mybirthcontrol: developing a tablet-based contraceptive counseling decision-support tool
TRANSCRIPT
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MyBirthControl: Developing a tablet-based contraceptive counseling decision support tool
Reiley Reed, MPH and Judy FitzpatrickProgram in Woman-Centered ContraceptionDepartment of Family and Community MedicineUCSF
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Why develop a Birth Control DST?• Counseling can influence contraceptive
use, but patients are often dissatisfied with contraceptive counseling
• Contraception is a preference sensitive decision
• Shared Decision Making approach is optimal, particularly for young people
• Decision support tools are a patient-centered, time-saving approach to improving contraceptive counseling
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Development Process• Collaborators
• Christine Dehlendorf MD, MAS and research team at UCSF
• The National Campaign to Prevent Teen and Unplanned Pregnancy
• Initial needs assessment• Development of prototype by UCSF family
planning experts and design team • Pilot testing at family planning clinic • Input from patient and provider
stakeholders• Subsequent cognitive testing of English and
Spanish language versions
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Structure of the tool• Educational modules relevant to choice of
contraceptive method
• Interactive component where patient indicates preferences
• Health history checklist evaluating eligibility for methods
• Interactive “method chooser” with a method comparison feature
• Questions page where patients can enter their own
• Final printout with methods the patient is interested in, preferences, medical history, and questions for provider
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Educational modules
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Future dissemination• Currently conducting a randomized trial
of the tool’s effectiveness at 4 clinics in SF
• Working with the National Campaign to plan nationwide dissemination to clinics after study period ends
• Easily incorporated into a range of clinical settings
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Contact information Reiley Reed, MPHAssistant Clinical Research CoordinatorProgram in Woman-Centered ContraceptionDepartment of Family and Community [email protected]
Judy FitzpatrickClinical Trial CoordinatorProgram in Woman-Centered ContraceptionDepartment of Family and Community [email protected]