Andrea J Hoopes1, Kelly Gilmore2, Janet Cady3, Aletha Y Akers4, Kym R Ahrens5. 1. Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado. Electronic address: andrea.hoopes@childrenscolorado.org. 2. Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, Washington. 3. Neighborcare Health, Seattle, Washington; Department of Pediatrics, Seattle Children's Research Institute/University of Washington School of Medicine, Seattle, Washington. 4. The Craig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. 5. Department of Pediatrics, Seattle Children's Research Institute/University of Washington School of Medicine, Seattle, Washington.
Abstract
STUDY OBJECTIVE: Long-acting reversible contraceptive (LARC) methods can prevent teen pregnancy yet remain underutilized by adolescents in the United States. Pediatric providers are well positioned to discuss LARCs with adolescents, but little is known about how counseling should occur in pediatric primary care settings. We explored adolescent womens' attitudes and experiences with LARCs to inform the development of adolescent-centered LARC counseling strategies. DESIGN: Qualitative analysis of one-on-one interviews. SETTING: Participants were recruited from 2 urban school-based, primary care centers. PARTICIPANTS: Thirty adolescent women aged 14-18 years, diverse in race/ethnicity, and sexual experience. INTERVENTIONS: Interviews were audio-recorded, transcribed, and coded using inductive and deductive coding. MAIN OUTCOME MEASURE: Major themes were identified to integrate LARC-specific adolescent preferences into existing counseling approaches. RESULTS: Participants (mean age, 16.2 years; range, 14-18 years) represented a diverse range of racial and/or ethnic identities. Half (15/30) were sexually active and 17% (5/30) reported current or past LARC use. Five themes emerged regarding key factors that influence LARC choice, including: (1) strong preferences about device-specific characteristics; (2) previous exposure to information about LARCs from peers, family members, or health counseling sessions; (3) knowledge gaps about LARC methods that affect informed decision-making; (4) personal circumstances or experiences that motivate a desire for effective and/or long-acting contraception; and (5) environmental constraints and supports that might influence adolescent access to LARCs. CONCLUSION: We identified 5 factors that influence LARC choice among adolescent women and propose a framework for incorporating these factors into contraceptive counseling services in pediatric primary care settings.
STUDY OBJECTIVE: Long-acting reversible contraceptive (LARC) methods can prevent teen pregnancy yet remain underutilized by adolescents in the United States. Pediatric providers are well positioned to discuss LARCs with adolescents, but little is known about how counseling should occur in pediatric primary care settings. We explored adolescent womens' attitudes and experiences with LARCs to inform the development of adolescent-centered LARC counseling strategies. DESIGN: Qualitative analysis of one-on-one interviews. SETTING:Participants were recruited from 2 urban school-based, primary care centers. PARTICIPANTS: Thirty adolescent women aged 14-18 years, diverse in race/ethnicity, and sexual experience. INTERVENTIONS: Interviews were audio-recorded, transcribed, and coded using inductive and deductive coding. MAIN OUTCOME MEASURE: Major themes were identified to integrate LARC-specific adolescent preferences into existing counseling approaches. RESULTS:Participants (mean age, 16.2 years; range, 14-18 years) represented a diverse range of racial and/or ethnic identities. Half (15/30) were sexually active and 17% (5/30) reported current or past LARC use. Five themes emerged regarding key factors that influence LARC choice, including: (1) strong preferences about device-specific characteristics; (2) previous exposure to information about LARCs from peers, family members, or health counseling sessions; (3) knowledge gaps about LARC methods that affect informed decision-making; (4) personal circumstances or experiences that motivate a desire for effective and/or long-acting contraception; and (5) environmental constraints and supports that might influence adolescent access to LARCs. CONCLUSION: We identified 5 factors that influence LARC choice among adolescent women and propose a framework for incorporating these factors into contraceptive counseling services in pediatric primary care settings.
Authors: Gina M Secura; Tessa Madden; Colleen McNicholas; Jennifer Mullersman; Christina M Buckel; Qiuhong Zhao; Jeffrey F Peipert Journal: N Engl J Med Date: 2014-10-02 Impact factor: 91.245
Authors: Sneha Challa; Abubakar Manu; Emmanuel Morhe; Vanessa K Dalton; Dana Loll; Jessica Dozier; Melissa K Zochowski; Andrew Boakye; Richard Adanu; Kelli Stidham Hall Journal: Women Health Date: 2017-04-03
Authors: Andrea J Hoopes; Kym R Ahrens; Kelly Gilmore; Janet Cady; Wren L Haaland; Anne-Marie Amies Oelschlager; Sarah Prager Journal: J Prim Care Community Health Date: 2016-04-11
Authors: Anna W Brittain; Ana Carolina Loyola Briceno; Karen Pazol; Lauren B Zapata; Emily Decker; Julia M Rollison; Nikita M Malcolm; Lisa M Romero; Emilia H Koumans Journal: Am J Prev Med Date: 2018-11 Impact factor: 5.043