CE/CME
LARC: Texas Guidelines and Recommendations
Welcome to the training on LARC: Texas Guidelines and Recommendations provided by the Texas Health and Human Services Commission (HHSC) and the Texas Department of State Health Services (DSHS).
Credit Hours: 0.75 CE
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Goal
The goal of this training is to equip Texas Health Steps providers and other health care professionals to follow best practices and state guidelines to counsel patients of childbearing age, including adolescents, and make available long-acting reversible contraceptives (LARC).
Target Audience
Texas Health Steps providers and other interested health care professionals.
Specific Learning Objectives
After completing the activities of this module, you will be able to:
- Summarize the types of long-acting reversible contraceptives (LARC) and their safety and effectiveness in preventing unintended pregnancy.
- Apply recommendations for counseling patients of childbearing age, including adolescents, and making available long-acting reversible contraceptives.
NOTE: In this module, the term “parent” also refers to guardians and caregivers. The term “woman” may refer to a female adolescent of childbearing age. The terms “girl” and “woman,” along with their plurals and pronouns, may be used in the module, although the creators intend inclusivity and wish to avoid bias based on gender identity.
Please note this module expires on 8/9/2025.
This module was released on 8/9/2022.
Featured
- American Academy of Pediatrics. (2020) Clinical Report: Long-Acting Reversible Contraception: Specific Issues for Adolescents.
- American College of Obstetrics and Gynecology. (2021). Practice Bulletin Number 186: Long-Acting Reversible Contraception: Implants and Intrauterine Devices.
- American College of Obstetricians and Gynecologists. (2018). Committee Opinion 735: Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices.
- America’s Health Rankings. (2022). Health of Women and Children: Teen Births in Texas.
- American Sexual Health Association. (2022). Understanding LARC.
- Before, Between & Beyond Pregnancy. (2022). Reproductive Life Plan. The University of North Carolina at Chapel Hill.
- Centers for Disease Control and Prevention. (2022). Reproductive Health: Intrauterine Contraception.
- Centers for Disease Control and Prevention. (2022). Teen Birth Rate by State.
- Centers for Disease Control and Prevention. (2022). Texas: Key Health Indicators.
- Centers for Disease Control and Prevention. (2021). Health Care Providers and Teen Pregnancy Prevention.
- Centers for Disease Control and Prevention. (2021). Reproductive Health: Unintended Pregnancy.
- Centers for Disease Control and Prevention. (2021). STDs in Adolescents and Young Adults.
- Contemporary Pediatrics. (2022). TikTok trends: Does IUD insertion hurt?
- Texas Health and Human Services Commission. (2021). Texas Health Steps Periodicity Schedule.
- Texas Health and Human Services Commission. (2018). The Texas Long-Acting Reversible Contraception Toolkit.
- Texas Health and Human Services Commission. (2017). Anticipatory Guidance Provider Guide.
- U.S. Health and Human Services Department. (2022). Long-Acting Reversible Contraceptive (LARC) Measures.
Medical Definitions
Medical definitions in this module were obtained or adapted from Johns Hopkins Medicine, Texas Family Code and University of California Press.
Continuing Medical Education
The Texas Department of State Health Services, Continuing Education Service is accredited by the Texas Medical Association to provide continuing medical education for physicians.
The Texas Department of State Health Services, Continuing Education Service designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Continuing Professional Development
The Texas Department of State Health Services, Continuing Education Service is accredited as a provider of Nursing Continuing Professional Development by the American Nurses Credentialing Center’s Commission on Accreditation.
Texas Department of State Health Services, Continuing Education Service has awarded 0.75 contact hours of Nursing Continuing Professional Development.
Social Workers
The Texas Department of State Health Services, Continuing Education Service, the continuing education provider, ensures that the education provided is directly related to the practice of social work; and that the individuals presenting the information have the necessary experience and knowledge in the topics presented. The Texas Department of State Health Services, Continuing Education Service has awarded 0.75 hours of credit.
Certificate of Attendance
The Texas Department of State Health Services, Continuing Education Service has designated 0.75 hour(s) for attendance.
General Disclosure
One of the requirements of continuing education is disclosure of the following information to the learner:
- Notice of requirements for successful completion of continuing education activity. To receive continuing education credit the learner must successfully complete the following activities:
- Create a Texas Health Steps account.
- Complete on-line registration process.
- Thoroughly read the content of the module.
- Complete the on-line examination.
- Complete the evaluation.
- Commercial Support.
The THSTEPS Web-based Continuing Education Series has received no commercial support. - Disclosure of Relevant Financial Relationships.
The THSTEPS Continuing Education Planning Committee and the authors of these modules have no relevant financial relationships to disclose. - Non-Endorsement Statement.
Accredited status does not imply endorsement of any commercial products or services by the Department of State Health Services, Continuing Education Service; Texas Medical Association; or American Nurse Credentialing Center. - Off-Label Use.
Using a disclosure review process, the THSTEPS Continuing Education Planning Committee has examined documents and has concluded that the authors of these modules have not included content that discusses off-label use (use of products for a purpose other than that for which they were approved by the Food and Drug Administration).
The following are policies and definitions of terms related to continuing education disclosure:
The intent of disclosure is to allow Department of State Health Services (DSHS) Continuing Education Service the opportunity to resolve any potential conflicts of interest to assure balance, independence, objectivity and scientific rigor in all of its Continuing Education activities.
All faculty, planners, speakers and authors of Department of State Health Services (DSHS) Continuing Education Service sponsored activities are expected to disclose to the Department of State Health Services (DSHS) Continuing Education Service any relevant financial, relationships with any commercial or personal interest that produces health care goods or services concerned with the content of an educational presentation. Faculty, planners, speakers and authors must also disclose where there are any other potentially biasing relationships of a professional or personal nature.
Glossary of Terms
Conflict of Interest: Circumstances create a conflict of interest when an individual has an opportunity to affect Continuing Education content about products or services of a commercial interest with which she/he has a financial relationship or where there are any other potentially biasing relationships of a professional or personal nature.
Commercial Interest: Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
Financial Relationships: Those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. Relevant financial relationships would include those within the past 12 months of the person involved in the activity and a spouse or partner. Relevant financial relationships of your spouse or partner are those of which you are aware at the time of this disclosure.
Off Label: Using products for a purpose other that that for which it was approved by the Food and Drug Administration (FDA).
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Helpful Resources
- American College of Obstetricians and Gynecologists. (2022). Long-Acting Reversible Contraception (LARC).
- Centers for Disease Control and Prevention. (2022). Reproductive Health: Intrauterine Contraception.
- Centers for Disease Control and Prevention. (2017). Reproductive Health: Implants. Bleeding Irregularities (Including Amenorrhea) During Implant Use.
- National Clinical Training Center for Family Planning. (2021). LARC Training.
- National Coalition for Sexual Health. (2022). For Providers.
- Power to Decide. (2022). One Key Question® Online.
- Texas Health and Human Services Commission. Vendor Drug Program.
- Texas Health and Human Services Commission. Texas Healthy Women Family Planning Program.
- Texas Health and Human Services Commission. Texas Healthy Women.
- Texas Health and Human Services Commission. (2018). The Texas Long-Acting Reversible Contraception Toolkit.
- Texas Health Steps Provider Information, including the Texas Health Steps Periodicity Schedule and the Anticipatory Guidance Provider Guide.
- Texas Vendor Drug Program formulary.