ArticlePatient education and counseling2011
"I wouldn't be this firm if I didn't care": preventive clinical counseling for reproductive health.
Article in Patient education and counseling, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Theory-based interventions for contraception.The Cochrane database of systematic reviews · 2016Pooled it
- Behavioral interventions for improving condom use for dual protection.The Cochrane database of systematic reviews · 2013Pooled it
- Preferred use of contraceptive methods and reasons for non-use: a cross-sectional survey of a sample of Black, Indigenous, and people of colour in the United States.Sexual and reproductive health matters · 2025Article
- Article
- Impact of a Multifaceted Educational Program to Improve Provider Skills for Lupus Pregnancy Planning and Management: A Mixed-Methods Approach.ACR open rheumatology · 2020Article
- Brief Motivational Interviewing Delivered by Clinician or Computer to Reduce Sexual Risk Behaviors in Adolescents: Acceptability Study.Journal of medical Internet research · 2019Article
- Provider perceptions on the management of lupus during pregnancy: barriers to improved care.Lupus · 2019Article
- Development of a brief questionnaire to assess contraceptive intent.Patient education and counseling · 2015Article
- Contraceptive counseling: best practices to ensure quality communication and enable effective contraceptive use.Clinical obstetrics and gynecology · 2014Review
- Counseling and provision of long-acting reversible contraception in the US: national survey of nurse practitioners.Preventive medicine · 2013Article
- Engaging HIV care providers in conversations with their reproductive-age patients about fertility desires and intentions: a historical review of the HIV epidemic in the United States.American journal of public health · 2013Review
- Evidence-based IUD practice: family physicians and obstetrician-gynecologists.Family medicine · 2012Article
- Willingness of clinicians to integrate microbicides into HIV prevention practices in southern Africa.AIDS and behavior · 2012Article
- Male circumcision for HIV prevention: clinical practices and attitudes among healthcare providers in South Africa and Zimbabwe.Sexually transmitted diseases · 2012Article
- Pelvic examinations and access to oral hormonal contraception.Obstetrics and gynecology · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveThis qualitative study of health care clinicians serving women at heightened risk of sexually transmitted infections and unintended pregnancy was undertaken to explore concepts underlying reproductive health counseling messages in clinical encounters.
methodsIn-depth interviews were conducted with 31 clinicians, including physicians and advanced practice nurses serving primarily low-income patients in high-risk communities throughout the U.S.
resultsMost of the clinicians describe their influence on patients and protective behaviors as derived from medical authority and the presentation of information. The use of a parental style of authority, particularly for young or vulnerable patients, and emotional appeals to evoke negative emotions, such as fear, were also used to motivate protective behaviors. Many clinicians highlighted the importance of empathy, and understanding the cultural and social context of health behaviors. A few clinicians described innovative efforts to empower women to protect themselves and exert more control in relationships.
conclusionSome of the reproductive health counseling approaches described by clinicians are not consistent with leading health behavior change theories or patient-centered counseling. PRACTICAL IMPLICATIONS: To improve counseling, these messages and concepts need to be evaluated for effectiveness, and possibly used to inform the development of novel theories for use in reproductive health counseling.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.