Patient-provider communication before and after implementation of the contraceptive decision support tool My Birth Control
| Autor: | Judith Fitzpatrick, Miriam Kuppermann, Katrina Kimport, Kelsey Holt, Christine Dehlendorf, Jody Steinauer |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Counseling medicine.medical_specialty Decision support system Health Knowledge Attitudes Practice Adolescent media_common.quotation_subject Safety-net Clinics Multiple methods Contraceptive counseling Birth control Decision Support Techniques 03 medical and health sciences 0302 clinical medicine Intervention (counseling) medicine Humans 030212 general & internal medicine Contraception Behavior media_common 030503 health policy & services Communication Patient Preference General Medicine Professional-Patient Relations Contraception Family medicine Decision support tools Family Planning Services Female San Francisco 0305 other medical science Psychology |
| Zdroj: | Patient education and counseling. 103(2) |
| ISSN: | 1873-5134 |
| Popis: | Objective To compare differences in patient-provider communication among patients who, prior to contraceptive counseling, used or did not use a decision support tool (“My Birth Control”) which has educational and interactive modules and produces a provider printout with the patient’s preferences. Methods As part of a cluster-randomized trial of the tool in four San Francisco safety net clinics, we collected and thematically analyzed 70 audio recordings of counseling visits (31 pre- and 39 post-tool implementation) from 15 providers randomized to the intervention. Results Without the tool, most providers began by asking participants what method they were considering and focused counseling on that method or on directing patients towards long-acting reversible contraception; with the tool, most focused on reviewing and discussing multiple methods of interest to the participant as indicated on the printout. Discussion of patients’ preferences for specific method features was not observed in pre-implementation recordings but was part of several post-implementation recordings. Several participants explicitly noted they had gained knowledge from the tool. Conclusion Observed counseling differences suggest the tool may have a positive impact on patient-centeredness of contraceptive counseling, consistent with findings from the main study. Practice implications My Birth Control shows potential for improving patient-centeredness in counseling without extensive provider training. |
| Databáze: | OpenAIRE |
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