Bringing Patients' Social Context into the Examination Room: An Investigation of the Discussion of Social Influence During Contraceptive Counseling

Levy, Karmit; Minnis, Alexandra; Lahiff, Maureen; Schmittdiel, Julie A.; Dehlendorf, Christine

doi:10.1016/j.whi.2014.10.001

Cited by 31 publications

(38 citation statements)

References 49 publications

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“…We found family, friends and doctors were influential and women largely formed their opinions based on stories they had heard. This is in line with other study findings 10 12 14–16 19 22. Based on an analysis of audio recorded consultations, Levy et al 22.…”

Section: Discussionsupporting

confidence: 91%

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Australian women's attitudes towards and understandings of the subdermal contraceptive implant: a qualitative study of never-users

Inoue

Kelly

Barratt

et al. 2016

J Fam Plann Reprod Health Care

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Women tended to form negative impressions from the stories of other women about the subdermal implant. Interventions to enhance evidence-informed awareness of the relative advantages and disadvantages of the implant - for example, improved access to supportive contraceptive counselling - need investigation in the Australian context. Avenues to improve women's perceived control over the device could also be usefully investigated.

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Section: Discussionsupporting

confidence: 91%

“…This is in line with other study findings 10 12 14–16 19 22. Based on an analysis of audio recorded consultations, Levy et al 22. reported that social influences may not be recognised by doctors during contraceptive consultations but that they are an important factor to consider when understanding women's contraceptive preferences.…”

Section: Discussionsupporting

confidence: 85%

Australian women's attitudes towards and understandings of the subdermal contraceptive implant: a qualitative study of never-users

Inoue

Kelly

Barratt

et al. 2016

J Fam Plann Reprod Health Care

View full text Add to dashboard Cite

show abstract

“…More generally, a qualitative analysis of counseling approaches found that providers infrequently engaged with patients around their preferences, with less than one quarter of patients experiencing shared decision making in which there was interactive communication around method selection [35•]. Social communication and peer influence were also infrequently addressed during patient visits [36]. In addition to these results documenting communication during visits, one recent study of adolescents who requested removal of a contraceptive implant and their perception of the care they received found that most participants felt they had not been adequately counseled on method side effects [37].…”

Section: Counseling In Practicementioning

confidence: 99%

Patient-Centered Contraceptive Counseling: Evidence to Inform Practice

Dehlendorf

Fox

Sobel

et al. 2016

Curr Obstet Gynecol Rep

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Patient centeredness is an increasingly recognized aspect of quality health care. The application of this framework to contraceptive counseling and care has not been well described. We propose a definition of patient-centered contraceptive counseling that focuses on and prioritizes each patient's individual needs and preferences regarding contraceptive methods and the counseling experience. Guided by this definition, we review recent research that has advanced our understanding of how patient-centered contraceptive counseling can be delivered in practice, focusing on how women decide on a contraceptive method, their preferences for counseling, and their experiences with counseling. This research provides evidence that women have diverse preferences around attributes of their contraceptive methods and value personal, supportive relationships with their family planning providers that focus on their individual preferences. We discuss the implications of this research for practice and review recent interventions that incorporate patient centeredness to varying degrees.

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“…We used data from the Provider-Patient Contraceptive Counseling study, a direct observation study of provider-patient communication about contraception [17,18]. Briefly, we recruited 349 patients from 2009 to 2012 from six clinics in the San Francisco Bay Area if they wished to discuss contraception during their clinic visit.…”

Section: Methodsmentioning

confidence: 99%

Provider self-disclosure during contraceptive counseling

McLean

Steinauer²,

Schmittdiel

et al. 2017

Contraception

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Objective(s) Provider self-disclosure (PSD) – defined as providers making statements regarding personal information to patients – has not been well-characterized in the context of contraceptive counseling. In this study we describe the incidence, content and context of contraceptive PSD. Study Design This mixed methods analysis used data from the Provider-Patient Contraceptive Counseling study, for which 349 family planning patients were recruited from 2009 to 2012 from six clinics in the San Francisco Bay Area. Audio-recordings from their visits were analyzed for the presence or absence of PSD, and those visits with evidence of PSD were analyzed using qualitative methods. The associations of patient and provider demographics and patient satisfaction measures, obtained from survey data, with PSD were analyzed using bivariable and multivariable analyses. Results 37% of providers showed evidence of PSD during at least one visit, and PSD occurred in 9% of clinic visits. 54% of PSD statements were about intrauterine devices. About half of PSD statements occurred prior to the final selection of the contraceptive method and appeared to influence the choice of method. In post-visit surveys, all patients who reported receiving PSD considered it to be appropriate, and patient-reported PSD was not statistically associated with measures of patient satisfaction. Conclusion(s) This study provides some support for the appropriateness of PSD during family planning encounters, at least as practiced during the sampled visits. Further research could explore whether this counseling strategy has an impact on patients’ ability to identify the best contraceptive methods for them.

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Bringing Patients' Social Context into the Examination Room: An Investigation of the Discussion of Social Influence During Contraceptive Counseling

Cited by 31 publications

References 49 publications

Australian women's attitudes towards and understandings of the subdermal contraceptive implant: a qualitative study of never-users

Australian women's attitudes towards and understandings of the subdermal contraceptive implant: a qualitative study of never-users

Patient-Centered Contraceptive Counseling: Evidence to Inform Practice

Provider self-disclosure during contraceptive counseling

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