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  1. Article ; Online: Lack of pregnancy intention or interest in pregnancy prevention now? How best to screen for desire for contraceptive care.

    Wingo, Erin / Dehlendorf, Christine

    Contraception

    2023  , Page(s) 110303

    Abstract: Objectives: To assess relationship between pregnancy intention and current desire for pregnancy prevention.: Study design: Using data from two state population-based surveys, we compared One Key Question® and current pregnancy prevention desire.: ... ...

    Abstract Objectives: To assess relationship between pregnancy intention and current desire for pregnancy prevention.
    Study design: Using data from two state population-based surveys, we compared One Key Question® and current pregnancy prevention desire.
    Results: The majority who indicated ambivalence toward pregnancy (54%) and some respondents who indicated that they want to become pregnant in a year (30%) desired pregnancy prevention now.
    Conclusions: One Key Question® did not capture current pregnancy prevention desires of a sizeable minority of respondents.
    Implications: A pregnancy prevention-focused screening approach may be better suited to identify those in need of contraceptive services compared to pregnancy intention screening.
    Language English
    Publishing date 2023-10-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80106-9
    ISSN 1879-0518 ; 0010-7824
    ISSN (online) 1879-0518
    ISSN 0010-7824
    DOI 10.1016/j.contraception.2023.110303
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    Zs.A 629: Show issues Location:
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  2. Article ; Online: Comparison of a person-centered pregnancy prevention question and One Key Question to assess postpartum contraceptive needs.

    Congdon, Jayme L / Vittinghoff, Eric / Dehlendorf, Christine

    Contraception

    2024  , Page(s) 110465

    Abstract: Objectives: To explore the relevance of pregnancy intention as a screen for contraceptive needs among postpartum individuals.: Study design: We surveyed 234 postpartum individuals to assess the alignment between pregnancy intentions in the next year ... ...

    Abstract Objectives: To explore the relevance of pregnancy intention as a screen for contraceptive needs among postpartum individuals.
    Study design: We surveyed 234 postpartum individuals to assess the alignment between pregnancy intentions in the next year and current desire to prevent pregnancy.
    Results: Most individuals (87%) desired pregnancy prevention now, including 73% of individuals who desired or were ambivalent about pregnancy in the next year.
    Conclusion: A majority of individuals considering pregnancy in the next year desired pregnancy prevention now. Directly assessing current desire to prevent pregnancy may be more specific for contraceptive needs in postpartum individuals.
    Implications: Our ability to ensure that all individuals who want to prevent pregnancy have access to contraception depends on the use of effective screening questions. These findings prompt consideration of broader clinical implementation of screening for desire to prevent pregnancy in lieu of questions about pregnancy intention in the next year.
    Language English
    Publishing date 2024-04-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80106-9
    ISSN 1879-0518 ; 0010-7824
    ISSN (online) 1879-0518
    ISSN 0010-7824
    DOI 10.1016/j.contraception.2024.110465
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  3. Article ; Online: Statewide Contraceptive Access Initiatives: A Critical Perspective.

    Dehlendorf, Christine / Perritt, Jamila

    American journal of public health

    2022  Volume 112, Issue S5, Page(s) S490–S493

    MeSH term(s) Contraception ; Family Planning Services ; Health Services Accessibility ; Humans
    Language English
    Publishing date 2022-07-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 121100-6
    ISSN 1541-0048 ; 0090-0036 ; 0002-9572
    ISSN (online) 1541-0048
    ISSN 0090-0036 ; 0002-9572
    DOI 10.2105/AJPH.2022.306930
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  4. Article ; Online: Contraceptive counseling, method satisfaction, and planned method continuation among women in the U.S. southeast.

    Hale, Nathan / Dehlendorf, Christine / Smith, Michael G / Stapleton, Jerod / McCartt, Paezha / Khoury, Amal J

    Contraception

    2024  Volume 132, Page(s) 110365

    Abstract: Objectives: We used the validated Person-Centered Contraceptive Counseling (PCCC) scale to examine experiences with counseling and associations between counseling quality, method satisfaction, and planned method continuation at the population level in ... ...

    Abstract Objectives: We used the validated Person-Centered Contraceptive Counseling (PCCC) scale to examine experiences with counseling and associations between counseling quality, method satisfaction, and planned method continuation at the population level in two southeastern states.
    Study design: We used data from the Statewide Survey of Women, a probability-based sample of reproductive-aged women in Alabama and South Carolina in 2017/18. We included women using a contraceptive method and reporting a contraceptive visit in the past year (n = 1265). Respondents rated their most recent provider experience across four PCCC items. Regression analyses examined relationships between counseling quality and outcomes of interest, and path analysis examined the extent to which method satisfaction mediated the effects of counseling quality on planned continuation.
    Results: Over half of participants (54%) reported optimal contraceptive counseling. Optimal counseling was associated with method satisfaction (aPR = 1.16; 95% confidence interval (CI) = 1.04-1.29) in adjusted models. Optimal counseling was marginally associated with planned discontinuation in the bivariate analysis but was attenuated in the adjusted model (aPR = 1.07; 95% CI = 0.98-1.18). In the path analysis, counseling quality influenced method satisfaction (0.143 (0.045), p = 0.001) which influenced planned continuation, controlling for PCCC (0.74 (0.07), p < 0.001). The total indirect effect of counseling quality on planned continuation was significant (0.106 (0.03), p = 0.001), and a residual direct effect from counseling quality to planned continuation was noted (0.106 (0.03), p = 0.001).
    Conclusions: Counseling quality is independently associated with method satisfaction at the population level. The effect of counseling on planned continuation is partially mediated by method satisfaction.
    Implications: Interventions to support person-centered contraceptive counseling promise to improve quality of care, patient experience with care, and reproductive outcomes.
    MeSH term(s) Humans ; Female ; Adult ; Contraceptive Agents ; Contraceptive Devices ; Contraception ; Alabama ; Reproduction
    Chemical Substances Contraceptive Agents
    Language English
    Publishing date 2024-01-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80106-9
    ISSN 1879-0518 ; 0010-7824
    ISSN (online) 1879-0518
    ISSN 0010-7824
    DOI 10.1016/j.contraception.2024.110365
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    Zs.A 629: Show issues Location:
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  5. Article ; Online: Meeting people's pregnancy prevention needs: Let's not force people to state an "Intention".

    Dehlendorf, Christine / Perry, Joia Crear / Borrero, Sonya / Callegari, Lisa / Fuentes, Liza / Perritt, Jamila

    Contraception

    2024  , Page(s) 110400

    Abstract: Pregnancy intention screening does not identify need for pregnancy prevention and ignores the nuances of lived experiences while reinforcing white middle-class normative expectations. Asking about desire for contraception is a patient-centered approach ... ...

    Abstract Pregnancy intention screening does not identify need for pregnancy prevention and ignores the nuances of lived experiences while reinforcing white middle-class normative expectations. Asking about desire for contraception is a patient-centered approach to meeting people's needs.
    Language English
    Publishing date 2024-02-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80106-9
    ISSN 1879-0518 ; 0010-7824
    ISSN (online) 1879-0518
    ISSN 0010-7824
    DOI 10.1016/j.contraception.2024.110400
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  6. Article ; Online: Pregnancy Conceptualizations in Women Who Have Had Recent Bariatric Surgery.

    Mengesha, Biftu / Steinauer, Jody / Carter, Jonathan / Rodriguez, Amanda / Dehlendorf, Christine

    Journal of women's health (2002)

    2023  Volume 32, Issue 4, Page(s) 478–485

    Abstract: Objectives: ...

    Abstract Objectives:
    MeSH term(s) Adult ; Female ; Humans ; Pregnancy ; Bariatric Surgery ; Concept Formation ; Contraception ; Contraceptive Agents ; Cross-Sectional Studies ; Patient-Centered Care
    Chemical Substances Contraceptive Agents
    Language English
    Publishing date 2023-02-14
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1139774-3
    ISSN 1931-843X ; 1059-7115 ; 1540-9996
    ISSN (online) 1931-843X
    ISSN 1059-7115 ; 1540-9996
    DOI 10.1089/jwh.2022.0319
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  7. Article ; Online: Confronting the Medical Community's Complicity in Marginalizing Abortion Care.

    Borrero, Sonya / Talabi, Mehret Birru / Dehlendorf, Christine

    JAMA

    2022  Volume 328, Issue 17, Page(s) 1701–1702

    MeSH term(s) Female ; Humans ; Pregnancy ; Abortion, Induced/ethics ; Complicity ; Health Services Accessibility/ethics ; Ethics, Medical
    Language English
    Publishing date 2022-11-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2022.18328
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  8. Article ; Online: A Decision Aid to Support Tubal Sterilization Decision-Making Among Pregnant Women: The MyDecision/MiDecisión Randomized Clinical Trial.

    Borrero, Sonya / Mosley, Elizabeth A / Wu, Michaella / Dehlendorf, Christine / Wright, Catherine / Abebe, Kaleab Z / Zite, Nikki

    JAMA network open

    2024  Volume 7, Issue 3, Page(s) e242215

    Abstract: Importance: Tubal sterilization is common, especially among individuals with low income. There is substantial misunderstanding about sterilization among those who have undergone the procedure, suggesting suboptimal decision-making about a method that ... ...

    Abstract Importance: Tubal sterilization is common, especially among individuals with low income. There is substantial misunderstanding about sterilization among those who have undergone the procedure, suggesting suboptimal decision-making about a method that permanently ends reproductive capacity.
    Objective: To test the efficacy of a web-based decision aid for improving tubal sterilization decision quality.
    Design, setting, and participants: This randomized clinical trial conducted between March 2020 and November 2023 included English- or Spanish-speaking pregnant cisgender women aged 21 to 45 years who had Medicaid insurance and were contemplating tubal sterilization after delivery. Participants were recruited from outpatient obstetric clinics in 3 US cities.
    Intervention: Participants were randomized 1:1 to usual care (control arm) or to usual care plus a web-based decision aid (MyDecision/MiDecisión) (intervention arm). The aid includes written, audio, and video information about tubal sterilization procedures; an interactive table comparing contraceptive options; values-clarifying exercises; knowledge checks; and a summary report.
    Main outcomes and measures: The co-primary outcomes were tubal sterilization knowledge and decisional conflict regarding the contraceptive decision. Knowledge was measured as the percentage of correct responses to 10 true-false items. Decisional conflict was measured using the low-literacy Decision Conflict Scale, with lower scores on a range from 0 to 100 indicating less conflict.
    Results: Among the 350 participants, mean (SD) age was 29.7 (5.1) years. Compared with the usual care group, participants randomized to the decision aid had significantly higher tubal sterilization knowledge (mean [SD] proportion of questions answered correctly, 76.5% [16.9%] vs 55.6% [22.6%]; P < .001) and lower decisional conflict scores (mean [SD], 12.7 [16.6] vs 18.7 [20.8] points; P = .002). The greatest knowledge differences between the 2 groups were for items about permanence, with more participants in the intervention arm answering correctly that tubal sterilization is not easily reversible (90.1% vs 39.3%; odds ratio [OR], 14.2 [95% CI, 7.9-25.4]; P < .001) and that the tubes do not spontaneously "come untied" (86.6% vs 33.7%; OR, 13.0 [95% CI, 7.6-22.4]; P < .001).
    Conclusions and relevance: MyDecision/MiDecisión significantly improved tubal sterilization decision-making quality compared with usual care only. This scalable decision aid can be implemented into clinical practice to supplement practitioner counseling. These results are particularly important given the recent increase in demand for permanent contraception after the US Supreme Court decision overturning federal abortion protections.
    Trial registration: ClinicalTrials.gov Identifier: NCT04097717.
    MeSH term(s) Female ; Humans ; Pregnancy ; Contraception ; Contraceptive Agents ; Decision Support Techniques ; Pregnant Women ; Sterilization, Tubal ; United States ; Young Adult ; Adult ; Middle Aged
    Chemical Substances Contraceptive Agents
    Language English
    Publishing date 2024-03-04
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2024.2215
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  9. Article ; Online: Implications of Overturning Roe v Wade on Abortion Training in US Family Medicine Residency Programs.

    Wulf, Sarah / Vinekar, Kavita / Dehlendorf, Christine / Srinivasulu, Silpa / Steinauer, Jody / Carvajal, Diana N

    Annals of family medicine

    2023  Volume 21, Issue 6, Page(s) 545–548

    Abstract: In June 2022, the US Supreme Court ... ...

    Abstract In June 2022, the US Supreme Court overturned
    MeSH term(s) Pregnancy ; Female ; Humans ; United States ; Internship and Residency ; Family Practice ; Abortion, Induced ; Inservice Training
    Language English
    Publishing date 2023-11-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2171425-3
    ISSN 1544-1717 ; 1544-1709
    ISSN (online) 1544-1717
    ISSN 1544-1709
    DOI 10.1370/afm.3042
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    Zs.A 6065: Show issues Location:
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  10. Article ; Online: Using the person-centered contraceptive counseling (PCCC) measure for quality improvement.

    Jones, Elizabeth J / Dehlendorf, Christine / Kriz, Rebecca / Grzeniewski, Monika / Decker, Emily / Eikner, Daryn

    Contraception

    2023  Volume 123, Page(s) 110040

    MeSH term(s) Humans ; Contraceptive Agents ; Quality Improvement ; Contraception ; Family Planning Services ; Counseling
    Chemical Substances Contraceptive Agents
    Language English
    Publishing date 2023-04-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80106-9
    ISSN 1879-0518 ; 0010-7824
    ISSN (online) 1879-0518
    ISSN 0010-7824
    DOI 10.1016/j.contraception.2023.110040
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