Exploring adolescent contraceptive counseling: A hypothetical daughter scenario

• Published in: Patient education and counseling Vol. 130; p. 108486
• Main Authors: Traseira Pedraz, Carmen, Wong, Catherine, DeSilva, Nirupama, Gribbons, Megan, Jetelina, Katelyn K., Tiro, Jasmin A., Francis, Jenny KR
• Format: Journal Article
• Language: English
• Published: Elsevier B.V 01-01-2025
• Subjects: Adolescent; Contraceptive counseling; Contraceptive implant (Implant); Intrauterine device (IUD); Long-acting reversible contraception (LARC); Sexual and reproductive health; Shared decision-making; Contraceptive counseling; Contraceptive implant (Implant); Long-acting reversible contraception (LARC); Intrauterine device (IUD); Adolescent; Sexual and reproductive health; Shared decision-making
• ISSN: 0738-3991; 1873-5134; 1873-5134
• DOI: 10.1016/j.pec.2024.108486

We aimed to describe contraceptive methods used by clinicians who counsel adolescents to create an aggregate perspective which could be shared with patients. We also explored which method clinicians would recommend to a hypothetical daughter to identify associations between clinicians who had used long-acting reversible contraception (LARC) and potential recommendations.
An online survey was sent to pediatric and adolescent gynecology academic societies and fellowship/division directors to share with their clinicians. Frequency and percentage of self-reported personal/partner contraceptive method ever use was calculated. Bivariate tests evaluated the relationship between personal LARC use and contraception recommendations.
Across 669 clinicians, 46 % reported personal/partner LARC use, and 77 % recommended LARC to a hypothetical daughter. LARC users were more likely to recommend LARC for a hypothetical daughter (89 % LARC users recommend it versus 66 % non-LARC users, p < 0.01).
Results can support shared decision-making counseling discussions. When families ask, “what do you use” or “what would you start for your daughter,” clinicians might consider sharing this aggregate perspective.
In this study, clinicians who personally use LARC were more likely to recommend LARC for a hypothetical daughter. Clinicians can share this aggregate perspective to reduce personal bias during contraceptive counselling.
•Long-acting reversible contraception (LARC) is recommended for adolescents.•Almost half of pediatric providers report LARC ever use.•LARC users were more likely to recommend LARC for a hypothetical daughter.