# Contraceptive care for patients with bigger bodies in the US: Evaluation of a provider training intervention

## TL;DR

This study evaluates a training program to improve healthcare providers' knowledge and sensitivity in contraceptive care for patients with bigger bodies in the US.

## Contribution

The study introduces a provider training intervention focused on contraceptive care for patients with bigger bodies and demonstrates its effectiveness.

## Key findings

- Most providers lacked knowledge on contraceptive options for patients with bigger bodies at baseline.
- Training improved knowledge of clinical recommendations and emergency contraception counseling.
- Providers showed enhanced sensitivity in clinical practices post-training.

## Abstract

Weight stigma is widespread in healthcare. Few studies have assessed contraceptive counseling approaches for patients with bigger bodies. We aimed to assess the impact of a training program on changes in counseling knowledge for those delivering care in the US to patients with bigger bodies.

From January 2024 to January 2025, we surveyed attendees of Continuing Medical Education (CME)-accredited training on delivering contraceptive care to patients with bigger bodies to assess clinical knowledge change.

Most providers lacked knowledge on contraceptive options and emergency contraception dosing and options for patients with bigger bodies at baseline. We found improved knowledge of clinical recommendations for contraceptive care for this population, improved emergency contraception counseling, and enhanced sensitivity in clinical practices both immediately-post and at 3-month post-training.

Patients with bigger bodies deserve accurate clinical information and comprehensive access to contraception. To provide person-centered care for patients with bigger bodies, this training increased knowledge of how to deliver contraceptive care for this population.