ArticlePerspectives on sexual and reproductive health2014
A qualitative analysis of approaches to contraceptive counseling.
Article in Perspectives on sexual and reproductive health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Youth-Friendly Family Planning Services for Young People: A Systematic Review Update.American journal of preventive medicine · 2018Pooled it
- Association Between Preterm Birth and Fulfillment of Desired Permanent Contraception.Maternal and child health journal · 2025Article
- Patient Perspectives on Clinician Support When Pursuing Permanent Contraception in the United States.Perspectives on sexual and reproductive health · 2025Article
- Asymmetry in contraceptive information at two sites in Burkina Faso.AJOG global reports · 2024Article
- "She should support me, she's my doctor:" Patient perceptions of agency in contraceptive decision-making in the clinical encounter in Northern California.Perspectives on sexual and reproductive health · 2023Article
- Evaluating Counseling for Choice in Malawi: A Client-Centered Approach to Contraceptive Counseling.Global health, science and practice · 2023Article
- On the verge between the scientific and the alternative: Swedish women's claims about systemic side effects of the copper intrauterine device.Public understanding of science (Bristol, England) · 2023Article
- The association of quality contraceptive counseling measures with postabortion contraceptive method acceptance and choice: results from client exit interviews across eight countries.BMC health services research · 2022Article
- Incorporating Black women's perspectives into long-acting reversible contraception implementation.F&S reports · 2022Article
- Measuring the Sexual Acceptability of Contraception: Psychometric Examination and Development of a Valid and Reliable Prospective Instrument.The journal of sexual medicine · 2022Article
- Shared Decision-Making: The Way Forward for Postpartum Contraceptive Counseling.Open access journal of contraception · 2022Review
- Contraceptive counselling experiences in Spain in the process of creating a web-based contraceptive decision support tool: a qualitative study.Reproductive health · 2021Article
- Different Perceptions among Women and Their Physicians Regarding Contraceptive Counseling: Results from the TANCO Survey in Brazil.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2020Article
- Pill, patch or ring? A mixed methods analysis of provider counseling about combined hormonal contraception.Contraception · 2019Article
- Contraceptive method use among HIV-positive women in a US urban outpatient clinic: an exploratory cross-sectional study.Contraception · 2018Article
- Women's preferences for contraceptive counseling in Mexico: Results from a focus group study.Reproductive health · 2018Article
- Organizational Readiness to Implement the Chronic Disease Self-Management Program in Dialysis Facilities.Geriatrics (Basel, Switzerland) · 2018Article
- Contesting and Differentially Constructing Uncertainty: Negotiations of Contraceptive Use in the Clinical Encounter.Journal of health and social behavior · 2017Article
- Shared decision making in contraceptive counseling.Contraception · 2017Article
- Provider Bias in Long-Acting Reversible Contraception (LARC) Promotion and Removal: Perceptions of Young Adult Women.American journal of public health · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
contextUnderuse and inconsistent use of contraceptives contribute to the continued high rate of unintended pregnancy in the United States. High-quality interaction between patient and provider about contraception is associated with improved contraceptive use, yet little is known about how providers support patients in the decision-making process.
methodsA random sample of 50 family planning visits by patients in the San Francisco Bay Area was selected from a larger sample of 342 audio-recorded visits to six clinics between 2009 and 2012. In qualitative analysis guided by grounded theory techniques, transcripts were assessed to determine counseling approaches and patterns in the use of these approaches.
resultsProviders employed three counseling approaches: foreclosed (in 48% of visits), characterized by discussion of few contraceptive methods and method selection by the patient with no involvement from the provider; informed choice (30%), characterized by detailed description of multiple methods, but little or no interaction between the patient and the provider; and shared decision making (22%), characterized by the provider's interactive and responsive participation with the patient in method selection. Use of these approaches varied by patient's age: Women 25 or younger experienced the foreclosed approach more often than older women, and patients older than 35 were far more likely than their younger counterparts to experience the shared decision-making approach.
conclusionsMost visits did not include interactive engagement between the patient and the provider. Contraceptive counseling interventions should encourage providers to responsively engage with patients of all ages to better meet their contraceptive needs.
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