Evidence map›Paper›PMID 26477942›Full record

ArticleJournal of pediatric and adolescent gynecology2016

A Qualitative Study of Factors That Influence Contraceptive Choice among Adolescent School-Based Health Center Patients.

Andrea J Hoopes, Kelly Gilmore, Janet Cady, Aletha Y Akers, Kym R Ahrens

Abstract read
In one paragraph

Article in Journal of pediatric and adolescent gynecology, 2016. 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.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
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  6. Observational
  7. Article
  8. Provider perspectives on adolescent access to contraception in South Africa.African journal of primary health care & family medicine · 2024
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  20. Yonder: Kidney transplant, supraventricular tachycardia, contraception, and dog walking.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Andrea J HoopesDepartment of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado. Electronic address: andrea.hoopes@childrenscolorado.org.
Kelly GilmoreDepartment of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, Washington.
Janet CadyNeighborcare Health, Seattle, Washington; Department of Pediatrics, Seattle Children's Research Institute/University of Washington School of Medicine, Seattle, Washington.
Aletha Y AkersThe Craig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Kym R AhrensDepartment of Pediatrics, Seattle Children's Research Institute/University of Washington School of Medicine, Seattle, Washington.

Funding

Psychiatry Primary Care NRSA T-32 AwardT32MH020021 · NIMH · UNIVERSITY OF WASHINGTON · PI JOHN C. FORTNEY, JURGEN UNUTZER · 1998 to 2026
$5.6M
Developing an HIV/STI intervention for Foster Youth Using Attachment TheoryK23MH090898 · NIMH · SEATTLE CHILDREN'S HOSPITAL · PI AHRENS, KYM R · 2010 to 2014
$882k
NIMH NIH HHS K23 MH090898NIMH NIH HHS T32 MH020021
6 · The paper itself

Abstract

STUDY

objectiveLong-acting reversible contraceptive (LARC) methods can prevent teen pregnancy yet remain underutilized by adolescents in the United States. Pediatric providers are well positioned to discuss LARCs with adolescents, but little is known about how counseling should occur in pediatric primary care settings. We explored adolescent womens' attitudes and experiences with LARCs to inform the development of adolescent-centered LARC counseling strategies.

designQualitative analysis of one-on-one interviews.

settingParticipants were recruited from 2 urban school-based, primary care centers.

participantsThirty adolescent women aged 14-18 years, diverse in race/ethnicity, and sexual experience.

interventionsInterviews were audio-recorded, transcribed, and coded using inductive and deductive coding.

main outcome measureMajor themes were identified to integrate LARC-specific adolescent preferences into existing counseling approaches.

resultsParticipants (mean age, 16.2 years; range, 14-18 years) represented a diverse range of racial and/or ethnic identities. Half (15/30) were sexually active and 17% (5/30) reported current or past LARC use. Five themes emerged regarding key factors that influence LARC choice, including: (1) strong preferences about device-specific characteristics; (2) previous exposure to information about LARCs from peers, family members, or health counseling sessions; (3) knowledge gaps about LARC methods that affect informed decision-making; (4) personal circumstances or experiences that motivate a desire for effective and/or long-acting contraception; and (5) environmental constraints and supports that might influence adolescent access to LARCs.

conclusionWe identified 5 factors that influence LARC choice among adolescent women and propose a framework for incorporating these factors into contraceptive counseling services in pediatric primary care settings.

Indexed as

Choice BehaviorAdolescentAdolescent BehaviorContraceptionContraception BehaviorCounselingDecision MakingFamily Planning ServicesFemaleHumansPregnancyPregnancy in AdolescenceQualitative ResearchSchool Health ServicesUnited StatesAdolescent health servicesContraception counselingContraceptive deviceIntrauterine deviceQualitative methods

Identifiers

PMID26477942
PMCPMC4934126

What OpenQuestion holds

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Registered trials

None linked

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.