Client Preferences for Contraceptive Counseling: A Systematic Review

Fox, Edith; Reyna, Arlene; Malcolm, Nikita M.; Rosmarin, Rachel B.; Zapata, Lauren B.; Frederiksen, Brittni N.; Moskosky, Susan; Dehlendorf, Christine

doi:10.1016/j.amepre.2018.06.006

Cited by 50 publications

(48 citation statements)

References 42 publications

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“…Contraceptive counseling continues to focus on shared decision making models in which the HCP contributes medical knowledge and the patient provides expertise on their own priorities, values and preferences. 19 These preferences are influenced by multiple factors including personal contraceptive experiences and experiences of their friends and family. 16,20,21 Many teens report effectiveness as a priority; however, this does not always translate into choosing the most effective method.…”

Section: Influences On Contraceptive Decision Makingmentioning

confidence: 99%

Best Practices for Counseling Adolescents about the Etonogestrel Implant

Berlan

Richards

Vieira

et al. 2020

Journal of Pediatric and Adolescent Gynecology

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Among young persons, ease of use, high efficacy, and high acceptability makes the etonogestrel (ENG) contraceptive implant an important choice for this age group. Adolescent-friendly, patient-centered counseling considers the patient's cognitive development, the influence of friends and family, as well as their own preferences and values. Age appropriate language, graphics and models are useful to explain contraceptive options and relevant side effects. Effectiveness, reversibility, safety, non-contraceptive benefits, and side effects are important attributes and should be discussed when teens are choosing a contraceptive method. This review describes suggested best practices for counseling adolescents about the ENG implant so they can make informed, prudent decisions about using this contraceptive method.

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Section: Influences On Contraceptive Decision Makingmentioning

confidence: 99%

Best Practices for Counseling Adolescents about the Etonogestrel Implant

Berlan

Richards

Vieira

et al. 2020

Journal of Pediatric and Adolescent Gynecology

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“…This review describes the evidence for KQs 1-5; the evidence for KQ6 is described elsewhere. 9 Search strategies were developed that included the identification of key terms (Appendix Table 2, available online), which were used to search multiple databases, including PubMed, to identify potential articles published from March 1, 2011, to November 30, 2016.…”

mentioning

confidence: 99%

Contraceptive Counseling in Clinical Settings: An Updated Systematic Review

Zapata

Pazol

Dehlendorf

et al. 2018

American Journal of Preventive Medicine

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Context: The objective of this systematic review was to update a prior review and summarize the evidence (newly identified and cumulative) on the impact of contraceptive counseling provided in clinical settings. Evidence acquisition: Multiple databases, including PubMed, were searched during 2016–2017 for articles published from March 1, 2011, to November 30, 2016. Evidence synthesis: The search strategy identified 24,953 articles; ten studies met inclusion criteria. Two of three new studies that examined contraceptive counseling interventions (i.e., enhanced models to standard of care) among adolescents and young adults found a statistically significant positive impact on at least one outcome of interest. Five of seven new studies that examined contraceptive counseling, in general, or specific counseling interventions or aspects of counseling (e.g., personalization) among adults or mixed populations (adults and adolescents) found a statistically significant positive impact on at least one outcome of interest. In combination with the initial review, six of nine studies among adolescents and young adults and 16 of 23 studies among adults or mixed populations found a statistically significant positive impact of counseling on at least one outcome of interest. Conclusions: Overall, evidence supports the utility of contraceptive counseling, in general, and specific interventions or aspects of counseling. Promising components of contraceptive counseling were identified. The following would strengthen the evidence base: improved documentation of counseling content and processes, increased attention to the relationships between client experiences and behavioral outcomes, and examining the comparative effectiveness of different counseling approaches to identify those that are most effective. Theme information: This article is part of a theme issue entitled Updating the Systematic Reviews Used to Develop the U.S. Recommendations for Providing Quality Family Planning Services, which is sponsored by the Office of Population Affairs, U.S. Department of Health and Human Services.

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“…The World Health Organization (WHO) publishes and updates the best contraception practices for medical conditions, as well as large-scale family planning models (national level) ( WHO, 2018 ). Moreover, a study on contraception best practices ( Fox et al, 2018 ) suggests that women prefer to use the services of qualified counselors who empower them to make their own decisions about CMs and who prioritize their autonomy and respect their preferences.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of women with systemic lupus erythematosus undergoing high-risk prenatal care: A qualitative study

et al. 2020

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Background: Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease that often leads to situations of harm to the mother-fetus binomial. Given the potential for complications and morbidities in these pregnant women, it is essential that a multidisciplinary team be involved in pregnancy planning, as well as monitoring the course of the pregnancy and the postpartum period. Owing to the imminent risks of disease worsening along with consequent disabilities, these women may experience psychological and psychosocial impacts conflicting with the psychological demands of pregnancy.Objective: To understand the meanings attributed to pregnancy by women with SLE.Design: A qualitative design with face-to-face interview following a semi-structured script of open-ended questions.Setting: A specialized outpatient clinic where during prenatal care, women with stable disease undergo scheduled appointments. Participants:The sample was intentionally composed of women visiting a specialized outpatient clinic from July 2017 to July 2018. The participants (N = 26) were interviewed in depth, with no refusal. Thematic analysis according to the 7 steps of qualitative analysis was conducted using NVivo 11.Findings: Four categories were identified: (1) unplanned pregnancy and nonuse of contraception, (2) feeling healthy despite a doctor's warning of the disease worsening because of pregnancy, (3) joy coupled with fear of the future and pregnancy, and (4) self-perception and straight perception. Conclusions:The experiences of pregnant women with SLE are permeated by ambiguous feelings. These women feel healthy because they can bear a child despite the chronic disease diagnosis and, at the same time, experience fear and insecurity owing to the imminent possibility of disease-related disabilities and limitations. They especially wish to experience motherhood, and they strive for safety and support.Implications for practice: Health teams must be structured to welcome and advise these women in planning relationships and pregnancy, as well as choosing the best contraceptive methods and making optimal reproductive decisions. The development of strategies to deal with changes in the perinatal period may be helpful, as these women are willing to take care of themselves.

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Client Preferences for Contraceptive Counseling: A Systematic Review

Cited by 50 publications

References 42 publications

Best Practices for Counseling Adolescents about the Etonogestrel Implant

Best Practices for Counseling Adolescents about the Etonogestrel Implant

Contraceptive Counseling in Clinical Settings: An Updated Systematic Review

Perceptions of women with systemic lupus erythematosus undergoing high-risk prenatal care: A qualitative study

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