ArticlePerspectives on sexual and reproductive health2024
Exploring adolescent-facing US clinicians' perceptions of their contraceptive counseling and use of shared decision-making: A qualitative study.
Article in Perspectives on sexual and reproductive health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of interventions to support person-centered contraceptive care for adolescents and young adults: a systematic review.American journal of obstetrics and gynecology · 2025Pooled it
- Exploring State- and Individual-Level Characteristics Associated with Perceived Barriers to Accessing Sexual and Reproductive Health Care Among Young Adult Black Women.Journal of sex research · 2026Article
- "I liked having my voice heard:" a feasible, rapid approach for codesigning a contraceptive counseling curriculum.Academic medicine : journal of the Association of American Medical Colleges · 2026Article
- Men's involvement in contraception: a qualitative study exploring the perceptions and practices of general practitioners in France.Preventive medicine reports · 2026Article
- Piloting a Birth Control Navigator Program for Adolescents and Young Adults in Indiana.Journal of pediatric and adolescent gynecology · 2025Article
- Trust, autonomy, and informed consent: a qualitative investigation of youth experiences accessing contraception in Canada.Sexual and reproductive health matters · 2025Article
- Perspectives on Contraceptives: Insights From Care Providers and Women With Lived Experiences of Unintended Pregnancy in the Netherlands.Perspectives on sexual and reproductive health · 2025Article
- Clinician Perspectives on Adolescent Contraceptive Counseling Following Dobbs v. Jackson: Implications for Young People's Contraceptive Autonomy.Journal of pediatric and adolescent gynecology · 2025Article
- Beyond stigma: Clinician bias in contraceptive counseling to sexual and gender minority youth.Contraception · 2025Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundAdolescent contraceptive decision-making is influenced by a number of patient and clinician-driven factors. Although the AAP continues to endorse an efficacy-based model of contraceptive counseling, many professional organizations are shifting to a shared decision-making model as the optimal approach for providing unbiased and patient-driven contraceptive counseling. While SDM is intended to reduce the influence of clinician bias, it can exacerbate inequity if a clinician tailors a conversation based on their assumptions of a patient's goals or preferences. In this qualitative study, we explored self-reported contraceptive counseling practices among US-based clinicians who see adolescent patients to assess how these practices create barriers or facilitators to SDM and person-centered contraceptive care.
methodsWe interviewed 16 clinicians at the 2022 AAP Annual Meeting who counsel adolescent patients about contraception. We used thematic content analysis to analyze interview transcripts using Dedoose.
resultsWe identified six aspects of contraceptive counseling that clinicians commonly employed with adolescent patients. These were: (1) sociodemographic characteristics driving counseling, (2) reliance on tiered effectiveness counseling, (3) initiating counseling conversations using "ask then explain" or "explain then ask" approaches, (4) emphasis on teen pregnancy prevention, (5) the influence of method accessibility on counseling, and (6) parental involvement in decision-making and patient confidentiality. We describe how these themes align with or diverge from each component of the SDM framework.
conclusionClinicians in this study frequently engaged in non-patient-centered techniques during contraceptive counseling with adolescents. These findings can inform practice recommendations to support clinicians in providing high-quality contraceptive counseling using shared decision-making.
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