Family Planning Clients’ Experiences With Providers Can Inform Patient-centered Care

Faccio, Bianca; Logan, Deja; Shelton, Ria; Briggs, Sydney; Solomon, Bonnie J.; Manlove, Jennifer

doi:10.56417/6691k6666e

Cited by 1 publication

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“…SRH telehealth can reach AYA women who may not otherwise seek in-person care due to geographical barriers or stigma (Hubach et al, 2022;Murewanhema, 2020). For SRH services not requiring a physical exam (e.g., consultations, contraception prescriptions), telehealth shows promise as a tool for efficient and convenient healthcare delivery (DeNicola et al, 2020;Shaikh et al, 2021;Stifani et al, 2021;Williams et al, 2018), despite potential barriers such as privacy risks, technical challenges, or lack of patient access to (quality) internet or technology (Bacchus et al, 2019;Faccio et al, 2021;Kaufman et al, 2016). AYA may be particularly accepting of telehealth owing to their familiarity with technology (Anderson & Jiang, 2018).…”

Section: Introductionmentioning

confidence: 99%

Adapting a Counseling-Plus-mHealth Intervention for the Virtual Environment to Reduce Sexual and Reproductive Health Risk Among Young Women with Depression

et al. 2023

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MARSSI (Momentary Affect Regulation – Safer Sex Intervention) is a counseling-plus-mobile health (mhealth) intervention to reduce sexual and reproductive health (SRH) risks for women with depression and high-risk sexual behavior. Due to the COVID-19 pandemic limiting in-person care, we sought to develop the counseling and mhealth app onboarding for virtual implementation. A team with SRH, adolescent medicine, motivational interviewing, cognitive behavioral therapy, and technology expertise adapted the counseling through an iterative consensus process. We identified essential aspects of the counseling, specified the content so the counseling could be delivered in person or virtually with fidelity, and considered best practices for telehealth for the focus population. Virtual counseling retained key elements from in-person counseling while including enhancements with engaging visual and audio–video aids. Instructions and programming were developed to support virtual counseling delivery and onboarding for the mhealth app component of MARSSI. After testing the virtual format in mock sessions, we implemented a small-scale feasibility study in an adolescent medicine clinic with women with depressive symptoms and high-risk sexual behavior age 18–24 years (N = 9). Participants experienced minimal technical difficulties and expressed satisfaction with the virtual format, and all were able to complete app onboarding successfully. Expanding delivery options for SRH interventions to include virtual can improve access, particularly for populations with psychological and environmental barriers to care.

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