7800

Saint Louis ConnectCare

5535 Delmar Blvd.
St. Louis MO 63112
314-361-2273

Planned Parenthood Saint Louis Region

Central West End Location
4251 Forest Park Avenue
St. Louis MO 63108
314-531-7526

South Grand Location
3401 South Grand
St. Louis MO 63118
314-865-1850

West County Location
#1 Stonegate Center
Manchester MO 63088
636-431-0030

St. Peters Location
208 Mid Rivers Mall Center Drive
St. Peters MO 63376
636-279-3339

North County Location
2796-98 North Highway 67
Florissant MO 63033
314-921-4445

Fairview Heights
4529 North Illinois
Belleville, IL 62226
618-277-6668

Saint Louis Effort for Aids

1027 S. Vandeventer #700
Saint Louis, MO 63110
314-645-6451 

The Spot

4169 Laclede Ave, 1st Floor
St. Louis, MO 63108
314-535-0413


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